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Program Details for the year 2001 - 2002

Division Details | Plan & Report Summary


ProgramDIVISION MANAGEMENT
GoalTo maintain principles of quality corporate governance and clear operational mandate
StrategyCommittee of Management to demonstrate good governance by:
OutcomesActivitiesIndicatorsResults&Commentary
The Division demonstrates clear lines of responsibility and delegated authority. Continued implementation of the policy on lines of responsibility and delegated authority within the organisation. Review with CoM annually Reviewed November 2001

Have taken the opportunity created by the recent change in the management positions, for a complete review of the management structure, reporting framework and delegations of the Division.
Orientation and induction policy and procedure includes information for all staff CoM members regarding lines of responsibility and delegated authority. Up-to-date policy manual Reviewed annually Orientation and human resource policy and policy documentation is under a continuous review cycle

Review of positions descriptions All positions have a relevant and up-to-date positions description Positions descriptions reviewed annually as part of the performance management cycle

Implementation of performance management cycle with links from individual workplans to the outcomes and activities in the Business Plan


ProgramDIVISION MANAGEMENT
GoalTo maintain principles of quality corporate governance and clear operational mandate
StrategyContinue to establish clear & endorsed lines of accountability, authority, decision making and delegations.
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramDIVISION MANAGEMENT
GoalTo maintain principles of quality corporate governance and clear operational mandate
StrategyImplement policy & procedures guidelines for Divisional activities and operations.
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramDIVISION MANAGEMENT
GoalTo maintain accountable and transparent financial systems.
StrategyMonthly financial reports presented to Committee of Management.
OutcomesActivitiesIndicatorsResults&Commentary
The Division is financially sound and meets all funding and accountability requirements. Ensure the Division is financially viable through sound budget and financial management actions. Quarterly full financial reports to CoM

Annual external audit

Monthly highlighting of areas of concern
Monthly financial reports to CoM.
Six month full budget reviews presented to CoM Strategic Planning sessions

The Division has exceeded the identified indicators

Annual Audit conducted in good time with full compliance

All recommendations from auditors implemented effectively

Monthly meetings of Budget officer, CEO and Treasurer to monitor budget trend

The Division has exceeded the identified indicators
Division complies with all financial and accountability requirements All reports to meet reporting deadlines Monthly presentation of budget reports to the CoM

Additional budget management activity includes the modification of staff timesheets and budget allocations against specific programmes to reflect actual time spent and to encourage accurate reporting of cost drivers.


ProgramDIVISION MANAGEMENT
GoalTo maintain accountable and transparent financial systems.
StrategyExternal audit conducted annually
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramDIVISION MANAGEMENT
GoalTo maintain accountable and transparent financial systems.
StrategyEnsure compliance with reporting and audit requirements
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramDIVISION MANAGEMENT
GoalTo demonstrate and invest in quality human resource management actions.
StrategyDocument and implement actions relating to quality human resource management and practice.
OutcomesActivitiesIndicatorsResults&Commentary
The Division provides quality human resource management and practice. Develop & implement policies relating to quality human resource management. Policy reviewed annually Policy and Procedure documentation under ongoing review and development

Review Job Descriptions including workloads, requirements & priorities of staff on a regular basis. Job descriptions reviewed annually All position descriptions reviewed as part of performance management cycle

Modify & continue with staff performance development system. Staff work plans reflect the priorities of the Business and Strategic Plans

Performance development and review process implemented for all staff

Performance development and review after three months for all new staff in context of broader performance development process
Monthly reporting cycles for all staff against activities and indicators in the Business Plan

Staff workplan format has been developed as part of the performance management cycle which provides direct link and reporting framework for all staff re Strategic and Business Planning priorities

Performance development cycle in place for all programme staff

The performance management cycle will be extended to include all corporate services staff

In place for all programme staff



ProgramDIVISION MANAGEMENT
GoalTo demonstrate and invest in quality human resource management actions.
StrategyReview regularly staff workloads and requirements
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramDIVISION MANAGEMENT
GoalTo demonstrate and invest in quality human resource management actions.
StrategyModify & continue staff performance appraisal system.
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramDIVISION MANAGEMENT
GoalTo ensure updated information available to all CoM members, GPs, and practice staff
StrategyDevelop strategies to increase GP input into Divisional management
OutcomesActivitiesIndicatorsResults&Commentary
Committee of Management, GPs and practices well informed of Divisional activities Update Division Web Page on weekly basis depicting current events, activities Web page updated Web page currently undergoing redevelopment. The aim of the redevelopment is to increase the effectiveness as a GP and practice resource

Unable to report hits due to a change in the ISP
Provide summary of issues discussed at CoM members in all newsletters newsletter The newsletter format revamped.
The newsletter is utilised to provide a comprehensive summary of local and national issues of interest to GPs and practice staff

Maintain subcommittee structure to broaden the GP input regarding Divisional governance issues and activities Number of GP Focus groups
Number of GP Task Groups eg GP training, CMEnumber of GPs attending
Focus groups:8 focus groups with topics as diverse as the future of primary healthcare, mentoring programme and general practice training. Total GP participation was 65 Task Groups: BoQ: 4 meetings with a total GP attendance of 45 Alcohol and Drug: 11

The focus groups and task groups remain an important tool for the involvement of interested GPs in the planning and development of programs and directions for the Division. This process has been strengthened by increased focus on engagement of GPs as specific program advisors
Conduct regular GP focus groups to encourage the discussion of topical issues subcommittee structures eg CME, finance and executive subcommittees


ProgramDIVISION MANAGEMENT
GoalTo ensure updated information available to all CoM members, GPs, and practice staff
StrategyDevelop subcommittee structure
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramDIVISION MANAGEMENT
GoalTo co-ordinate and provide administrative support to the Interdivisional Work Group.(IDWG).
StrategyCo-ordinate and provide administrative support to the Interdivisional Work Group
OutcomesActivitiesIndicatorsResults&Commentary
Interdivisional Work Group to meet on a regular basis Co-ordinate and provide administrative support to the Interdivisional Work Group Regular meetings Meetings quarterly, 4 meetings held in Ballarat. There has been regular review of the value of these meetings and a decision made to ensure they do not duplicate the other meetings available. This meeting works best if it is not held close to the CEO Forums organised by GPDV, thus duplicating broader statewide discussions. The future of the IDWG rests with its focus for regionally specific issues

Attended by:BDDGP, Mallee, Central Highlands, WestVic, Murray Plains, Otway, Geelong and Bendigo Divisions of General Practice and GPDV, RWAV, DH&AC


ProgramDIVISION MANAGEMENT
GoalTo revisit the Division's community needs analysis to ensure that it reflects Division needs and priorities
StrategyEngage of consultant to undertake updating of the community needs analysis with an emphasis on:
* issues the GPs can influence
* needs of the GPs and the practices
OutcomesActivitiesIndicatorsResults&Commentary
The Division's community needs analysis updated Utilise outcomes and data from 2000 Membership Survey to inform broader needs analysis Membership survey content utilised in planning activities The issues and outcomes of the Membership Survey conducted in November 2000 have continued to be utilised to inform project development. Individual practice visits are currently being undertaken by the CEO and GP Advisor to discuss the Division's direction and programs with all members

As part of the introduction of the new CEO position all GPs have been asked to highlight issues of interest as a fax back survey
Utilise DHS Primary Care Partnership initiative (Community Health Plan) as vehicle for updated Divisional needs analysis Completed Community Health Plan relevant to GP and Divisional activity Issues highlighted in the CHP have been used to inform the BDDGP Planning processes and the tendering for new business. The Division is an active participant in the development of the Community Health Plans and the Committee overseeing their implementation

The Community Health Plan for the Central Highlands PCP was released in June 2001 and was formally launched in February 2002. The launch included the launch of the Service Directory, the development of which was a key deliverable of the regional PCP IT contract managed by the Division
Link the needs analysis to the Division's Strategic and Business Plans Community Health Plan information utilised in Divisional planning activities The Division has been an active partner with other local agencies in the tendering process for the Health Promotion tenders announced in December 2001

Partners in this process have included Women's Health Grampians, the Ballarat Health Consortium and Hepburn Health Services. Two of the tenders were successful and the projects on cervical screening, and heart health in the workplace are in progress
Utilise DHS Burden of Disease report to inform Divisional planning processes Divisional Plans reflect priority of Burden of Disease data


ProgramDIVISION MANAGEMENT
GoalTo develop a comprehensive marketing strategy reflective of the Division's needs and priorities
StrategyDevelop a marketing plan to be used for both internal marketing of Divisional activities to the members and marketing of the Division success at a national level

Concepts and directions of marketing plan to meet the needs of Division and GP constituency
OutcomesActivitiesIndicatorsResults&Commentary
A comprehensive marketing plan implemented for the Division of General Practice. Develop and implement a Marketing Strategy CoM Task Group Establishment of the Task group CoM Task Group will not be established -

This is an operational issue which needs to be managed by staff
Investigate the appropriate development of the Marketing Plan for both members and external bodies Options for development of marketing strategy Marketing plan has been reviewed. Layout and content of newsletter, website and community activities included in the review. BDDGP image updated & standardised - new business cards; new signage; new info. pamphlets; new fax templates

The Division has achieved consistency of corporate image across the organisation. All variations of logo on main server replaced. The GP Advisor has reintroduced the regular local radio presentation on topical health issues
Utilise the newsletter to more effectively market to our constituency Newsletter deadlines established and being held to.
Newsletters distributed on time
New Editorial Sub-committee & provision of administration support in production is making process more efficient, though still in transition. Ongoing review of newsletter including: layout, production, GP contribution and advertising Sponsorship of newsletter has been sought and partially achieved with support from local business

Newsletter format has been updated and standardised - the newsletter is produced & distributed monthly.
The Division continues to develop alternative process for ways to communication of Division activities & directions to GP membership.
Develop a marketing strategy and implement recommendations the marketing plan implementation of strategies greater awareness of Division activities amongst members Corporate membership now available for the two gyms in Ballarat with approximately 80 members, families and staff taking advantage of this opportunity



