| |
|
|
|
| Program | MENTAL HEALTH | | Goal | Improve mental health of Central Sydney residents through upskilling GPs | | Strategy | Provision of guidelines and systems that facilitate care according to clinical management guidelines |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| To increase awareness of mental health management guidelines and protocols in general practice |
Research and collect current clinical practice guidelines for dissemination to CSDGP GPs |
Increased rates of recognition of protocols by GPs with large mental health load
Increased number of protocols available in CSDGP library |
GPs were informed of protocols & guidelines through division and mental health newsletter.
Mental Health Matters newsletter sent quarterly provided assistance with guidelines and protocols available. 610 copies of 4 newsletters sent over 12 months.
Five psychosis shared care seminars conducted with local psychiatrists to develop better communication and relationships. 58 GPs attended at least one seminar.
Survey results of psychosis seminars showed greater confidence in treating patients with psychosis.
This outcome also intersects with other health seminars.
A written booklet covering shared care psychosis seminars is in development for GPs
Written resources made available to GPs when educational events are very well received. |
| ø Develop referral pathway information for a local based service directory |
Referral pathway information distributed to every practice in Central Sydney |
Area Mental Health services and community teams were consulted in development of guidelines. Referral pathway guidelines were produced, covering intake procedures, catchment area maps and clinical decision flowcharts. These were approved by local specialist mental health services. Referral guides (booklets) sent to every GP in CSDGP database. Guides also sent to key stakeholders and NGOs. 800 copies of referral guide were published and distributed.
Referral pathways provide information on contacting and referring patients to local community mental health teams (6 teams). Ur document includes a map of the Central Sydney catchment areas, clinical decision flowcharts and emergency contact numbers. |
| Maintain and update local service directory |
Service Directory up-to-date and accurate |
Service Directory updated to electronic format. Development to include Non-government organisations and all relevant services in the area.
A Counselling services directory was distributed to every GP on CSDGP database, and copies made available at Division events and activities. Approximately 750 counselling directories have been distributed.
The Counselling services directory was distributed through the regular CSDGP newsletter, in an issue with a special focus on local Counselling services. |
|
| Program | MENTAL HEALTH | | Goal | Improve access to mental health care in general practice for Central Sydney residents | | Strategy | Provision for interested GPs in mental health issues to become registered within CSDGP |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| To create a register of mental health GPs within the Division |
Maintain and update GP interest list |
ø Number of GPs with interest in Mental health care willing to be self nominated onto the registered within CSDGP |
Number of GPs increased from 47 in July 2001 to 168 in June 2002. Communication link with these GPs improved with the production of a quarterly mental health newsletter ("Mental Notes") designed specifically for them. The list continues to be revised and updated.
The list and newsletter enables the program to target and better service GPs with a particular mental health interest.
Some of the issues covered in Mental Notes include:
ø information on Better Outcomes in Mental Health Care initiatives
ø local mental health education events
ø resources and patient materials available |
Disseminate mental health interest list to appropriate mental health organisations
ø GP consent for list to be distributed
ø Evaluate suitable organisations for distribution
ø Disseminate mental health interest list |
Number and description of organisations receiving GP mental health interest list.
ø Evaluation of organisation satisfaction with GP interest list |
Began obtaining formal consent for a list of GPs willing to take referrals to be made available to NGOs and Area Mental Health Services. Issues were addressed, such as the new Privacy laws, differentiating between mental health interest and competency, and differing levels of GP willingness to be involved. Currently 24 GPs have given their consent to be on the list.
The mental health interest list is being developed into a "Mental Health Friendly GP" list, which will have careful audit and consumer participation. GPs have been asked for their consent, and the list is due to be published shortly |
|
| Program | MENTAL HEALTH | | Goal | Improve access to education to GPs in Central Sydney who provide information to patients | | Strategy | Provision of educational opportunities for GPs and mechanisms for feedback on practice |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| For Central Sydney GPs to receive continuous education on care of patients with a major mental illness |
ø Provide opportunities for GPs with a high mental health caseload to be given regular supervision by a psychiatrist
ø Liaise with CME program regarding planning and evaluation of seminar |
ø Number of supervision sessions provided
ø Number of GPs attending
ø Increase in GP confidence in treating patients with a mental illness |
One series of supervision sessions begun in 2001 (8 GPs attending each session). First series almost completed as at June 30, 2002.
Pre and Post surveys to be evaluated.
Second series of supervision sessions begun in April, 2002, with 7 GPs.
GPs have expressed high levels of satisfaction with the supervision programme, and wish it to continue indefinitely.
Due to the increased level of interest in supervision sessions, more series are being organised. Surveys in process.
CSDGP is developing a further series of peer support meetings in the year 2002-2003. |
| To provide GPs with regular written information on mental health assessment and care |
ø Regular information sheets disseminated to all GPs in Central Sydney |
Over 500 Information sheets disseminated through newsletter and mental health interest newsletter.
Patient information sheets on Depression, Eating Disorders, Psychosis, and other Mental Illness disseminated through Mental Notes.
GPs referred to high quality mental health information sources through the Mental Health Project's website
Quarterly mental health newsletter provides the ideal forum for dissemination of mental health assessment and care information. |
|
| Program | MENTAL HEALTH | | Goal | Improve management of mental health education programs and other resources | | Strategy | To identify learning needs of GPs within the Division to ensure that they are up-to-date with current practices within mental health |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Division provides and facilitates appropriate activities for its members about mental health |
ø Division establishes GP confidence in mental health treatment and education needs through a baseline mental health survey |
GP mental health treatment baseline data collected and evaluated |
A needs analysis was conducted with these GPs and specific areas of interest. Surveys were distributed to all GPs in the area, and 61 responses were received. Results were used in the design of education activities for the following year. Depression, counselling skills, and dealing with difficult patients were the three areas of primary interest to GPs for future training.
Division Liaison Officers communicated and liaised with mental health Project Officer regarding individual GP visits and needs. 25 new GPs joined the Mental health interest list as a result of this process.
There is a consistent difficulty in achieving a response rate above 10% for written surveys.
Division Liaison Officers' communication assists in planning for future Mental Health programmes. |
| ø Division provides at least one education event on mental health per year |
ø Education event conducted.
GP knowledge on mental health issues increased |
Five Psychosis shared care seminars held. 58 GPs attended at least one seminar.
Supervision series One: eight sessions held, with 4-7 GPs attending each session (the same group of GPs meets for the duration of the series).
Supervision series Two: three sessions held, with 4-6 GPs attending each session.
One weekend workshop activity ("You and Your Practice") held for GPs, covering GP stress and time management. 5 GPs attended.
Two case conferences held in community health centres. A total of 12 GPs attended at least one conference.
CPD 13/3/02 - Physical health issues in patients with a mental illness. 56 GPs attended
CPD 8/5/2002 - Depression. 52 GPs attended
One Familiarisation Training evening for the Better Outcomes in Mental Health Care initiatives (June 18, 2002). 18 GPs attended.
Evaluations were conducted of every event. Surveys revealed GP confidence and knowledge increased, and results were consistently above average. (i.e. on average scored 3.5-4.5 on 5 point likert scales of satisfaction with the event - 1=unsatisfied, 5=extremely satisfied)
The weekend workshop focused on GPs' own mental health.
The psychosis seminar series also aimed to build positive relationships with area psychiatrists and mental health services.
In regards to the Familiarisation Training for the Better Outcomes in Mental Health Care initiatives, GPs were predominantly positive in their evaluations of this initial meeting, although a few concerns were expressed in regard to the privacy of patients with mental health-specific MBS item numbers. |
ø Collate information about mental health education programs and other resources from other general practice and mental health organisations in Sydney and nationally for distribution
ø Distribute information about external mental health education opportunities |
ø Resources compiled, distributed and updated regularly
ø Central Sydney GPs receive regular information about available mental health education programs and other resources |
A quarterly newsletter, Mental Health Matters was distributed to GP Mental Health interest list, containing in-depth information regarding education resources and events. In 2002, due to the use of the title by other organisations, this newsletter was given a new name: Mental Notes. Brief information was also regularly distributed through the CSDGP newsletter. Over the year, approximately 600 newsletters were disseminated to local GPs.
Key activities advertised in the newsletter included:
ø Managing Psychosis: A Shared Care Perspective seminars
ø Thursday psychiatry meetings at Rozelle Hospital
ø Psychiatry Supervision programmes
ø CPD events organised by local private hospitals
ø Major mental health conferences held nationally and internationally |
|
| Program | MENTAL HEALTH | | Goal | Establish links between GPs, mental health services and other service providers (OSPs) in order to achieve improvements within the system | | Strategy | To organise/conduct conferences/meetings of GPs, CSAHS mental health staff, community services and mental health consumers |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Increase communication links and collaboration between GPs and key stakeholders in order to achieve improvements within the system |
ø Establish collaborative meetings/liaison support with CSAHS discussing issues that require specific change within the local system |
Meetings held with CSAHS executive |
Meetings held with Director of Clinical Services, CSAMHS, and Community Mental Health Sector managers. In December, the division signed a Memorandum of Understanding with Central Sydney Area Mental Health Services. Discussions around a Memorandum have taken place for years, and the final signing is a major achievement for the division. The MoU was written to ensure a consistent strategic direction in developing partnerships between Area mental health services and the division. It indicated the commitment of both parties to develop roles in five key areas:
1. Access to mental health services
2. Communication between mental health services & GPs
3. partnerships and coordinated patient management
4. Joint education and training programmes
5. Initiatives to enable joint representation on key service planning committees.
The MoU was signed by the CEO of the Central Sydney Division and the Acting Area Clinical Director of Central Sydney Area Mental Health services.
Monthly meetings are now held with GP shared care Liaison officer at CSAMHS, and quarterly meetings with Area Mental Health Executive.
A referral form and guide was developed to improve GP communication with Community Mental Health Teams
These meetings were instrumental in the re-employment of a GP shared care Liaison officer within the area, and the assessment of intake and discharge procedures.
The referral forms were disseminated in hard copy and electronic format.
Communication was made slightly more difficult by the loss of the GP Shared Care Liaison Project Officer from the Area Health Services. This position is yet to be refilled. |
| ø Conduct monthly meetings of GPs, CSAHS mental health staff and community health workers |
Monthly meetings held |
In cooperation with GP Shared Care Liaison Officer, regular meetings held with GP Liaison staff based in community health centres.
These meetings triggered the Area health service to re-evaluate and upgrade the positions of GP liaison officer located in each community health centre.
A working relationship was established between the division and community health centres. This relationship meant the Area Health service did not leave GP liaison positions vacant with staff turnover.
Monthly working party meetings were held between Division and Area Health Service staff. On a three monthly basis, these meetings also incorporate staff from Canterbury DGP, who share boundaries with the CSAHS. Agenda items have included:
ø clinical attachments for GPs in local specialist mental health services
ø signing of an MoU between CSDGP and CSAMHS
ø discussion on referral pathways and discharge summary times
The application process is continuing, due to a lack of interest from consumers. A large number of application forms were sent to relevant bodies. To date, the division has received no applications from consumers living within the Central Sydney Area.
Case conferences were held in local community health centres. 10 GPs attended these monthly conferences over the course of the year.
A referral guide for Area Community Mental Health Teams was developed and disseminated to GPs in the area. The guide has also been disseminated to a number of relevant non-government organisations, and other health providers.
The project officer has also visited a number of organisations and presented on the topic of EPC items and their use in encouraging multidisciplinary care.
Communication was established with the Sydney Branch of the Australian Psychological Society, and further relationship development has been occurring.
Links with allied health providers are encouraged through educating professionals about the EPC item numbers and their relevance to mental health. The mental health project officer gave presentations on EPC items at community health centres to local staff. A total of approximately 60 staff attended these meetings. |
| Increase involvement of mental health consumers in division decision making and program planning |
Consumers involved in working group meetings and on project planning teams |
Consumer involvement in CSDGP programs is only gradually beginning to recur
Consumer involvement will be increased in the 2002/2003 financial year |
Develop communication with local allied mental health service providers
ø research local service providers
ø establish communication links
ø invite groups to meetings |
List of local mental health service providers developed.
Meetings held with allied service providers |
Memorandum of Understanding developed in cooperation with area GP shared care liaison officer.
Implementation plan developed in cooperation with GP shared care liaison officer to enact the MoU.
Regular informal cooperation and formal meetings held.