ProgramBUSINESS & COMMERCIAL SERVICES
GoalTo maintain and improve communication patterns between the Division - State and Commonwealth fund holders.
StrategyFurther develop & enhance communication between Division, GP constituency, Commonwealth & State Departments.
OutcomesActivitiesIndicatorsResults&Commentary
Division is in constant touch and understands current thinking and directions of both Commonwealth & State Departments Nomination and participation for both staff and GPs to national and state committees of relevant issues Number of Accepted

Number of Committees and working parties nominated for
1 GP a member of the GPDV Mental Health Reference Group



General Manager:
Medical Director:
GPs

Participation in both the GPDV Rural CEO network and full CEO Network. GPDV forums for staff and Board members
To actively seek opportunities to influence the state and national agenda on relevant issues Input into debate via comments on discussion papers and unrecorded (undocumented) opportunities eg. teleconferences The Medical Director (who finished with the Division in Dec 2001) has been representing ADGP on the Practice Nurses forum and the National Quality TaskforceCEO and GP Chair represented the Division at the BoQ and Alternatives to Corporatisation Workshop May 2002Active participation in the ADGP Rural teleconferences, GPDV forums

Seek out opportunities to contribute to the policy setting about use of IT/IM in GPs surgeries Presentations of the BoQ outcomes to the GPAC and NPS National committees

Extension of the initial contact made through the international study tour for BoQ with two NZ IPAs - visits hosted by the Medical Directors of Auckland and Rotoura IPAs
Develop opportunities to publish the achievements and activities to a wider audience Number of conference presentations and papers written and accepted for publication * RACGP Scientific forum x 2 GP and staff
* ADGP National conference x 4 staff and GPs
* National Medicine Symposium March 2002 attended by two staff members
* WONCA International Rural Health Conference x 2 GPs and staff
* GP Research conference



ProgramBUSINESS & COMMERCIAL SERVICES
GoalTo monitor & interpret public health policy. To represent the interests and activities of the general practice and wider community in Ballarat & district.
StrategyContinue to enhance capacity to represent GP constituency and community views on relevant issues. Facilitate frameworks that elicit and seek GP and community opinion.
OutcomesActivitiesIndicatorsResults&Commentary
GP membership and community informed and able to understand government policy, activities and directions that affect work & lifestyle. Participate and contribute to government policy & directions. Provide informed comment & feedback to facilitate discussion & valid viewpoint. CoM strategic planning sessions every four months. Regular briefing sessions, inclusion of articles in the newsletter to update GPs on key policy issues CoM strategic planning meetings every two months.

Encourage GP support & involvement in work groups, committees, planning & consultation activities. GP focus groups

Number of contacts to enhance strategic profile
8 focus groups and meetings attended by a total of 54 GPs topics discussed were:
* Mental Health
* BoQ
* GP Training
* A&D Focus group
* Governance workshop
* Primary Health Care
* Mentoring

The process of GP support and involvement is further strengthened by the development of the GP Program Advisor positions

BoQ briefings continued BoQ is dependent on the DHA's response to the project report and the Business Case

Reports from General Manager and Medical Director have been included in each newsletterBoQ has remained the focus for the discussion around the National agendas
Develop a framework for identifying key issues and initiating input, debate and feedback Participation and discussion in a number of national health agendas

Regular GP focus groups on topical issues


ProgramBUSINESS & COMMERCIAL SERVICES
GoalTo work co-operatively with partners to establish Ballarat as a 'centre of excellence' in the development of eHealth.

The partners are:
* University of Ballarat
* Ballarat Health Services
* Ballarat and District Division of Pharmacy
* Health Insurance Commission
* Dept of Health and Aged Care
StrategyTo develop an eHealth strategy and action plan for Ballarat and district as a testbed for National IT projects
OutcomesActivitiesIndicatorsResults&Commentary
Ballarat is seen as a 'centre of excellence' for the implementation of National eHealth agendas Establish BDDGP as a national test site for PKI individual certificate implementation Ballarat selected as a key site. Project approved and commenced Any further development of this concept will wait on HIC decisions

The Division's experience with the Authority Notification Project indicates the GPs need a reason to effectively utilise PKI certificates. With the successful completion of the first stage of the ANS project, the Division has 60 GPs with access to location keys at their practice and 16 with individual certificates.
Completion of the Ballarat Authority Notification Scheme and the Generic Paper Project (BANS & GPP) and evaluation Generic Paper Project evaluation incorporated across the three software companies activities The evaluation of the Authority notification and Generic Paper Project has been finalised and accepted by the HIC.

National rollout of the ANS Phase 2 in conjunction with NPS/HIC/DHAC Funding achieved and project commenced No information about progress at this stage. Funding is presently unavailable for continuation.

Funding was announced for this project in the 2001- 2002 budget but details are still unavailable
To provide a test site for the Better Medication Management Strategy (BMMS) for Australia Project approved and commenced No information about progress at this stage. Funding is presently unavailable for continuation.

To implement the ADRAC/ADRIDS projects. Active partners in the implementation of research with 3 PhD students with the University of Ballarat, Latrobe University in Adverse drug Reaction Project and Decision Support Number of GPs accessed by the PhD students

Consultation between PhD students and BDDGPADRAC/ADRIDS projects implemented in conjunction with University of Ballarat, Collaborative Centre for eHealth
8 GPs involved in focus groups for the ADRAC project
4 GPs have been involved in the sending of test messages to the UoB
ADRIDS involved 8 GPs in focus groups which was looking at the decision support requirements of GPs in relation to Adverse Drug Reactions

The Therapeutic Goods Agency is able to receive internet-based messages - there have been only two live messages sent.
A copy of the report is available from the Division


ProgramBUSINESS & COMMERCIAL SERVICES
GoalTo ensure strategic and business planning processes support quality management outcomes and hallmarks of a vibrant, responsive organisation.
StrategyRegular review of Divisional Plans to maintain relevance to GP constituency, community, region, State and Commonwealth health plans and directions
OutcomesActivitiesIndicatorsResults&Commentary
Activities meet the needs of GP membership, funding bodies, local community and consumers. Business and Strategic plans seen as living documents. Implementation of quality management principles to planning & review activities Written criteria developed and implemented for the ongoing review of the Strategic and Business Plans Review process for the Business and Strategic Plans has been mapped and opportunities identified for both staff and GP input

The Division has established increased capacity to review and develop the new Strategic Plan required by April 2003
Mechanisms to ensure above activity informs the development of Business and Strategic plans.. Staff and CoM team building

GP focus groups CoM Strategic planning sessions
There have been two successful staff planning days
* July 2001 and
* February 2002



Strategic Planning session run bimonthly with CoM



ProgramBUSINESS & COMMERCIAL SERVICES
GoalTo ensure strategic and business planning processes support quality management outcomes and hallmarks of a vibrant, responsive organisation.
StrategyRegular reporting of current planning and future directions of Division.
OutcomesActivitiesIndicatorsResults&Commentary
Quality local strategic partnerships with key agencies in the local region developed to advance Divisional Agenda Ongoing support and development for Memoranda of Understanding with the following agencies:
* University of Ballarat
* Ballarat Health Services
* Koori Co-op
* St John of God Healthcare
* Ballarat Community Health
* Ballarat District Nursing Service
MoU reviewed, accepted and signed MoUs ongoing :
* University of Ballarat - ongoing
The Division's relationships other agencies are based on specific programme partnerships rather than broad MoUs.
* Ballarat Health Services
* St John of God Healthcare
* Ballarat Community Health
* Ballarat District Nursing Service

Ballarat Health Services and BDDGP joint projects are:
* Hospital Admission Risk Project (HARP)
* General Practice Liaison Officer (GPLO)
* National Demonstration Hospitals Program
St John of God HealthCare and BDDGP joint projects are:
* Pathology And General Practice Software Integration Project (PAGSIP) in conjunction with the Collaborative Centre for eHealth and University of Ballarat
* Hospital Electronic Discharge Project
* General Practice Audit

The Division has two projects in conjunction with the CHPCP:
* the Regional IT Coordinator
* the EPC/PCP project
Develop Memoranda of Understanding with the following groups:
* Primary Care Partnerships
* Primary Mental Health Care Teams
* Primary Health and BoQ Proposals
Incorporation of joint objectives in partner's strategic plans The Division is a signatory member of the consortia for both the Central Highlands PCP and the Primary Mental Health Care Team.
The Primary Health Initiatives proposal was not accepted by DH&AC and the continuation of BoQ is still being negotiated

MAHS Develop joint key objectives with each partner


ProgramBUSINESS & COMMERCIAL SERVICES
GoalTo ensure strategic and business planning processes support quality management outcomes and hallmarks of a vibrant, responsive organisation.
StrategyEvaluation of planning process, activities and outcomes by external provider
OutcomesActivitiesIndicatorsResults&Commentary
Rigorous qualitative and quantitative evaluation techniques incorporated into all activities planned by the Division Implementation of an evaluation framework in line with Commonwealth accountability requirements Reports on progress of the implementation and review of business plan every 6 months

Development and testing of indicators to reflect business plan outcomes
Issues for the implementation of the Business Plan objectives highlighted regularly in CEO's report to CoM



Process developed for staff to identify issues and indicators for the programmes they are managing as part of the performance management process.

The process of linking Strategic, Business and individual workplans has been a comprehensive one. Presently this requires a very high maintenance process. Further development will include increased integration of program and project evaluation and performance development process.
To incorporate the decision making model recommended by the 'what's in what's out' project Division business plans in line with National standards and requirements

Currency of staff work plans in line with business planning indicators and outcomes

Monthly reporting by all staff
Division Business Plans comply with DH&A guidelines and requirements



All staff work and report closely to identified Business Plan outcomes and activities

Staff Planning Workshop February 2002 identified outcomes which have been incorporated into the new Business Plan and the redevelopment of the Strategic Plan (due in 2003)

Monthly reporting framework in place



ProgramBUSINESS & COMMERCIAL SERVICES
GoalTo explore alternative funding opportunities that meet core business activities and directions
StrategySeek out tender opportunities that meet core business. Work collaboratively with other service providers in tender activities.
OutcomesActivitiesIndicatorsResults&Commentary
Increased funding diversity and less reliance upon single funding source for Divisional activity. Seek out potential tender opportunities. Work collaboratively with other service providers. Number of successful tenders and their $ value

Number of tenders considered. Number of tenders ( and $ value) prepared
PCP regional IT/IM contract(Wimmera, Grampians and Central Highlands PCP)
PCP regional Health Promotion grants
Pharmacy Alliance - (Pharmacy Guild)
Men's Health second round funding
Primary Health Integration
Virtual Amalgamation Phase II
Enhanced Divisional Quality Use of Medicines (EDQuM)
Increasing GP Engagement in Primary Health Care (CHPCP)
DHS Alcohol and Drug (DHS)
Better Outcomes in Mental Health Care - Access to allied Health Services Pilots 2002 - 2003
DMMR (ADGP)

Value approx $138,000
unsuccessful
Successful - Value: $138,000 over two years
Successful - Value: $65,000
Unsuccessful
Successful
Successful
Successful - Primary Care Partnership funding
An additional $14,000 to the annual budget of $36,000
Unsuccessful in round 1 of funding, discussions for round 2
Value: $34,000

GPET tender submitted in August 2001

Unsuccessful - region amalgamated to form Victoria Felix Medical Education Network
Develop strategies & opportunities for alternative sources of funding Number and range of funded partnerships The Division has been very active in seeking additional funding sources. There have been a total of 13 funding proposals with 8 successful, 4 unsuccessful and 1 still in negotiation.

The majority of the submissions developed have been in partnership with local agencies.
Develop and implement a decision making model for what tenders are sought Implementation of decision making model Framework accepted by management November 2001

The framework has been drafted and utilised to assess all new submission and tender opportunities for relevance to the core activities of the Division


ProgramBUSINESS & COMMERCIAL SERVICES
GoalTo explore alternative funding opportunities that meet core business activities and directions
StrategyAnalyse potential funding opportunities as part of core business. Develop relevant strategies for implementation.
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramMEMBERSHIP SERVICES
GoalImproved patient outcomes in the treatment of diabetes through improved clinical management
StrategyFacilitate opportunities to assist with the automated collection of data for the management and recall of diabetes.
OutcomesActivitiesIndicatorsResults&Commentary


ProgramMEMBERSHIP SERVICES
GoalTo reduce the incidence of CVD through improved GP management.
StrategyIntroduction of CVD - workplace invention program in conjunction with Health Consortium.
OutcomesActivitiesIndicatorsResults&Commentary
CVD workplace model for assessing and developing organisational capacity for creating health supportive environments. (DHS funded project with Ballarat Health Consortium until August 2000) Further refine and develop the model in the agencies who are members of the Ballarat Health Consortium Model developed, implemented and outcomes evaluated

Number of community partners
ECHHO Workplace consultancy contract developed and signed with Central Highlands Sports Assembly targeting the member agencies of the Ballarat Health Consortium, including BDDGP

This process has been a useful one and resulted in a number of initiatives targeting staff health, including the establishment of a regular walking group.

ECHHOIII has been extended to work in conjunction with the member agencies - this project is due for completion August 2002

Continue to develop effective partnerships with community agencies Number of value of the submissions

Implement the results of the skills audit to develop a Professional Development programme for the members agencies Number and value of successful submissions Successful submission to the Central Highlands PCP for funding - project due to commence in July 2002

Utilise the webpage development to disseminate reports on the interventions Number of published reports and conferences proceedings Presentations at the Health Promotion conference - MelbAnd the Sports Medicine conference - Perth and the 5th WONCA World Conference on Rural Health. Articles accepted for publication Primary Health journal

Seek ongoing funding opportunities Calendar of Professional development sessions for Member agencies The calendar developed May 2002
Sessions being organised and promoted throughout member agencies
Web site for the Ballarat Health Consortium established
www.ballhealth.com.au
PCP Health Promotion grants



ProgramMEMBERSHIP SERVICES
GoalTo reduce the incidence of CVD through improved GP management.
StrategyProvide record systems that support GP management and service to CVD patients.
OutcomesActivitiesIndicatorsResults&Commentary


ProgramMEMBERSHIP SERVICES
Goalto establish a collaborative approach to the provision of community based mental health services
StrategyTo develop open lines of communication.
OutcomesActivitiesIndicatorsResults&Commentary
There are effective relationships with the public and private providers of mental health services in the Ballarat and District Maintain and extend communication processes with key service providers Quarterly BDDGP/BHS management liaison meetings Ceased -

Not considered effective in light of other mental health forums
Actively participate in the DHS Primary Mental Health and Early Intervention (PMHCT&EI) Initiative Role on the PMHCT &EI Steering Committee and Working groups

Schedule 6 & 12 month focus groups (include GPs, psychiatric service providers and consumers) to review strategies
Signatory member of the PMHCT Steering Committee MoU
Regular attendance at twice monthly meetings.
2 meetings held with stakeholders of the Clinical Psychologist in GP room project1 meeting held with DH&AC, Divisional representation, University of Ballarat, PMHT&EII Program Manager

Divisional input into the provision of mental health data, which was incorporated into Community Mental Health Plan

Coordinating role continues with staff representation on local mental health projects including:PMHT&EI, Clinical psychologist in the GPs rooms, and the MAHS project

The Clinical Psychologist in GPs rooms is a partnership project with the School of Psychology, University of Ballarat to provide clinical placements for PhD psychology students
Research and develop strategies to working effectively with public and private providers of psychiatric services (built on best practice guidelines) Development of strategies reflective of best practice Redefined as above

BDDGP development of discussion papers and implementation plans in isolation is seen as less effective than support of the local mental health initiatives
Explore and develop relationship with private provider of mental health services Discussion papers and implementation plans Redefined as above



ProgramMEMBERSHIP SERVICES
Goalto establish a collaborative approach to the provision of community based mental health services
StrategyGoing 'back to basics' in identifying and re-establishing the needs for mental health activities
OutcomesActivitiesIndicatorsResults&Commentary
Provide education & support services to GPs in the management of mental health in the community. Develop a co-ordinated approach to the provision of education to GPs and other providers Change in knowledge, attitudes, practices of GPs This training will be implemented via the broader process of training requirements for the new mental health MBS item numbers

The Division's coordinating role regarding the implementation of the MAHS programme, PMHT&EI and Clinical Psychology projects are providing broad support to the GP membership re mental health
Delivery of the SPHERE programme on depression and chronic illness Number and feedback on education/support services This work has been waiting on clarity of the requirements of the new Mental Health MBS item numbers



ProgramMEMBERSHIP SERVICES
GoalImproved case management of alcohol & drug affected patients.
StrategyProvide supports and services that encourage GPs to offer planned interventions and services to patients with alcohol & drug issues.
OutcomesActivitiesIndicatorsResults&Commentary
Improved case management of alcohol & drug affected patients. Provide GPs with appropriate assessment, screening tools to and protocols to assist in patient management Clinical audit to evaluate usage of the screening protocols and referral directory

Provision of the screening tools and protocols
Not done



Assess the usage of currently available screening tools

Focus of support to GPs re the Alcohol and Drug programs has been reevaluated in line with DHS funding and contract requirements - now focusing on training and skills development for GPs and practice staff
evaluate usage of the referral directory Feasibility study Liaise with PCP IT/IM coordinator to develop online referral directory as part of PCP online referral resource

This will become integrated into the Online Service Directory of the Central Highlands PCP
Investigate implementation of web based provision of referral directory Change in knowledge, attitudes and practices The numbers of GP prescribers has increased from 7 to 9 with more support from case managers in community services

This has not been measured formally
Increasing identification of legal drugs as issues
To support the GPs who are methadone prescribers by:
* the development and implementation of twice yearly education sessions
* participating in a working party to develop and maintain communication processes
* supporting the ongoing recruitment of GPs
* Individual GP support as required
Working party formation and achievement of stated objectives

Quarterly meetings of A&D reference groupParticipated in:
* Alcohol Forum
* APSAD Conference (Day 2)
* Launch of Ballarat Local Drug Action Plan
* Chroming Forum
* DHS Drug Policy & Services Providers Conference
* Grampians Region NSP ForumCollaborated with DHS re: Withdrawal Access Survey
Facilitated 2 x A&D Reference Group meetings:
* October 2001 &
* March 2002

The Reference Group now combines the expertise of GPs, agency staff and DHS staff to inform and direct A&D policy and projects in the region. A new Strategic Plan has been developed in conjunction with Dept of Human Service Grampians Regional Office for the delivery of training and support to GPs in the regionThe Methadone Prescribers Support Group and the A&D focus have been condensed into one group, meeting bimonthly
Develop and implement GP and other providers training Number of training sessions. Number of participants Conducted A&D TNA by interview and written questionnaire with GPs and priority issues identified. Training delivery calendar developed and being implemented (inc. "Doctor Shoppers & Shopping For A Treatment")Liaised with RACGP & DHS re: local delivery of pharmacotherapy training



ProgramMEMBERSHIP SERVICES
GoalImproved case management of alcohol & drug affected patients.
StrategyProvide education & support to increase awareness of alcohol & drug treatment and services available.
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramMEMBERSHIP SERVICES
Goal to continue to provide support for current research projects and to develop and support additional opportunities for GPs and the Division
StrategyFacilitate research in General Practice
OutcomesActivitiesIndicatorsResults&Commentary
The Division and GPs to undertake research activity of relevant issues Ambulatory Blood Pressure Monitoring Research Activity. Number of patients referred. Number of GPs referring This study is jointly run between a local specialist and two GPs and aims to measure the incidence of 'White coat' hypertension.
Number of patients involved in the study 247:
No. with 5 year followup: 7
No. with 3 year followup: 102
No with 2 year followup: 60
No with 1 year followup: 82