Regular meetings were instrumental in the smooth running of the MoU process. |
| Maintain current links with CSAHS GP mental health shared care liaison officer, and cooperate on collaborative programs |
ø Regular meetings between GPs and CSAHS mental health liaison officer held
ø Collaborative projects initiated
ø Communication systems between GPs and local area mental health services made more efficient |
|
|
| Program | WOMAN'S & INFANTS' HEALTH | | Goal | To demonstrate equality of pregnancy outcomes with comparable care providers in Central Sydney | | Strategy | Conduct evidence-based review of antenatal shared care perinatal and maternal morbidity/mortality rates with midwife based care at KGV |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Antenatal shared care has equivalent pregnancy outcomes to comparable antenatal care available in Central Sydney |
Compare antenatal shared care perinatal and maternal morbidity/mortality data rates with midwife based care at King George V Hospital |
No significant difference between perinatal and maternal morbidity/mortality rates for antenatal shared care and midwifery based care |
This data could not be collected as there was no system in place in the database to record women who transfer from ANSC to the high risk clinic. |
|
| Program | WOMAN'S & INFANTS' HEALTH | | Goal | To promote/improve the quality of service provided by the Antenatal Shared Care Program to consumers in Central Sydney | | Strategy | Conduct shared care training for GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Maintain current level of quality and standards in shared care program |
Two antenatal shared care training/intake days to be conducted |
Number of GPs trained |
28 GPs attended training days during this period
|
|
| Program | WOMAN'S & INFANTS' HEALTH | | Goal | To promote/improve the quality of service provided by the Antenatal Shared Care Program to consumers in Central Sydney | | Strategy | Conduct evidence-based review of ANSC protocol |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Develop an evidence-based antenatal shared care protocol |
Conduct literature review of best evidence for development of new shared care protocol |
Evidence-based protocol developed by March 2001 |
in place prior to 2001
|
|
| Program | WOMAN'S & INFANTS' HEALTH | | Goal | To promote/improve the quality of service provided by the Antenatal Shared Care Program to consumers in Central Sydney | | Strategy | Facilitate continuing education in antenatal care in general practice |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Facilitate continuing education in antenatal care in general practice |
Facilitate relevant lecture style antenatal education for shared care GPs |
Proportion of ANSC GPs attending |
169 (46%) of the 370 accredited GPs attended the Review Evenings over this period
|
| Conduct clinically based antenatal education sessions for shared care GPs |
Number of GPs attending sessions |
7 clinical tutorials held with 34 GPs attending
|
|
| Program | WOMAN'S & INFANTS' HEALTH | | Goal | To promote/improve the quality of service provided by the Antenatal Shared Care Program to consumers in Central Sydney | | Strategy | Develop clinical pathway for essential education and advice in pregnancy for use in general practice |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Consumers receive best practice advice and education during pregnancy |
Develop clinical pathway addressing essential advice and education in pregnancy for use in general practice and hospital clinics |
Antenatal Education Clinical Pathway developed and distributed to all shared care GPs by June 2001 |
This was distributed to GPs prior to July 2000
|
|
| Program | WOMAN'S & INFANTS' HEALTH | | Goal | To promote access to antenatal shared care in Central Sydney | | Strategy | Promote antenatal shared care to consumers from NESB and ATSI in Central Sydney |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Improved access to antenatal services for women from NESB and ATSI |
Develop language specific database of GPs in shared care program for referral use in hospital clinic |
Proportion of shared care consultations conducted in non-English languages: June 2001 |
ø 52% of the 371 GPs accredited consult in a language other than English
ø 50% of women in program were born in a country other than Australia
ø 11% were provided with an interpreter at their hospital visit
|
|
| Program | WOMAN'S & INFANTS' HEALTH | | Goal | To promote access to antenatal shared care in Central Sydney | | Strategy | Promote antenatal shared care to women and their partners with sexual health concerns |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Improved access to antenatal services for couples at risk of sexual health problems |
Promote public antenatal sexual health service to GPs through education and media |
Proportion of shared care patients being seen by sexual health service: 1st audit February 2000; 2nd audit February 2001 |
Livingston Road Sexual Health Clinic ran workshops which are promoted by the division. 3 workshop was held during this period with 19 GPs attending
|
|
| Program | WOMAN'S & INFANTS' HEALTH | | Goal | To provide quality postnatal services in general practice for Central Sydney residents | | Strategy | Facilitate continuing education in postnatal care for general practitioners in Central Sydney |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| GPs in Central Sydney have access to broad range of postnatal care educational activities |
Maternal & infant nutrition workshop |
Number of GPs attending workshop October 2001 |
50 GPs attended the workshops during this period
|
| Medical Care of the Postnatal Woman Workshop |
Number of GPs attending workshop May 2001 |
ø No workshop held during this period
|
| Postnatal Mental Health workshop |
Number of GPs attending workshop August 2001 |
ø 91 GPs attended workshops during this period
|
| Infant/Child issues workshop |
Number of GPs attending workshop May 2001 |
ø No workshop held during this period
|
| Community-based education in postnatal depression, maternal and infant nutrition, urogynaecological issues & neonatal examinations facilitated as required |
Number of GPs attending community based education sessions as at June 2001 |
|
| Develop RACGP endorsed Clinical Audit module in Postnatal Care |
RACGP endorsement of Clinical Audit application |
|
|
| Program | WOMAN'S & INFANTS' HEALTH | | Goal | To provide quality postnatal services in general practice for Central Sydney residents | | Strategy | Produce GP Postnatal Referral List comprised of GPs who have attained a minimum agreed level of postnatal education |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Postnatal consumers have access to independently accredited GPs in Central Sydney |
Produce Postnatal Care GP Referral List of those GPs who have attained a minimum agreed level of education in postnatal care |
Proportion of Division GPs who gain entry onto Referral List |
ø 45 new GPs have been added to the Referral List, this gives a total of 90 GPs on the list, with 111 GPs working to become accredited
|
|
|
|
| Increase communication and coordination between community based post-natal and early childhood care providers and CSDGP general practitioners |
Establish collaborative meetings/liaison with Central Sydney community based post-natal and early child care providers |
Meetings between Program staff and Central Sydney community based post-natal and early childhood care providers to explore areas of improved communication/co-ordination |
ø Regular meeting were held with Families First in the last six months
ø A project officer was appointed to co-ordinate this project
|
|
| Program | WOMAN'S & INFANTS' HEALTH | | Goal | Promote awareness of domestic violence in pregnancy to general practitioners in Central Sydney | | Strategy | Facilitate education regarding domestic violence in pregnancy for general practitioners in Central Sydney |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Improved GP recognition of domestic violence in pregnancy |
Conduct education session |
Number of GPs attending August session |
ø 39 GPs attended sessions during this period
|
|
| Program | WOMAN'S & INFANTS' HEALTH | | Goal | To improve the monitoring of the captured group | | Strategy | To develop a more comprehensive statistical tool, which helps to identify women diagnosed with gestational diabetes |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| All patients with gestational diabetes who require post natal monitoring are identified |
ø Educate GPs
ø In-service post natal hospital staff
ø Liaise with the Diabetes service
ø Identify best practice |
ø Number of post natal GTTs done (either self assessment GPs or via pathology company) |
ø There is no system or form of data collection to access pregnant women who have had a GTT postnatally
|
|
| Program | WOMAN'S & INFANTS' HEALTH | | Goal | To identify patients with psychosocial problems | | Strategy | To keep track of the number of referrals from GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| All relevant patients with psychosocial problems are identified |
ø Midwives screening tool
ø Educate GPs about midwives screening tool
ø Minette
ø Families first project |
ø Number of referrals to GPs |
ø This tool is currently being trialled at KGV within their system. It will be presented to GPs in late 2002, early 2003
|
|
| Program | MACROVASCULAR / DIABETES | | Goal | Improved health of Central Sydney residents with vascular disorders | | Strategy | Maintain infrastructure to support patient care |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Improved control of diabetes in affected Central Sydney residents |
Provide vascular education
ø Disseminate best practice guidelines
ø Assist GPs to conduct clinical audit of their patients with diabetes
ø Liaise with Diabetes Australia representatives for consumer input |
ø Proportion of patients on register with BMI<27.
ø Proportion of patients on register with HbA1c less than 1% above the upper limit.
ø Proportion of patients on vascular register with microalbuminuria. |
ø 92 (n=281, 32.7) proportion of patients on register with BMI< 27
ø 418 (n=662, 63%) Proportion of patients on register with HbA1c less than 1% above the upper limit.
ø 10 (n=14, 71%) had patients with microalbuminuria
ø Previous 12 months figures 85 (n =302, 28%), 358 (n=597, 60%) 13 (n=48 27%) There are improvements from previous twelve months |
|
| Program | MACROVASCULAR / DIABETES | | Goal | Improved health of Central Sydney residents with vascular disorders | | Strategy | Promote community awareness of vascular risk factors |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Reduction of prevalence of cardiovascular risk factors among Central Sydney residents |
ø Disseminate best practice guidelines to GPs
ø Educate & support GPs in the use of guidelines
ø Promote awareness of vascular risk factors in the community & consumer groups |
ø Proportion of patients on register smoking.
ø Proportion of patients on register with lipids level within guidelines recommended range.
ø Proportion of patients on register with BP>140/90.
ø Proportion on patients on register with BMI >27. |
ø Not collected, as still awaiting updates on data base entry details.
ø Proportion of patients on register with lipids level within guidelines recommended range. Cholesterol 338 (n=470, 72%)
Triglycerides 285 (n=461, 62%)
HDL 129 (n=196, 66%)
ø Not Collected, data base being updated
ø Cholesterol 284 (n=249, 6.7%), Triglycerides 258 (n=421, 60%), HDL 145 (n=207, 70%). BMI 217(n=302, 72%) There are gains across these areas from the previous twelve months showing improved levels of diabetic control for all patients on the register |
|
| Program | MACROVASCULAR / DIABETES | | Goal | Improved health of Central Sydney residents with vascular disorders | | Strategy | Promote & maintain best practice guidelines for the management of vascular disorders to Central Sydney GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Central Sydney residents with vascular disorders managed according to best practice guidelines |
ø Disseminate best practice guidelines
ø Educate & support GPs in the use of guidelines
ø Upgrade and maintain recall register
ø Promote awareness of guidelines to consumers
ø Provide consumers with bio-feedback through their GP |
ø Proportion of patients on register meeting guidelines.
ø Proportion of GPs contacted enrolling patients onto register. |
ø 401 (n=470, 85%) This is the number of patients on the register that had an eye check in the appropriate period.
ø 140 GP's are enrolling patients onto the register
ø A high proportion of patients take up relevant referrals.
ø An increase of 33 GPs enrolled in the register over the twelve months |
|
|
|
| Best practice guidelines for the management of vascular disorders developed for Central Sydney GPs |
ø Provide academic detailing and small group education on vascular guidelines to GPs
ø Guidelines published on the Division Web site
ø Evaluate the uptake of the guidelines through the recall system |
ø Number of GPs detailed
ø Number of GPs provided small group sessions
ø Mean number of follow up visits per GP until they enrol a patient |
ø Over 80 GPs were academic detailed over this 12 month period
ø Academic detailing was successfully begun over this 12 month period, with a large number of GPs visited
ø No follow up visits were held unless GP requests one. No follow ups were requested |
|
| Program | MACROVASCULAR / DIABETES | | Goal | Improved health of Central Sydney residents with vascular disorders | | Strategy | Provide continuing medical education |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Central Sydney GPs have available and receive education on recent advances in vascular care |
ø Provide continuing medical education and advise of any relevant educational opportunities available through the Division newsletter |
ø CME meetings held for all GPs
ø Number of education sessions advertised in bulletin for GPs to attend
ø Number of GPs attending CME |
ø 6 CME's were held over this 12 month period
ø 60 GP's attended August activity
ø 50 GPs attended October activity
ø 80 GP's attended Feb 13th activity
ø 92 GPs attended Feb 27th activity
ø 76 GP's attended Apr 10th activity
ø 61 GPs attended Feb 22nd activity
ø The figures for GPs attending CME has improved considerably over the last year |
|
| Program | MACROVASCULAR / DIABETES | | Goal | Improved health of Central Sydney residents with vascular disorders | | Strategy | Provide GPs with aggregated feedback on their patient's clinical indicators |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| GPs conduct clinical audit on their vascular patients to improve their professional practice |
ø Attain & maintain clinical audit points for the vascular program and diabetes program from the RACGP
ø Provide annual practice population reports on patients registered on recall system to GPs
ø Provide opportunity for GPs to reflect on their practice and set relevant practice or clinical goals
ø Assist GPs with computerised patient data to conduct their own clinical audit
ø Investigate Practice Incentive Program (PIP) for GPs performing clinical audits |
ø Program approved for clinical audit by RACGP.
ø All GPs using the program receive annual population reports.
ø Number of GPs in the program that complete clinical audit cycle to step 4 "response" to evaluation.
ø National Prescribing Service approves vascular recall and audit cycle for practice incentive program |
ø Clinical Audit points applied for and granted
ø 86 GP's have completed the clinical audit
ø A high proportion of GPs used the program to fulfil their RACGP audit requirements. The register is ideally set up to allow for easier auditing of patient assessment and treatment. |
|
| Program | MACROVASCULAR / DIABETES | | Goal | Improved health of Central Sydney residents with vascular disorders | | Strategy | Maintain & develop links with local vascular project stakeholders & experts |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| GPs and their patients (which include NESB, ASTI and youth groups) to have increased access to medical-specialist and allied health services in an equitable way |
ø Liaise with medical specialists to form links to support the program eg. A.M.S, transcultural centre in CSAHS and youth centres
ø Liaise with allied health professionals to develop a generic referral form |
ø Meetings held with medical specialists.