Paper for publication being developed.
The referral phase of this project has ceased - no further new patients will be recruited

Response to new privacy legislation being developed. Review by combined hospital ethics committee to be undertaken.
The followup timeline for the participants has been shortened from 10 years to 5 years
Facilitate research in General Practice Discussion paper 2 posters accepted at WONCA World Conference on Rural Health

Formalise research links with University of Melbourne. Under the PCRED, formalise research activities and links with other Universities as appropriate. Formalised agreements on research collaboration. Number of research projects/funding applications/ publications There have been 2 meetings with the Dept of General Practice, University of Melb re the partnership of the Division re fostering local research
The developments of the Rural Clinical School are unclear and timelines have been extended

A MoU has been developed between BDDGP and the Dept of General Practice University of Melbourne. There are four GPs with appointments as senior lecturers at the Dept of General Practice, Uni of Melb
Development of the Rural Clinical School clinical node may offer increased opportunities
Explore and develop research opportunities and links with the local specialists One research project has been developed and implemented in conjunction with a local specialist



ProgramMEMBERSHIP SERVICES
Goal to continue to provide support for current research projects and to develop and support additional opportunities for GPs and the Division
StrategyExplore links with Universities
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramMEMBERSHIP SERVICES
Goal to continue to provide support for current research projects and to develop and support additional opportunities for GPs and the Division
StrategyExplore and develop research opportunities and links with the local specialists
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramMEMBERSHIP SERVICES
GoalTo provide GPs and practices with a range of practice and support services that will enhance general practice
StrategyDevelop and implement a range of strategies to support GPs and practice staff
OutcomesActivitiesIndicatorsResults&Commentary
Effective delivery of support for GPs and practice staff to all practices in the Division. Actively promote the confidential debriefing service available to GPs Number of sessions utilised The guidelines and protocols are in place and advertisedContracts with the nominated psychologists signed

No sessions have been accessed by GPs. There is ongoing promotion of the availability of the service through newsletters
Ongoing provision of accreditation support services Number of practice contacts. Number of GP requests 6 practices have been provided with support towards accreditation
Enquiries re accreditation: 20

All interested practices in the Division have achieved full accreditation.
Practices are beginning the cycle of reaccredidation - 4 practices have currently successfully been reaccredited
Ongoing support, facilitation and development of the Practice Management Group Number of information sessions. Number of participants An average of 12 practice managers, staff and nurses attend monthly meetings

Monthly meeting for practice managers have been ongoing and have expanded to include practice nurses
Practice staff education/support %practices represented and involved Training sessions have been delivered on:
Managing challenging behaviours: 25
VHIA: 12
CSSD: 6
Diabetes initiatives: 6
Asthma initiatives: 8
CPR
Spyrometry
Asthma medications
Leg Ulcers
Wound Management

The practice staff and nurses forums represent 58% of the practices. Participation in CPR training, included GPs, GP registrars, practice nurses and practice managers
Promote the availability and benefits of Co-operative purchasing to the practices Number of practices using the co-operative purchasing 29 practices contacted and 35% of these were surveyed.
Not considered a viable alternative to current ordering by most practices at present. The study indicated the potential for savings in both time and cost for individual practices, however the required up front investment was not a priority for the Division at this time.

This work has been carried out in partnership with the Collaborative Centre for eHealth, University of Ballarat.
Report completed April 2002
Continue to develop the concept of the GP resource manual Updated manual or conversion to web delivery The review of our communication strategy has resulted in the prioritising of the newsletter and the website as key GP and practice resources

Online development and downloading facility being incorporated into the reviewed website
Ongoing update of sections already developed
Participate in the delivery of the ADGP Business Advantage programme Programme implemented Number of GPs participating Roche is no longer providing financial support for the delivery of the ADGP Business Advantage programme

The School of Business, University of Ballarat will offer an 8 week course for both GPs and practice managers during 2003
Explore key areas in which the Division can assist general practice in streamlining and improving business activity (eg developing postgraduate programme in business management with the University of Ballarat) Range of options developed, presented to CoM Alternate arrangements have been made with the School of Business, University of Ballarat for the programme to be delivered

Preliminary investigations undertaken with the School of Business, University of Ballarat to provide a certificate course for practice managers


ProgramMEMBERSHIP SERVICES
GoalTo support GP education through the co-ordination of CME events
StrategyCo-ordination of CME calendar of events.
OutcomesActivitiesIndicatorsResults&Commentary
There will be an effective and efficient education and development program based on identified GP needs GP CME Chair as a portfolio for a CoM member Production of calendar The CME subcommittee is chaired by the GP Advisor
Calendar produced and circulated to all GPs and practices November 2001

This subcommittee meets quarterly with additional meetings planned as required
The annual calendar is developed by the CME subcommittee in December each year and reviewed quarterly.
The ongoing development of the CME subcommittee with four GPs participating Number of GPs attending

Number of events
Ensure ongoing co-ordination of CME calendar of events. Number of Division activities promoted and the reaction Total number of lunchtime sessions: 39
Average number of attendees per session:
GPs: 16
Pharmacists: 1
Practice nurses: 4
Medical Students:2
Others: 2
Each lunchtime session has been sponsored by a drug company relevant to the topic presented

The lunchtime CME session is regularly chaired by the CME convenor and Division staff regularly attend.The opportunity for promotion of additional Divisional activities is routinely taken and to followup with individual GPs or practice nurses
The organisation of the weekly lunchtime CME sessions:* Sponsorship* Speakers* Venue* CME points Number of CME points awarded

Number of GP participants
Not all sessions had CME points applied for because this was the end of the triennium and these were not seen as required. Support for the GPs interested in developing small groups and training as facilitators.

The arrangements for the RACGP QA&CPD programme for the next triennium were explained to Divisional staff and GPs at a session held in early November

Data is held on 30 sessions organised from July 2001 to June 2002. Average number of participants:15

Evening CME sessions have continued to be popular however not all drug company sponsors work through the Division to organise their sessions
Division to conduct three events per year reflecting key Divisional themes. Number of subcommittee meetings
To use the venue of the lunchtime sessions to promote the Division and its activities Number of sessions supported by the Division

Number of contacts with drug companies
31 GPs and their families attended the weekend, which was supported by drug company sponsorship and an RWAV CME grant.
The Division also organised a weekend workshop on Paediatric Healthcare, which was attended, by 38 GPs and their families in June 2002.

The Division concentrated its organisational efforts on a main CME weekend conference dealing with the issues of Men's Health, Suicide in young men and Andropause
This topic proved extremely popular amongst the GPs and their families. Speakers included local specialists which added to the collegiate atmosphere of the weekend

A database of pharmaceutical representatives has been developed to facilitate the contacts when the Division is seeking sponsorship for events.

The Division also provides a calendar to assist the company reps in planning local activities, and reduce the possibility of conflicts and duplications.
Staff member to take responsibility of liaison with the drug companies re negotiation of dates and sponsorship
Redesign the postgraduate practical dermatology curriculum to be compatible with flexible IT delivery. Curriculum developed and trailed. Curriculum adapted from the Dept of General Practice and Community Medicine, Monash University certificate course.

Adaptations made for online delivery of course material and to facilitate synchronous online tutorials between GPs and Melbourne based dermatologists.
Deliver training with the purpose of improving GPs' knowledge of practical dermatology through increased access to knowledge and treatment options. Delivery of course/satisfaction surveys/KAP surveys/clinical audits. 15 GPs from three Divisions of General Practice were selected all of whom identified an appropriate level of computer literacy. 12 GPs completed the intensive 8 week sessions, which involved reading for each week, one online tutorial and KAP questions.

The main reason for GPs not completing the course was an insufficient level of computer skill, and/or problems with internet speed in rural areas
Address an identified medical need in the Grampians region. Evaluation Reports/KAP surveys/clinical audits The evaluation has been finalised and full copies of the report are available from the Division

Conduct process, impact and outcome evaluations.Develop and pilot remote learning methodology Delivery of course/satisfaction surveys

Evaluation Reports
Identify further topics, which would be suitable for delivery under expansion of this model. Evaluation/Focus Groups
Formalise the alliances between key stakeholders working together as the Grampians Rural Training Network. Documentation of agreements


ProgramMEMBERSHIP SERVICES
GoalTo support GP education through the co-ordination of CME events
StrategyImplementation of programs reflecting broader activities of the Division.
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramMEMBERSHIP SERVICES
GoalTo support GP education through the co-ordination of CME events
StrategyPromote CME activities that reflect and support best practice guidelines.
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramMEMBERSHIP SERVICES
GoalTo support the increase of GP Training, Locum and Workforce issues
StrategyProvide GP locum and workforce support services
OutcomesActivitiesIndicatorsResults&Commentary
Improved access to locum and workforce support services. Develop and implement a more planned approach to locum recruitment Number of locum sessions Number of locum session July 2001 - June 2002: 316.6

The recruitment of locums for the BDDGP has been difficult which compromised the ongoing service
to undertake identification of the practices needs for locum support 2001 - 2002 Interview with practice principle Only 30% of the practices in the Division regularly ask for a locum to be identified. 2 Fax outs to all GP Practices, requesting needs for locum support, with very limited response

Cost of employing the locum and providing accommodation etc. is one important inhibiting factor, as is the reduction in solo practices.
regular advertising to recruit ongoing locum support Number of ads and responses We have had 1 vacancy accepted as part of the overseas trained doctor programme managed by RWAV, as soon as this position was accepted to the programme it was filled. This recruitment took a total of three months.

The advertising for locums has been through word of mouth and using the RWAV OTD programme. To date there has not been a locum recruited for 2002
Provide program plan for the management of practice vacancies and locum requirements Locum provision plan and achievement of objectives

Number of locum sessions

Number of vacancies and how long they take to fill
The locum position is to be included in an application for recognition as an 'Area of Need' by DHS, to allow the employment of an Overseas Trained Doctor in this position.