ø Meetings held with allied health.
ø Allied health referral form developed by key stakeholders. |
ø The generic referral form was completed and distributed to GPs prior to June 2000
|
|
| Program | YOUTH R.E.A.C.H. PROGRAM (REFERRAL, EDUCATION, ACCESS, COMMUNICATION, HEALTH) | | Goal | To enhance young people's access to health services in Central Sydney, and improve the wellbeing of young people through improved health management by their GPs. | | Strategy | Provision and of education, resources and support to CSDGP 'youth friendly' GPs
ø Promotion of 'youth friendly' principles |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| GPs continue to receive education and resources on youth health issues and management of young people |
ø Conduct 2 CME workshops focussing on specific youth health and access issues in collaboration with local youth service providers (base on needs assessment done with youth friendly GPs to look at training needs). |
ø Number of workshops provided |
3 CPD seminars conducted in November 2001, April 2002 and June 2002 with a total attendance of 140 GPs and an average rating by attendees of 97% for presentation, content and relevance
The topics covered were 'Street and Party Drugs', 'Youth Health Issues' and 'Shared Care of Young People with Drug and Alcohol Problems'; these were chosen after a survey of all GPs in the Division |
ø Youth resource folder maintained and updated as necessary to ensure GPs are aware of support services and how to access them appropriately
ø Youth Resource folder put on website: www.csdgp.com.au/youth/index.html |
ø GPs sent update materials as appropriate
ø GP feedback |
ø Resource material sourced, including journal articles, information pamphlets, updated service directory and other educational material
ø Major update of resource folders in November 2001
ø Youth resource folder uploaded to Division website; later updated to include more resource materials
|
| ø Development of the (piloted) Youth Friendly review process into a Clinical Audit activity for this next phase of the project. CA offered to other GPs interested in becoming youth friendly |
ø RACGP approves CA points for the activity |
No action
The application will be developed in 2003 now that the outline for the next triennium has been released by the RACGP |
|
|
|
| GPs continue to develop their knowledge, skills and abilities in the management of young people in general practice |
ø 'Youth Friendly' GPs attend the workshop and receive resource materials
ø 'Youth Friendly' principles continue to be promoted |
ø Number of GPs attending workshop
ø Number of GPs sent resource materials |
No workshops conducted
ø Updated youth services directory sent to 30 GPs in November 2001
ø Youth project promoted through the Division's monthly newsletter
No workshops conducted as the project focused on building profile through launching the list of youth friendly GPs; one objective of the launch was to encourage other GPs to participate in the project through them seeing the benefits of becoming a youth friendly GP |
| ø Continue to recruit, train & review new GPs to expand the list of youth friendly doctors |
ø Number of GPs participating in reviews |
ø 11 GPs added to list of youth friendly GPs
ø There are a total of 19 GPs on the list, with two midway through the process and a further 20 who have expressed interest in the project
|
|
| Program | YOUTH R.E.A.C.H. PROGRAM (REFERRAL, EDUCATION, ACCESS, COMMUNICATION, HEALTH) | | Goal | To enhance young people's access to health services in Central Sydney, and improve the wellbeing of young people through improved health management by their GPs. | | Strategy | Networking and communication between Division and area youth services, health professionals and agencies, both CSAHS and NGO |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Division linked with a network of agencies and organisations working locally to advance the health and wellbeing of young people |
ø Project Officer to attend regular youth interagency meetings for information sharing, exchange of information and support
ø Project Officer to work closely with workers and young people from Cellblock in developing a 'Youth Friendly Doctor' poster |
Number of interagency meetings attended
ø Design, promotion and distribution of 'Youth Friendly Poster/Logo |
Attended 4 Marrickville & 5 Inner West Youth Interagency Meetings
ø Division linked with a network of agencies and organisations working locally to advance the health and wellbeing of young people
ø Youth Friendly Doctor Poster and logo developed in partnership with young people at Cellblock youth health service
Other agencies the Division is linked with include: NAAH, Streetwize Communications, South Sydney Council and Area Health Service, NSDGP, and Marrickville and Ashfield Councils |
ø Project Officer to facilitate links between the Youth REACH Program and other new & existing programs where appropriate (eg. health promoting schools)
ø Project Officer involved in other local working groups where a GP link would be helpful |
ø Number/quality of links established |
Meeting held with Health Promoting Schools coordinator in early 2002
ø Links made with CSAHS Mental Health Team; Division representation at planning meetings
ø 48 youth services responded to a questionnaire distributed in the central Sydney area; these services are now in the updated list of youth services distributed to youth friendly GPs and other GPs who expressed an interest in adolescent health
|
|
| Program | YOUTH R.E.A.C.H. PROGRAM (REFERRAL, EDUCATION, ACCESS, COMMUNICATION, HEALTH) | | Goal | To enhance young people's access to health services in Central Sydney, and improve the wellbeing of young people through improved health management by their GPs. | | Strategy | Ensuring youth health issues are kept visible within the Division and Division Programs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Youth health topics included in other Division programs' CME sessions |
ø Incorporate youth health topics into existing CME sessions
ø Integrate youth care components into existing and new Division projects where relevant
ø Dissemination of youth health issues related to program areas |
ø Number of times youth health topics included in CME sessions
ø Programs include strategies to address young people's needs |
All 3 Youth CPD events conducted were linked to other programmes and included strategies to address young people's needs (e.g. communicating appropriately, referral to youth services)
|
|
|
|
| Division offers practical support to GPs in dealing with youth health issues |
ø Project Officer to act as a 'resource' support to GPs & 'link' between GPs and other services
ø Needs assessment conducted with youth friendly GPs to target training toward specific need areas eg. |
ø GPs utilise Project Officer as resource person |
ø Survey conducted on youth friendly GPs to identify their training needs
ø Project Officer responded to 20 telephone enquiries from GPs wanting to locate youth services
|
|
|
|
| Ongoing consultation with young consumers, GPs and youth service providers |
ø Bi-monthly working party continues to meet to raise issues of importance for young people in general practice and the Central Sydney Area
ø Youth representatives involved in all aspects of program implementation and development |
ø Number of working party meetings
ø Young people given the opportunity to input into program components |
ø Eight working party meetings conducted, each with two consumers present
ø Ongoing consultation with youth consumers, GPs and youth service providers
Young people participated at the launch of the list of youth friendly GPs |
|
| Program | YOUTH R.E.A.C.H. PROGRAM (REFERRAL, EDUCATION, ACCESS, COMMUNICATION, HEALTH) | | Goal | To enhance young people's access to health services in Central Sydney, and improve the wellbeing of young people through improved health management by their GPs. | | Strategy | Increase youth access and management of quality health care, emotional support and practical assistance |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Young people connected with 'youth friendly' health care, support and practical assistance |
ø 'Youth Friendly' GPs list officially launched with attendance from GPs on list, Youth Services and Youth Representatives
ø 'Youth Friendly' GPs list continued to be distributed to youth services and agencies.