This application is under preparation.
Work within the political environment to increase opportunities to recruit GPs into Ballarat Number of submissions, working parties, deputations Discussion amongst the CEOs regarding the impact of RRMA 3 and the difficulties posed for recruitment of GPs

Participated in the preparation of the RRMA 3 application to the DHA for ROMPs placementsRLRP application made for Ballarat - unsuccessful
Develop comprehensive marketing plan for the BDDGP practices as part of the broader marketing plan for the Division Development of the marketing plan Refer to 1.6.1



ProgramMEMBERSHIP SERVICES
GoalTo support the increase of GP Training, Locum and Workforce issues
StrategyEstablish regional GP training program.
OutcomesActivitiesIndicatorsResults&Commentary
Structured regional training program implemented providing training & placement opportunities Develop and implement a co-ordinated Grampians approach to training, recruitment and workforce retention in conjunction with Divisions, GPs and hospitals. Terms of reference

Number of participating agencies

number of meetings
The Grampians General Practice Education Network (GGPEN) submitted a tender to GPET to manage the vocational training of registrars in the Grampians region.
The Steering committee meet monthly until the amalgamation took place. BDDGP has attended and facilitated all of them. BDDGP remains actively involved through membership of the Board of Management for Vic Felix
BDDGP provided the secretariat and the Chair for the Network until the amalgamation of Grampians with Central Vic to form the Victoria Felix
The acceptance of GGPEN as a developmental region did not eventuate and the necessity of amalgamation was recognised

Agencies represented are:
* WestVic Division of General Practice
* Dept of General Practice University of Melbourne
* GPEA
* ACRRM
* RWAV
* BDDGP
* University of Ballarat

Although the region was initially accepted as a developmental region by GPET, the support from GPET did not eventuate and the decision was taken to amalgamate the Grampians and the NorthWest Country region to form the Victoria Felix Medical Education Network (VFMEN)
Develop relationship with all of the players in regionalised General practice training RACGP and ACRRM Number of collaborative projects

Number of meetings
The Division has continued to provide the administrative support for the GPEA subregional convenor

This arrangement is proposed to continue with VFMEN
Foster the development of further training practices in Ballarat Register of training placements A register of the training placements and the supervisors has been developed by the Division.

Currently working to attract additional placements in RRMA 3 to meet expected AMSN requirements of urban based registrars.
Submission of the tender according to regional training guidelines Active member of tender development team Tender submitted August 2001 Acceptance as developmental region November 2001

Amalgamation with Victoria Felix April 2002
Involvement in the State Steering committee and policy development working group Active participation in state wide forums Active participation in the RRTN Steering Group

Participation is no longer required due to amalgamation
Support the involvement of Divisional GPs and staff Number of GP supervisors and registrars involved in consultation 2 GPs actively involved in the tender preparation 5 supervisors in the BDDGP were all involved in the consultations re the establishment of GGPEN

Recruit and support the involvement of GPs in the development of the tender and the structure of the RTN Writing of tender document
Active partners in the implementation of the research of a PhD student into the 'Career Trajectories and Professional Identities of Rural General Practice' - 3 year research project in association with the Centre for Rural and Regional Health, University of Ballarat Number of GPs accessed by the PhD student

Inkind and financial support

Consultation of staff with PhD student
The establishment and recruitment of the PhD student has been delayed.

The delay was created simply by the difficulty in attracting a suitable candidate - this required extensive advertising

Support provided for the student in making initial contacts and research plans



PhD student commenced in February 2002
The confirmation of the candidature occurred in June 2002

Development of successful relationships between GP mentors and registrar mentorees Satisfaction survey with participants 6 interns were matched with 6 GPs initial contacts were made however the programme failed to meet expectations in 2001. The program was relaunched in February 2002 with 8 residents interested in general practice matched with 8 GPs. This program was supported by the GP Liaison Officer and the GPEA subregional convener. A dinner was held in March 2002 with 5 GP registrars, 18 GPs and 12 hospital based residents interested in general practice attending. It is expected this process will strengthen the 2002 - 3 program

The establishment of the mentoring programme was delayed as the match of interns and GPs did not take place until May 2001. The initial meetings were not face to face and therefore the contact was variable
Briefing session for GPs, registrars and RMOs re mentoring programmeMatch interested GPs with interested RMOs Project Officer activity

Documentation of the matching process

GP facilitator
Briefing session for hospital based residents January 2002 attended by 18 interns and residents

Commencing February 2002

Match and programme reviewed for implementation in 2002

An extremely successful dinner was organised to relaunch the GP mentoring program held at a restaurant close to the hospital to facilitate the attendance by oncall hospital based doctors. 6 hospital based interns or residents were matched with 6 local GP and introduced on the night. The evening also proved a useful introduction fort he hospital based doctors to the activities of the Division and the potential of longterm recruitment in BDDGP. The evening was attended by 15 local GPs, 17 hospital based interns and residents 4 GP registrars and 1 OTD

Programme facilitated by GP Liaison Officer

Arrange four sessions throughout the year to encourage the development of effective mentoring relationships Number of mentoring relationships developed The 2001 program did not prove effective. Programme reviewed for 2002

Program reviewed and relaunchedThe learnings out of the evaluation of the initial program were that the mentors and mentees needed to be introduced initially before a relationship might begin to develop. This influenced the planning for the commencement of the 2002 - 2003 programme.
Develop study groups in local areas to support learning Regular meetings for the study groups OTDs interested in participating in study groups in working towards the Fellowship identified. Study groups commenced in March 2002 and have meet weekly with routine attendance by an average of 1 OTD and 4 registrars.

Study groups to be established March 2002Participated in the preparation of case study questions with Mallee Division.
Provide access to RACGP study materials Western Area Workforce and Training meetings between the Divisions This will be managed by VFMEN

Study groups will arranged along natural groupings (which may include GPs in other Divisions). Project Officer activity and reports This will be managed by VFMEN



ProgramMEMBERSHIP SERVICES
Goalto educate GPs, other service providers, and the community to promote the uptake of the Enhanced Primary Care Package
StrategyFacilitate the implementation of training for GPs and other health service providers.
OutcomesActivitiesIndicatorsResults&Commentary
Effective and efficient access of the Enhanced Primary Care Package by GPs and other primary healthcare providers Inform community and consumer groups of this initiative
Facilitate linking of GPs with other primary health care providers to increase co-operative working arrangements Number of discharge planning sessions attended by GPs

Number of sessions

Number of participants
A total of 10 case conferences was evaluated All participating GPs found the case conferences beneficial, but found the follow through on the case conference outcomes variable. Participating via teleconference was an option for some GPs.

Major barriers have been the lack of funding to continue to promote the benefits of EPC and the notification from DH&A that the PIP payments for practices would cease.Generally found to be beneficial to patients and their familiesRemuneration was generally no considered adequate



The project aimed to evaluate 10 case conferences, involving 7 GPs

The Division has been conducting a pilot project in conjunction with Gandarra Palliative Care Unit to develop local protocols for the implementation of case conferences involving the GPs.

This project has just been completed and full report of the trial is available from the Division.
Facilitate the implementation of training for GPs in the assessment, case conferencing, and care-planning Number of case conferences attended by GPs * 3 GPs were invited to 1 case conference each
* 2 GPs were invited to 2 case conferences each
* 2 GP were invited to 3 case conferences each

7GPs attended case conferences3 did not, due to short notice of the case conference being organised
Develop and implement methodologies of effective implementation of the EPC package in this Division by GPs and other primary healthcare providers Number of contacts made with Allied Health Professionals

Number of groups contacted

local protocols with Ballarat Health Services, Centacare

Number of articles

Evaluation framework developed
A joint presentation with the Central Highlands PCP staff has been made to 5 local allied health agencies thus far into the project timelines.A package of information has been prepared Preliminary evaluation indicates this as a valuable method of agencies to consider GPs requirements when seeking to engage GPs.

The EPC implementation project developed in conjunction with the Central Highlands PCP has been successful in attracting funding. The project aims to provide information to the member's agencies of the Central Highlands PCP regarding the EPC process and the practical requirements of engaging GPs in case conferences or care plans.

Guidelines for the organising Doctor were developed to include:* Time of meeting* The option of teleconference vs attendance

Required significant time on the part of the organising hospital staffMedicare rebate was felt to be inadequate especially in regard to traveling time

Pamphlets are prepared and ready to be distributed

Implement the results of the pilot project on discharge planning developed in conjunction with Ballarat Health Services - Palliative Care Unit % with GPs involved

Number of GPs attending discharge planning meetings

Total number of sessions held
Develop and pilot methodologies to provide structural support for GPs ongoing access to the case conference process in the acute health sector
Implement evaluation protocols, data collection and analysis


ProgramMEMBERSHIP SERVICES
Goalto educate GPs, other service providers, and the community to promote the uptake of the Enhanced Primary Care Package
StrategyFacilitate GP input into the national development of this programme
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramMEMBERSHIP SERVICES
Goalto educate GPs, other service providers, and the community to promote the uptake of the Enhanced Primary Care Package
StrategyResearch, develop and implement methodologies of effective implementation of the EPC package
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramMEMBERSHIP SERVICES
Goalto educate GPs, other service providers, and the community to promote the uptake of the Enhanced Primary Care Package
StrategyFacilitate linking of GPs with other providers to increase co-operative working arrangements
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramMEMBERSHIP SERVICES
GoalTo facilitate the implementation of the NPS programmes to GPs in the Division
StrategyTo utilise the academic detailing model to promote the uptake of the NPS programmes to GPs in the Division
OutcomesActivitiesIndicatorsResults&Commentary
The National Prescribing Service programme in the Division will be established and operational To facilitate the wider implementation of the NPS programmes to GPs in the Division Co-ordinator employed NPS coordinator employed

NPS facilitator has been appointed as the DMMR facilitator as well to maximise the impact of the programmes and is actively involved in the development of the Pharmacy Alliance
To attend training and staff development sessions provided by the NPS Number of practices visited

Attendance to training sessions

Number of clinical audits facilitated
Practice visits: 29
GPs:63
Practice Nurses:45
Satellite Broadcasts:4
Community sessions:6
Newsletter articles:11
Small groups meetings:8
Pharmacies:14
Mail outs:5
Pharmacy Alliance meetings:9
CME meetings:13
Reports to NPS:9



134 participants



Clinical audits: 137

Undertake process evaluation of the level of participation of GPs and other stakeholders number involved

quality of materials

identify and address barriers to implementation
The work currently being undertaken with NPS will become integrated into the directions of EDQuM

Undertake documentation of the type and range of activities offered for each topic within NPS programmes. records of activities selected
Undertake impact evaluations for the programmes including:Number of prescriptions per capita for each programme implemented number of prescriptions

audit of practice


ProgramCOMMUNICATION & LIAISON
GoalTo maintain & strengthen the ongoing role & function of the BDDGP Consumer and Service Provider Advisory Group.
StrategyRestructure & enhance the role & function of the BDDGP Consumer and Service Provider Advisory Group
OutcomesActivitiesIndicatorsResults&Commentary
Effective and structured Consumer contribution and participation in health services and health issues within the planning of the BDDGP To develop the Consumer Partnership Resource Centre to promote a more active consumer role Operationalise the Consumer Partnership Resource Centre The development of the Consumer Resource Centre has been approved by the CoM

Consumer Service Provider Advisory Group renamed to Consumer Advisory Group and currently reassessing the strategic positioning of the consumer.
Expand the CSPAG membership to broaden the community perspective Additional groups represented on the CSPAG New representatives nominated from the following groups: Ballarat and District Aboriginal Co-op, aged representation & child and family representation.