ø Youth resources list maintained and updates distributed to GPs
ø 'Youth Friendly' principles continue to be promoted, addressing barriers to access |
ø Number of GPs and Youth Services attending launch
ø Number of referrals made to 'Youth Friendly' GPs by youth services and agencies;
ø Number of referrals made to youth services by GPs
ø Project records |
Launch of the youth friendly GP list held in October 2001, with over 100 attendees including GPs, youth services and young people represented
ø Youth friendly principles and barriers to access issues addressed through local media including newspaper and radio
Number of referrals made to youth friendly GPs is increasing as the list becomes more widely distributed
In informal interviews most of the GPs on the youth friendly GP list stated they have used the resource folder, particularly the youth services directory, and that they are receiving referrals from youth services, yet the actual number of referrals to and from services that are successful is difficult to gauge |
|
| Program | PRACTICE ACCREDITATION/PRACTICE INCENTIVES PROGRAM/IMMUNISATION | | Goal | To provide up to date information to GPs regarding accreditation | | Strategy | Create a resource utility for GPs to access about support regarding accreditation |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| GPs informed of the issues regarding accreditation |
ø Contact peak accreditation organisations to determine relevant resource material
ø Develop resource package |
Resource package developed and accessed by GPs |
Resource package expanded to include log books, thermometers, policy templates for practice policy and procedure manuals and an accreditation provider-approved patient feedback survey
ø Accreditation resources and information uploaded to Division website
ø Division telephone helpdesk accessed 65 times by GPs and practice staff
ø Links maintained with both accreditation providers
|
ø Write to all GPs indicating the support networks within the Division
ø Work with those GPs who request assistance to achieve accreditation
ø Outline reasons to participate with the Division |
Interested GPs contacted and assisted |
GPs updated about accreditation developments and resources through Division newsletter and regular mailouts to practices
ø Formal 'mock-surveys' of 13 practices conducted by AGPAL GP Surveyors; all practices were subsequently granted full (unconditional) accreditation
ø Accreditation assessment visits to 22 practices to gauge accreditation readiness and assist with accreditation problem areas
ø 13 visits to practices to outline the accreditation process and encourage participation in it
|
| ø Establish process and procedures for accreditation including formal pre-accreditation assessment provided by the Division |
ø Accreditation rate increases |
AGPAL practice registration rate increased by 12%
ø 81% (89 of 110) of AGPAL-registered practices now fully accredited (increase of 30%)
ø 9 of 10 GPA-registered practices now fully accredited (increase of 35%)
|
|
| Program | PRACTICE ACCREDITATION/PRACTICE INCENTIVES PROGRAM/IMMUNISATION | | Goal | To increase the number of practices in the Division that are eligible for practice incentive schemes | | Strategy | Establish a support group for GPs to access for PIP |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| GPs access incentives associated with information technology |
ø Provide GPs with information regarding the Practice Incentive Program (PIP) and IT incentives included
ø Provide support to GPs to meet PIP requirements |
ø Number of GPs registered with the Practice Incentive Program increases, and GPs registered with the PIP access more of the scheme's available tiers |
Most PIP practices signed on for the diabetes, asthma and cervical screening incentives
ø Support for the new incentives provided to GPs through a resource package (to 90 practices), academic detailing visits (to 12 practices), a CPD seminar (95 attendees), a telephone helpdesk (accessed 16 times) and regular newsletter updates
ø PIP resources uploaded to Division website
ø PIP registration fell to 97 practices following the accreditation deadline of 1 January 2002
ø PIP data for the last quarter unavailable at time of reporting |
|
| Program | PRACTICE ACCREDITATION/PRACTICE INCENTIVES PROGRAM/IMMUNISATION | | Goal | Increase the successful notifications of age appropriate immunisation to ACIR (Australian Childhood Immunisation Registration) by general practices | | Strategy | Promote best practice for immunisation notification to ACIR, through a Divisional CME meetings |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Demonstrated increased awareness of best practice for ACIR immunisation notification, evaluated through a post seminar questionnaire |
ø Promote best practice for immunisation notification to ACIR, through a Divisional CME meeting.
ø Distribution of questionnaires. |
ø Percentage of correct answers of post-seminar questionnaire |
Seminar not held
A division wide expression of interest revealed that few GP's were interested in attending a seminar on immunisation. Thus, resources were channelled into practice visits where there was a sustained level of interest. |
|
| Program | PRACTICE ACCREDITATION/PRACTICE INCENTIVES PROGRAM/IMMUNISATION | | Goal | Increase the successful notifications of age appropriate immunisation to ACIR (Australian Childhood Immunisation Registration) by general practices | | Strategy | Evaluate the academic detailing through the ACIR020A/ACIR021A report, the payment statement and the quarterly statement from the HIC, during a follow-up visit |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Quality Assurance of academic detailing as a method for increasing the notification of immunisations to the ACIR, by general practices (Report produced) |
ø Identify, through consultation with various sources (the ACIR, Central Sydney general practices with high immunisation rates, Divisions which have undertaken immunisation projects, immunisation detailers from the Alliance of NSW Divisions) optimal strategies and processes for ACIR notification
ø Targeted academic detailing of practices, with dissemination of best practice ACIR immunisation notification techniques · Evaluate the academic detailing through the ACIR020A/ACIR021A report, the payment statement and the quarterly statement from the HIC during a follow-up practice visit |
Report on methods of boosting ACIR notification rates produced |
31 practices visits since November 2001 and academic detailing performed, singularly and conjunction with Central Sydney Public Health Unit. Resources provided to practices include fridge thermometers, log books, pamphlets, stickers, the Australian Immunisation Handbook.
The first of three immunisation seminars for practice staff held in conjunction with the NSW Dept of Health and Commonwealth Dept of Health and Aging.
Fridge magnet entitled :"How to stock a vaccine fridge" currently in development and will be distributed to practices in the division.