Orientation package developed for new members
To develop and maintain links with the peak Consumer groups such as:* Consumer Health Forum
* Health Issues Centre
* National Resource Centre for Consumer Participation
* To provide a consumer perspective into planning for Divisional projects
Protocols to reflect consumer input into project planning

Number of contacts and joint projects entered into

Development of a BDDGP Consumer Charter
2 contacts. Identification of education/information resources for use by the Consumer Service Providers Advisory Group Consumer Health Forum subscription continues

Consumer Advisory Group Operational Plan developed for the 2002-2003 periodOperational Plan incorporates consumer input into the planning, implementation and evaluation phases of divisional programs

This work awaiting the outcomes of the combined work of the Central Highlands PCP Consumer Forums.

Staff member contributed to the Central Highlands PCP in the development of their consumer consultative groups in conjunction with the regional Health Promotion projects
Education and training for stakeholders in the consumer participation partnership.
Promote consumer issues to GPs and practice staff
Number of opportunities to promote consumer issues to GPs and practice staff

Number of sessions for stakeholders
The issues of consumer group routinely raised with both the Practice Managers and the Practice Nurses Forums



Consumer representatives attended 2 education & information sessions



ProgramCOMMUNICATION & LIAISON
GoalTo continue to improve discharge planning and continuity of care procedures between GPs, hospitals and other service providers
StrategyContinue with GP Hospital Liaison position to support communication and activities.
OutcomesActivitiesIndicatorsResults&Commentary
Effective discharge planning and communication protocols and continuity of care procedures through the GP Hospital Liaison programme Enhance protocols, procedures & communication in discharge planning & continuity of care Reviewed protocols, procedures and process documents Ongoing enhancement of formal communication strategies between BDDGP and BHS

This programme is an ongoing one for the Division
Expand the implementation of the results of the Case conferencing trial Audit of protocol procedure and process effectiveness The organisation of case conferences required significant time on the part of the organising hospital staff. This has been recommended to proceed through the Social Work Dept

Regular liaison with all acute, aged care and psychiatric unit staff
Provide a GP perspective to BHS planning committees Report on trial outcomes Medicare rebate was felt to be inadequate especially in regard to travelling time

Major barriers have been the lack of funding to continue to promote the benefits of EPC and the notification from DH&A that the PIP payments for practices would cease.
Interface & resource GPs, Hospitals discharge planning & continuity of care. Monthly EPC results See comments 3.9.1

Increased co-ordinated approach between GP liaison programme, BDDGP and BHS management Issues identified and addressed

Division management meeting with GP Liaison

Meetings between CoM and Board of BHS

Number of intra-hospital committees attended
Meetings between CoM and Board of BHS: 1
Division management meeting with GP Liaison workers: 10

Review of GPLO position descriptions and workplans

GPs nominated to sit on the following BHS Advisory committees:
* Medicine
* Obstetrics/Gyn/ paediatrics
* Surgery Advisory Committee
* Critical care
* Extended care
* Patient care committee
* Clinical information committee
* Pharmacy committee
* After Hours Patient Care Committee

GPs are working a roster in the antenatal clinic, there are 9 GPs working a session each weekActive representation with the Division of Women's and Children's Health Advisory Committee meetingsRegular liaison with senior Emergency Dept staffInvolvement in the Effective Discharge Strategy Multi-disciplinary Working Party


ProgramCOMMUNICATION & LIAISON
GoalTo maximise the communication & liaison functions of the Division by providing a responsive interface with other regional service providers and community
StrategyProvide Division as a key reference point and contact for GP issues with agencies and community.
OutcomesActivitiesIndicatorsResults&Commentary
Division mechanisms respond appropriately to the communications and liaison requests and needs of agencies and the community. Continue with current regular meeting structures with local agencies and service providers:* Liaison with the management of both St John of God HealthCare and Ballarat Health Services* Ballarat Community Health Centre * DHS Regional Office* Primary Care Partnerships* Local state and federal politicians Documentation of key contacts within the agencies

Documentation of the meetings
St John of God:7
BHS: 7
BCHC:-
DHS Regional Office: 2
PCP: 16
Politicians: State:2

Strategies around better documentation of the outcomes of these meetings are under reviewOther meetings included the HIC National ConsultationCommittee
Proactive communication links with community agencies. Provide secretariat support for the Ballarat Health Consortium Number of meeting attended

Submissions written
Secretariat support continued for the Ballarat Health Consortium Active participation in the Project Management Group for the Environmental Change for Healthy Heart Options (ECHHO) project

New project funded by the Central Highlands PCP re the further extension of ECHHO into workplaces which will commence activity in July 2002
Develop and implementation of the Koori Co-operative and BDDGP MoU Completion of the MoU process No progress due the delay ion appointment of new CEO for the Co-Op

Exploration of possible joint project or tender proposals Number of discussions re Joint projects


ProgramCOMMUNICATION & LIAISON
GoalTo increase the resources available to assist GP referrals to other health and welfare providers
StrategyMaintain & enhance the GP Telephone Advisory Service. Evaluate ongoing status of activity.
OutcomesActivitiesIndicatorsResults&Commentary
Efficient access to information referrals by GPs to services to enhance patient care Development of GP responsive training programme in line with PCP IT/IM strategy Number of training sessions

Number of participants

Training programme developed
Continue to support the ongoing development of the GP Telephone Advisory Service in conjunction with the Ballarat District Nursing Service GP satisfaction

Number of referrals to TAS
The contract with the BDNS continues. The number of calls to the GPTAS service continues to indicate the service is used for the more complex enquiries.

Ensure the future of GPTAS is considered in context of PCP IT/IM Strategy BDDGP IT Officer participating in the PCP IT Subcommittee The contract for IT/IM project for the three regional PCPs was signed in June 2001
Milestones:
* Information/Education officers recruited by each PCP
* development of the Connecting Care system with local data
* pilot with DHS tool templates
* Publishing of local service directories on CC website
* Presentation of Connecting Care to statewide meetings of PCP executives and Service Coordinators.
Established a meeting between DHS, Grampians & Loddon Mallee regions in St Arnaud (Jan 24 2002)Participation in ongoing inter regional meetings in WarracknabealVisits to Mildura in preparation for CCC implementation. Presentation at regional meeting at Ararat on Jul 3Training & presentations to individual PCPs

The project plan has been developed to detail the rollout of the project.
Project ran to schedule until October 2001 however required changes from this point onwards due to changes in the priorities of DHS
qExtension of contract by DHS through to Sept 30th.
qChanges in direction by DHS causing issues. New INI tools needed to be embedded in Connecting Care system.
qDHS Software developers forum held to involve software companies in PCP referral processes, and to ensure INI tools included in the users systems. This drew a negative response from vendors.
qParticipated in NCF funding bid
qParticipated in ICT funding strategic planning group
qArranged for HeSA overview for PCP key staff.
Final PCP service and referral system reflects GPs needs GP utilisation of PCP service and referral system 3 GPs have been involved in the lab pilot of the PCP 'Connecting Care' referral interface along with representatives of most other agencies

Activities to come include:
* qUpdating of an agency audit
* qThe development of the Practices Process and Protocols for the service directory and referral system
* qCoordination of other PCPs to ensure coordinated approach


ProgramCOMMUNICATION & LIAISON
Goalto increase GPs contribution to health promotion in the community
StrategyFacilitate GPs participation in community health promotion
OutcomesActivitiesIndicatorsResults&Commentary
Protocols to increase accessibility of GPs to the general community GP services provided for patient education & community health promotion activities Reinstate the "DR" series as a regular feature on the local radio

The GP Advisor presents a segment on topical health issues on a fortnightly basis
ongoing involvement in the Ballarat Healthy Community Connectedness subcommittee Number of meetings attended Continued to be involved in the Steering Committee of the Ballarat Healthy Community Attended monthly meetings of Steering Committee

This Committee was successful in attracting funding to progress the 'Communities that Care' concept in conjunction with schools in the region
Men's Health project
Target group - men in Daylesford and Ballarat who under utilise GP services
Number of GPs participating

Number of men participating
GPs: 6 generally a different GP for each of the worksites



147 men screened from 6 worksites, which had been selected according to size and industry - targeting blue collar employees.

The funding submission for Phase II to the Victorian Department of Human Services Rural Health Innovative Practice Fund was successful and the new project will commence in August 2002
To trial health checks for men in workplaces and other venues Number of worksites and other places for health checks

Number of information sheets distributed

Number of individual health checks
The screenings generated 64 (43%) referrals to the patient's usual GP.

Trial a referral process for men Develop a men's health individual record 5 new (and not so new) dads forums have been run with an average of 8 participants at each forum The full evaluation report is available from the Division

Issues identified at the forums included:
* qPND
* qSkills (and lack of them)
* qTime management
* qPowerlessness and
* qDealing with change
Increase the number of GPs involved in men's health and health promotion activities
Early father forum Attendances
Links with antenatal clinics to increase focus on fathers Numbers of clinics contacted and results of negotiations
Men's health website linked to BDDGP website Number of hits


ProgramCOMMUNICATION & LIAISON
Goalto explore the opportunities for GP/Pharmacist collaborative/shared activities within the Division
StrategyThe progressive identification of a range of collaborative/shared activities engaging both GPs and Pharmacists.
OutcomesActivitiesIndicatorsResults&Commentary
A defined strategy established for increased GP/Pharmacist collaborative/shared activities and participation To continue the development of the Ballarat and District Division of Pharmacy Membership register updated

CoM meetings
Membership register established and kept routinely up-to-date.

Successful in securing funding over a two-year period from the Pharmacy Guild of Australia's Rural and Remote Pharmacy Infrastructure Grant Scheme.

The funding for Phase 1 of the project ceased in June 2001 and new funding commenced March 2002.

Commenced March 2002

Pharmacy Alliance Advisory Committee has been extended to include two additional Pharmacists. The Committee now represents all Pharmacies within the Ballarat & District area.

Pharmacy Alliance Advisory Committee members continued to meet on a voluntary basis in between funding.
To seek further funding opportunities
To develop and implement joint CPE/CME sessions Continuation of joint education sessions between GPs and Pharmacists Joint education sessions between GPs and Pharmacists established and ongoing

Pharmacists routinely invited to GP/Practice Nurse CPD sessions
To develop and trial methodologies for the effective sharing of information between GPs and pharmacists in the Ballarat and District
To continue the support for the Voluntary Drug Register Number of updates of the VDR The Voluntary Drug Register kept up-to-date - - updates issued quarterly

The Voluntary Drug register updates raised issues with the new privacy legislation and has been temporarily discontinued while these were dealt with.
To continue the support for the Discharge medication notification project Satisfaction survey with discharge medication communication protocols This project was a quality improvement initiative developed by the Alliance to enhance the coordination of patient medication discharge information between key health providers. A full copy of the report is available from the Division

The objectives of the project were:
* Review of existing hospital discharge medication processes at SJoG and BHS.
* Identification of strategies to enhance discharge medication communication processes between hospitals and General Practitioners.
* Development of communication protocols between hospital pharmacy departments, general practitioners and community based pharmacists.
* Enhanced consumer outcomes through more effective communication of patient discharge medication.
Establish linkages with the epeak Pharmacy bodies eg NPS, Pharmacy GuildWork in collaboration with other DGPs
To identify and develop opportunities for joint projects


ProgramCOMMUNICATION & LIAISON
Goalto explore the opportunities for GP/Pharmacist collaborative/shared activities within the Division
StrategyTo test the concepts of primary sector integration.
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramCOMMUNICATION & LIAISON
GoalTo take a lead role in progressing the National Integrated Primary Health care agenda
StrategyProactive representation of the interests of General Practice within the planning framework of the local Primary Care Partnerships Participation in all PCP Committees including
* Steering Committee
* Executive Committee
* Service Planning Working Party ( includes Pharmacy Alliance Co-ordinator)
* Service Co-ordination Working Party
* Promote and foster the collaborative and co-operative processes and working relationships between GPs and community service providers
OutcomesActivitiesIndicatorsResults&Commentary
Proactive participation in the Primary Health Care Partnership Participate as key members in committees and working parties Attendance at meetings

Calendar of committee and working party meetings
Three staff attended the Launch of the PCP Health Promotion Plan - 22/02/02

Regular attendance at monthly meetings of all committees and sub-committees
Reference tender writing outcome Number of joint submissions BDDGP has continued to provide substantial input to Central Highlands PCP via the following activities:
* The successful development of the proposed pilot project regarding utilisation of EPC program to strengthen PCP Service Co-ordination activity due to commence in 2002.
* The awarding of the regional PCP IT/IM contract to BDDGP

BDDGP has played a key role in the Central Highlands Primary Care Partnership alliance. BDDGP are a signatory member of the alliance and has maintained representation on the Full Alliance Committee and the Executive (Partnerships), Service Planning and Service Co-Ordination Sub - Committees.
Facilitation of GP input into PCP policy and service development Policy documents

Number GPs involved in focus and task groups


ProgramCOMMUNICATION & LIAISON
GoalTo take a lead role in progressing the National Integrated Primary Health care agenda
StrategyTo promote and foster the integration of allied health services into the General Practice Community
OutcomesActivitiesIndicatorsResults&Commentary
Identification of appropriate and relevant service development strategies Input into model and protocol development at local, state and National level Documented model

Documentation of the process and consultation process
The model developed out of the Building on Quality project was submitted to DH&AC in July 2001 and the Business Case developed and submitted to DHA November 2001

Participation in ongoing negotiations and planning meetings is continuing


ProgramCOMMUNICATION & LIAISON
GoalTo take a lead role in progressing the National Integrated Primary Health care agenda
StrategyTo explore and develop other opportunities to initiate or strengthen Primary Care relationships
OutcomesActivitiesIndicatorsResults&Commentary
Strategic processes and communication protocols in place Introduction of programmes for the phased testing and demonstration of Primary Care Integration/Co-ordination models Number of focus groups

Documentation of strategies/ issues

Phased introduction timetable

Number of participants
This proposal has been unsuccessful in obtaining funding

This outcome and activity being pursued in terms of an integrated approach to primary care integration.


ProgramINFORMATION TECHNOLOGY
GoalTo maintain and implement information technology strategy and directions.
StrategyReview and implement IT strategic plan and ensure it is continually updated to reflect needs of this rapidly changing environment.
OutcomesActivitiesIndicatorsResults&Commentary
IT seen as a key platform of GP support and business activity of Division Continue to assist GP and Practice staff to develop IT/IM skills & expertise. Number of calls - GP / practice staff Telephone calls: 532
Practice visit: 330
Email contacts: 349
Increasing usage of email to elicit helpdesk support.

The helpdesk support from the Division has been in high demand, and has been identified by both the CoM and the membership as an essential ongoing activity for the Division in relation to a broader information management strategy.
Continue to provide help desk & technical support to practices Level & type of assistance provided

Level GP/practice satisfaction
Assist GP & Division in IT/IM implementation, training & development 85% practices using electronic pathology requests

Number and type of training courses provided

95% of GP practices using IT for prescriptions

25% using clinical notes
% practices using electronic pathology download: 75%

Practices require support in the implementation of HIC initiatives such as HIC Online, which take advantage of encryption technologies such as PKI.

Training as been outsourced to external provider.



% GPs using electronic prescribing: 97%



% using electronic clinical notes: 57%
% practices using electronic registers: 65%

MBS initiatives have resulted in a high uptake in the development and maintenance of electronic patient registers.
Develop a business case for the ongoing sustainability of IT support on a fee-for-service to other medical practitioners and health agencies to carry IT support structures beyond the current funding arrangements. development of the business case

presentation and endorsement by the CoM
The business case for the funding of IT support was developed not implemented

The decision of the CoM that the provision of IT help desk support continued to be a major service provided by the Division to practices at no cost. This essential in light of the Division's agenda to support the GPs shift to information management and education re the value of the data
Shift the focus and the activities of the current IT programme into an IM framework in line with revised government funding policy and directions for the programme information management programme funded in line with revised policy and directions % practices currently using PKI: 50%
% of GP's with individual certificates
95% of practices are registered for PIP and SIP payments relating to MBS items and electronic registers.
Providing assistance and support to practices in line with the implementation of the new MBS items: 46%

Practices are using location certificates in projects of the Division such as ANS.
These GPs have acquired these certificates ready for use when apps become available. Level of interest and uptake of MBS items was strong with PIP and SIP incentives provided for participating, and there was a need to provide training relating to MBS items to practices to assist in this uptake


ProgramINFORMATION TECHNOLOGY
GoalEnsure GPs are informed of important information, and readily have access to relevant topics from practice desk
StrategyReview and update BDDGP homepage so as to maintain relevance to GP community.
OutcomesActivitiesIndicatorsResults&Commentary
BDDGP Internet home page useful & informative Homepage updated with content & articles relevant & useful for local GPs & practice staff Number of hits on web page

Amount of interest and comments generated by local GPs
Changed to new web hosting provider, Ozhosting.com
Since moving to new host provider, the number of hits has been for BDDGP - 699, and for BDPA - 71.

Move to new web host has provided improved facilities for publication of web content, as well as providing statistics and reporting capabilities on web site traffic and trends. Web sites are update weekly to reflect current division activities
Committee of Management, & GP Practices well informed of Division activities Update Division Web Page on weekly basis depicting current events, activities and points of interest GPs & practice staff informed of current activities

Web page updated weekly
Data on the web page has been updated weekly - particularly in regard to the CME activities available in the Division

The move to new web host has provided the ability to realise the potential for the web site to act as an important resource for GP's and practice staff


ProgramINFORMATION TECHNOLOGY
GoalGPs secure maximum financial benefit from Government Practice Incentive Programs
StrategyProvide advice, support and encouragement to GPs in obtaining and utilising IT systems.
OutcomesActivitiesIndicatorsResults&Commentary
Maximum exploitation of IT systems in GPs practices Provision of information to GPs and pharmacies to assist purchase decisions in practices for Hardware, Software, Network equipment. Practice increased usage of IT for running of practice business.
* Accounting,
* Billing,
* Appointment,
* Recall,
* Pathology download,
* Script writing,
* Pathology request,
* General document production,
* HIC claims performed via Computer
61% of our Practices use PC's for administration tasks such as accounting 97% of GP's use IT for scripts 75% of practices use IT for Medclaims 70% of practices are using electronic recall facilities 47% of GP's are participating in ADRAC trial. 56% of GP's are participating in ANS trial.