CSDGP continues to liaise with other organisations to develop resources to assist practices on improving their immunisation rate by identifying and addressing barriers. CSDGP member of Canterbury District Immunisation Committee and CSAHP Immunisation Working Group. Immunisation for division holding steady at 79.6% for August quarter and 79.7% for November Quarter 2001 and 81% for February 2002 quarter |
|
| Program | INFORMATION TECHNOLOGY & MANAGEMENT (IT/IM) | | Goal | To establish IM & IT as being available & accessible for GPs of CSDGP | | Strategy | Disseminate information about IT to all GPs in Central Sydney Division |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| GPs use IT for clinical purposes |
Provide education & training sessions in IT
Provide information about resources via monthly Newsletter and division website |
Number of GPs attending education sessions.
Visits to website increase
Number of GPs using IT for clinical purposes increases |
ø Helpdesk for IT queries - on average 10 phone calls/week, increasing with increased IT Training
ø IT Project Officer provides phone help desk.
ø Monthly computer tips in Division newsletter.
ø IT Project Officer also extensively assists Division staff with internal IT issues |
|
| Program | INFORMATION TECHNOLOGY & MANAGEMENT (IT/IM) | | Goal | To ease the information management workload of GPs through raising awareness of IT/IM and providing accessible and inclusive community education materials | | Strategy | Access facilitated to Pathology companies, medical research & e-mail for peer support |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| GPs have available & receive education,training & resources on information technology |
Provide IT training classes for GPs
Measure attendance at classes
Provide other resources to GPs |
Number of classes held
Attendance at classes
Number of GPs requesting further resources |
ø Large initiative commenced November for IT Training.
ø GP's trained in groups of 8 twice a week.
ø 20 GP's attended 4 classes each.
ø IT training has led to GP's requesting assistance / resources to further computerise their practice, eg. Buy hardware / software. Resources developed for these queries. |
|
| Program | INFORMATION TECHNOLOGY & MANAGEMENT (IT/IM) | | Goal | To provide GPs with basic computer training in clinical packages in a GP friendly environment | | Strategy | To provide GPs with skills for electronic prescribing in the Division's own computer laboratory
To provide GPs with skills to utilise email and internet for medical use |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| To increase the number of GPs enrolled in the electronic prescribing tier of PIP along with utilising the Internet for information & e-mail |
Enhance the computer lab
Advertise Lab to GPs
Provide ongoing training and support at Computer lab |
Computer Lab established and updated
Number of GPs using the Lab for updating/training |
ø Computer Laboratory set up in September with 8 computers.
ø Available for members during office hours for practicing.
ø 93% of GP's with computerised practices are using electronic prescribing
ø Relatively small number of practices accredited in the Division, but increasing at an exponential rate. |
|
| Program | INFORMATION TECHNOLOGY & MANAGEMENT (IT/IM) | | Goal | To increase the use of IT in monitoring of GP patients | | Strategy | Provide GPs with the skills to assist them in clinical computing in order to carry out preventive screening and health promotion on a systematic basis, using reminder systems |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
Increase the number of GPs using electronic recall techniques for their patients
Experienced GPs to mentor less experienced GPs |
Recruit experienced GPs to conduct academic detailing and consult with other GPs about the types of visits they would value. Conduct a survey to recruit experienced GPs and advertise availability of visits
Assist GPs with computerised patient data
Conduct practice visits |
Number of experienced GPs participating. Number of visits conducted |
ø 55 GP's trained prior to November in basic computer literacy.
ø 58% of GP's in the Division are computerised.
ø The Division has low levels of computer literacy comparatively to other Divisions, based on a computer literacy survey completed in September. As a response, basic computer skills classes were conducted before commencing training in the use of clinical management software |
|
| Program | INFORMATION TECHNOLOGY & MANAGEMENT (IT/IM) | | Goal | To promote the uptake of EPC by GPs and the use of IT for recording and disseminating information among team members | | Strategy | Provide GPs with the necessary tools and skills to use EPC and to utilise IT options for recording and sharing information |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
Increase the number of GPs involved in EPC.
Increase the use of IM/IT for recording and circulating information |
Conduct awareness sessions and emphasise the use of IT for documentation and communication
Provide IT training as appropriate
Provide IT tools as appropriate |
Attendance at EPC awareness sessions
Attendance at training courses
Requests for Information and IT materials |
ø Practice staff trained in both Practice Management and Clinical Management Software in November / December.
ø Practice staff involved in setting up recall systems therefore their training assists GP's in setting the management structures needed to access new population health incentives.
ø New SIP payments expand the Divisions role beyond assisting with just EPC. |
|
| Program | INFRASTRUCTURE/ADMINISTRATION & CONSUMER | | Goal | The Board operates within the best practice governance model as defined by the ANSWD | | Strategy | The Board observes its legal responsibilities |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| The Board maintains records of efficient, accountable financial management, administration of meetings and lodge annual returns and carries out performance monitoring |
ø Comply with all Central Sydney DGP financial guidelines and use appropriate accounting and payments systems
ø Division accounts internally audited according to NSW Government procedures
ø Ongoing monitoring and review of financial systems |
ø Accounts internally audited
ø Financial reports produced for Board Committee at least eight times per year |
ø Financial reports tabled at each Board Committee meeting.
ø The Board has met 18 times during this period plus 1 AGM.
ø Finance Committee
ø has met 8 times during this period
Financial control with cost centres set up on MYOB software.
ø Payroll set up on MYOB software.
ø Accounts currently audited according to Australian Standards.
ø An outsourced CPA oversees the financial systems, attends the Finance Committee meetings and acts Compliance Officer |
|
| Program | INFRASTRUCTURE/ADMINISTRATION & CONSUMER | | Goal | To ensure best practice corporate management of the Division | | Strategy | To develop policies and procedures for efficient day to day business management of the Division |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Optimal employment practices applied |
ø Comply with all Central Sydney DGP employment guidelines and use appropriate personnel systems
ø Documented job descriptions for each staff member
ø Regular performance appraisal for each staff member
ø Professional development provided for all staff members |
ø Job descriptions for each staff member
ø Documented annual performance appraisal
ø All staff members utilise professional development opportunity annually
ø Division follows policy and procedure manual |
ø All positions have a duty statement.
ø Annual appraisal conducted and documented for 100% of staff in this period.
ø Division Policy and Procedure manual is 34% developed.
ø Staff have attended ANSWD seminars, IT training, seminars and courses appropriate to their project.
ø Software training in Access, Graphic Design.