The focus of this activity has switched to concentrating of the exploration of the data able to be collated from GPs systems and its value and impact on population health outcomes meetings with representatives of software companies with products which can assist the Division to collate data from the practices and enabling deidentification and analysis of the data
Training to continue to build /enhance computer literacy and data management amongst GPs, pharmacists, practice, divisional and pharmacy staff
Examine opportunities for the collection of data at GP practice level data collection activities identified and implemented

As a result of implementing MBS items practices have now use their software to generate recalls electronically.
Explore all available software options for data collection within GP practices and the division software in place with pilot practices and division

GP's within the division are enthusiastic and willing participants in projects and trials, which utilise IMIT use in general practice.
Investigate and reach decision about the available medical prescribing, clinical notes and front desk IT systems for the Daylesford practices (Virtual Amalgamation Project) audit of discharge notification and medications
Analysis of system usage
Prescribing
Front office
Clinical notes
Pathology downloads and requests
'connecting Hepburn"
GP satisfaction survey with IT /IM systems
Phase 2 of the Virtual Amalgamation project commenced in February 2002 and is due for completion in August 2002
The aims of the project were: Establishment of an effective and efficient IT system between the general practices over a range of sites. Improved after-hours rostering for Daylesford and Hepburn Springs. Provide a basis for a co-ordinate system and the sharing of information, and resources between designated primary care providers.

The project has entered the evaluation phase and the analysis of the surveys is underway The outcomes of the initial phase of the Virtual Amalgamation project in Daylesford had huge challenges for the project. One of the main issues for the project was the very different business and clinical practice philosophies held by the respective practices
Efficient IT support by the combination of resources of the practices, hospital and the Division
Train the GPs and their staff to use the systems and implement in both practices Documentation of steering committee processes
To investigate the best option to establish an intranet between Hepburn Health Services and the Daylesford practices (including the remote practice based at Trentham) Audit of patient discharge notifications and medications at baseline, six months and twelve months
To implement the chosen option between the practices and the hospital Process documentation of establishment of the intranet
Hardware to be available for the GPs use in both the Casualty area and the wards to enable the use of computers to generate scripts and discharge summaries
Establish the intranet to enable 24 hour access GP satisfaction survey with IT /IM systems Implemented as part of the Virtual Amalgamation Phase II project

The satisfaction surveys of the GPs are being analysed. Reports to the Commonwealth due 30th August 2002
Improved email communication between the GPs
Investigate and implement the options of linking the databases to allow reasonable access by doctors in both practices Time analysis for GPs

Analysis of 'after hours' roster and issues for branch practice
Implemented as part of the Virtual Amalgamation Phase II project

Hepburn Health Services sub-contracted to provide IT consultation and support for the period of the Virtual Amalgamation Project, Phases 2 and 3, from February to August 2002.
Investigate and implement a dial up system of access to a computerised system of notes held at Trentham GP survey

Patient survey
Implemented as part of the Virtual Amalgamation Phase II project



Implemented as part of the Virtual Amalgamation Phase II project

The Branch Practice at Trentham has been linked electronically with the base practice in Daylesford
Access to the notes for home visits, hostel and nursing home visits Audit of patient medical records
Facilitate the development of linking between the selected prescribing package and the 'Connecting Hepburn' web site Audit of web access and referrals generated Medical Director has connections to the Connecting Care software to enable to transfer of patient information. Only one practice is able to take advantage of this at present.

Purchase of a fully integrated front office and clinical software Establish the intranet to enable 24 hour access Implemented as part of the Virtual Amalgamation Phase II project The practices chose different practice management and clinical software systems. Both practices did not see different clinical software as an issue for the project.

This created some issues of integration between the two practices, which were creatively managed in the phase 2 of the project. Integration between the practice management software and the clinical packages was only an issue for one practice.


ProgramINFORMATION TECHNOLOGY
GoalEnhanced level of computer competency in practices
StrategyProvide timely training and tuition for GPs and practice staff
OutcomesActivitiesIndicatorsResults&Commentary
Full utilisation of IT training facilities at Division training room by GPs and practice staff. Training session delivery to be outsourced to the Ballarat Community Education Centre GPs & practice staff attending training Training Needs Analysis developed and implemented with the practices

The results have been utilised to determine direction of training delivery, which has been individualised to the practice requirements.
IT staff to continue to support the training needs of GPs, pharmacy and practice staff on a one-to-one basis Number of individual sessions Significant work has been carried out in conjunction with both the Practice Managers and the Practice Nurses Forums.



ProgramINFORMATION TECHNOLOGY
GoalEnsure maximum level of utilisation of ACIR Internet Database
StrategyProvision of specific ACIR workshops and training sessions
OutcomesActivitiesIndicatorsResults&Commentary
Practices & GPs accessing ACIR reports & info via Internet Reference immunisation plan


ProgramINFORMATION TECHNOLOGY
GoalMaximise IT directions and developments with hospitals and other service providers
StrategyProactively participate in IT developments with hospitals and other service providers
OutcomesActivitiesIndicatorsResults&Commentary
Maximise the Divisions participation with hospitals and other health services providers in IT developments and directions Participate with Hospitals and other relevant service providers to shape directions for projects involving GPs & electronic communication. Interaction between Division and service providers, during implementation of electronic communications systems between GPs and other service providers. Successful in the tender to the three PCPs in the Grampians region to implement the contract to provide IT management for the PCP agencies to develop, populate and implement an electronic service directory for the region. 3 Information/Education officers have been employed in the PCPs in the region Work is progressing on the data population of the service directory

Active participation in the development in conjunction with the three PCPs and the University of Ballarat Centre for Electronic Commerce a funding submission to the National Communications FundThere has been some conflict with changes in state govt policy
Advocacy on behalf of GPs with hospitals, pathology and other providers GP satisfaction

meetings
Provide technical support to the development of the Information Technology/Information Management Plan for the PCPs across the region


ProgramINFORMATION TECHNOLOGY
GoalBallarat is nationally renown as the division for piloting & leading IT projects and eCommerce projects
StrategyAttendance and presence at IT forums and workshops, and presentation of local issues and ideas at those forums.
OutcomesActivitiesIndicatorsResults&Commentary
To facilitate input by GPs and staff into state and national agendas around IT/IM systems Contribute to state forums Attendance at GPDV meetings and activities Attendance at the bimonthly GPDV Forums

Seek out opportunities to set and contribute to policy at the local, state and national levels Meetings, conferences, teleconferences attended Presentation of the impact of the PCP contract



ProgramINFORMATION TECHNOLOGY
GoalBallarat is nationally renown as the division for piloting & leading IT projects and eCommerce projects
StrategyTo ensure that the Division receive an appropriate level of representation for IT issues at a local, state and national level
OutcomesActivitiesIndicatorsResults&Commentary
Ballarat is nationally renown as the division for piloting & leading IT projects, and Ballarat area is seen as the national leader in IT and eHealth projects. See 2.3.1


ProgramINFORMATION TECHNOLOGY
GoalTo enhance communications between GPs and external parties by way of IT
StrategyProvide support and direction to assist in communications protocols
OutcomesActivitiesIndicatorsResults&Commentary
To act as an intermediary between GPs and software IT industry Liaison and feedback to the medical software industry Number of issues dealt with GP satisfaction Ran a large scale information session on software alternatives attended by 30 GPs and practice staff. 10 practices are required to implement new software
Organise user groups for users of new vendors of general practice software such as Medtech32

The demand for this service has increased towards the end of 2001 with the demise of MIMS
Some practices were willing to embrace the change of software, while other practices were much less willing for a number of reasons. For example: confidence in new software providers and cost
'Honest broker' in interpreting/resolving IT based issues on behalf of GPs Number of enhancement requests supported There has been extensive liaison with the software developers especially with concerns about the stability and functionality of the ANS add on to the prescribing software and the difficulties of support



ProgramIMMUNISATION
GoalACIR data shows improvement in percentages of children fully immunised in all age groups in these areas
StrategyTo approach the relevant personnel in these shires to negotiate assistance with reviewing the data monthly.
OutcomesActivitiesIndicatorsResults&Commentary


ProgramIMMUNISATION
GoalACIR data shows improvement in percentages of children fully immunised in all age groups in these areas
StrategyData easier to update for the postcodes in the Ballarat, Moorabool and Hepburn Shires.
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramIMMUNISATION
GoalEstablish a prompt for practice managers/staff to encourage recall/reminder of immunisations particularly the older age groups where immunisation rates are lower
StrategyContinue promotion
OutcomesActivitiesIndicatorsResults&Commentary


ProgramIMMUNISATION
GoalEnsure all practices are maintaining the cold chain
StrategyTo approach those practices that haven't taken up the loggers
OutcomesActivitiesIndicatorsResults&Commentary


ProgramIMMUNISATION
GoalEnsure all practices are maintaining the cold chain
StrategyOffer a another round to practices in August 2000
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramIMMUNISATION
GoalEnsure all practices are maintaining the cold chain
StrategyUpdate information as necessary
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramIMMUNISATION
GoalMaintain accurate practice information systems
StrategyTo utilise as many options as necessary to ensure practice information is accurate
OutcomesActivitiesIndicatorsResults&Commentary


ProgramIMMUNISATION
GoalMaintain accurate practice information systems
StrategyTrain GPs as trainers
OutcomesActivitiesIndicatorsResults&Commentary
- no details provided -


ProgramIMMUNISATION
GoalTo have practices accessing ACIR reports and information via the internet
StrategyTo provide information, support and training to utilise the web information systems
OutcomesActivitiesIndicatorsResults&Commentary


ProgramIMMUNISATION
Goalimproved percentage of age appropriately immunised children for each practice
StrategyAll strategies will be facilitating the implementation of this goal
OutcomesActivitiesIndicatorsResults&Commentary


ProgramIMMUNISATION
GoalTo develop further strategies as required
StrategyTo conduct research into alternate methods of improving immunisation rates
OutcomesActivitiesIndicatorsResults&Commentary


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