ø Cervical Screening training at Westmead
Hospital for 2 Division
Liaison Officers |
|
| Program | INFRASTRUCTURE/ADMINISTRATION & CONSUMER | | Goal | To demonstrate the worth and value of general practice in the Central Sydney Area | | Strategy | To develop a marketing strategy for the Central Sydney Division and general practice |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Increased participation rates within the Division |
ø Identify GP needs
ø Identify necessary resources
ø Identify advantages and disadvantages |
ø Participation rates are increased |
Increased GP participation in all Division Projects; Diabetes, Mental Health, Practice Management, Mother and Infant Health. Increased involvement in Area Health Initiatives on behalf of the membership as a whole
Increased number of phone inquiries to the Division project officers following visits to individual GPs by the DLOs |
|
| Program | INFRASTRUCTURE/ADMINISTRATION & CONSUMER | | Goal | To support and orientate new GPs within the Area into the Division | | Strategy | Provide a program to new GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| To increase new members into the Division |
Develop an orientation program which consists of:
ø Benefits of the Division
ø What support is available for young GP
ø Ability to increase their skills
ø Overview of Central Sydney services eg partnerships with CHC and other medical services
ø What programs are on offer and how they can be accessed |
Membership numbers are increased |
117 new financial members during the period. 300 financial members out of a total of a possible 526 GPs.
Information and marketing package developed for the DLOs to distribute to GPs developed. Information packages developed speedily in response to continuing GP needs. Briefing information packs developed for new SIP initiatives introduced late October. |
|
| Program | INFRASTRUCTURE/ADMINISTRATION & CONSUMER | | Goal | To establish a Consumer Group Forum to advise the Board | | Strategy | Provision of support and guidelines to facilitate such consumer liaison |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Increase collaboration between CSDGP, GPs, consumers, and CSAHS |
ø Hold consumer group forum (CGF) meetings
ø Consumers to be represented on the working groups for each program area
ø Invite community representation generally |
Number of Consumer Group Forum meetings
Community forum open to the public report
Consumers satisfaction survey |
Consumer participation in Youth Project, Mother and Infant Health and Diabetes Macro-vascular. Consumers sought for Mental Health Project and for Consumer Reference Group to commence early 2002
Difficulties encountered in attracting interested consumers despite generous remuneration and extensive advertising. New methods to be adopted in 2002 to attract consumers |
|
| Program | INFRASTRUCTURE/ADMINISTRATION & CONSUMER | | Goal | To establish a Consumer Group Forum to advise the Board | | Strategy | Provision of mechanisms for consumer feedback |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Consumer satisfaction with communication mechanisms |
Project Officer employed to facilitate communication mechanism between consumer groups and the Division and other stakeholders |
Satisfaction survey of consumers |
To commence 2002/2003
|
|
| Program | INFRASTRUCTURE/ADMINISTRATION & CONSUMER | | Goal | Improved understanding of GP service provision to consumers | | Strategy | To determine the need for information about general practice from consumers |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| To attain community representation, which reflects the social complexity of Central Sydney; including NESB, ATSI and youth groups |
ø To attract consumers that may better represent a particular language group, gender or geographical area.
ø To devise a calendar of meetings whose location changes within Central Sydney. By changing the location of meetings this may enable participation from individuals who may not be able to travel outside their local area.
ø Try to broaden activity |
Number of consumers from diverse backgrounds represented in Central Sydney |
To commence 2002/2003
|
|
| Program | INFRASTRUCTURE/ADMINISTRATION & CONSUMER | | Goal | To ensure consumer representation/input on all Divisional programs | | Strategy | Consumer Group Forum to develop a mechanism for providing each project with appropriate consumer representation |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Consumer liaison facilitated |
ø That a meeting agenda be compiled to ensure that at each meeting the consumers can provide the GPs and project officers with specific feedback upon a designated program each meeting
ø That consumers continue to be represented through Consumer Group Forum
ø Consumer Group Forum meetings held at regular intervals
ø Consumers represented on management teams for each program |
ø For consumers to offer some of their time on all current programs
ø Minimum of 8 Consumer Group Forum meetings held per year
ø At least one general Community forum meetings held per year
ø Consumers represented on management team for each program |
To commence 2002/2003
|
|
| Program | INFRASTRUCTURE/ADMINISTRATION & CONSUMER | | Goal | For consumers to help the GPs to provide locally responsible feedback | | Strategy | To set up a mechanism for consultation where consumer can have input into divisional projects and outcomes for GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| To determine the feasibility of developing a patient feedback questionnaire to provide locally responsible feedback to GPs |
ø For the Division to provide support and resources to the consumers.
ø For the consumers to help the division and its GPs to devise a workable tool for other consumers to evaluate General practice
ø Provide GP surgeries with a tool to evaluate the effectiveness of the service that they provide.
ø To determine if consumers are best placed to develop tools for other consumers to use |
ø To determine the feasibility of providing GP surgeries with a tool to evaluate the effectiveness of the service which they provide.
ø To determine if consumers are best placed to develop tools for other consumers to use. |
Patient feedback incorporated into Youth Health and Diabetes-Macrovascular Projects and Practice Management. Youth and Diabetes patient feedback part of audit requirements.
Large resistance from GPs for any further surveys and additional paperwork. The issue to be taken up further in the Consumer Reference Group to be formed in 2002 |
|
| Program | COMMUNICATION | | Goal | Improve communication between GPs, Project Officer's and consumers | | Strategy | Publish a divisional newsletter and Division web-site |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Improved communication between GPs and the Division |
ø Produce Division newsletter ten times per year
ø Open Meeting of Area GPs specifically to discuss Division activities
ø Publicise contact details for Board and staff |
ø Division Bulletin produced ten times per year
ø Open Meeting held at least once per year
ø Contact details of Board members included in each Newsletter |
Bulletin produced eleven times in last year
open meeting held in April 2002
contact details included in all published newsletters
|
|
| Program | CME | | Goal | To provide a focus for professional development for GPs | | Strategy | To establish 10 non program related CME events per year |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Central Sydney GPs receive continuing medical education on a variety of topics |
ø Conduct annual survey to determine areas to be in Division seminar program
ø Conduct ten continuing education seminars per year |
ø GP CME survey conducted annually
ø A minimum of eight seminars held each year
ø Regular seminars attended by an average of 40 GPs
ø Median GP evaluation of regular seminars positive for 80% of RACGP approved items on evaluation questionnaire |
GP CME survey conducted in late 2001
more than ten seminars held
seminars attended by average of 62 GPs
|
|
|
|
|
|
|
print version
email this page
