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|
| Program | CLINICAL SUPPORT | | Goal | Improve the physical and mental health of people living with mental illness in Central Sydney | | Strategy | increase interaction between mental health services and local GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| increased referral rates from mental health teams to local GPs |
annually update a list of GPs with an interest in mental health and distribute to appropriate local mental health agencies |
list distributed annually |
Mental Health interested GP lists developed for CSAMHS, NGO and consumers by October 2002 and 40 copies distributed to CSAMHS agencies by acting GP Liaison officer in early 2003; the lists are available to NGOs and consumers on request
A repeat distribution of 40 copies of the list by a CSAMHS sector manager has been arranged for July 2003; local NGOs including a Marrickville Council boarding house project have requested the NGO and consumer lists |
| In cooperation with local mental health agencies, develop clinical attachment opportunities for local GPs |
ten GPs take up mental health attachments |
2 GPs take up clinical attachments.
(See 1.2.1.4)
|
| liaise with local AHS to develop and disseminate mental health service referral forms to local GPs |
mental health referral forms developed and evaluated |
Mental Health referral form for GPs developed in cooperation with CSAMHS staff and made available to 187 mental health interested GPs in hard copy (50 sheet pad) and electronic format (floppy disk); 60 GPs have ordered the form. The form is on CSDGP website and can be downloaded.
In June 2003 the Ashfield agency agreed to a formal trial of the referral form and has included it in their protocol for GP referrals to the service; the form has also bee used as a template for developing D&A and allied health referral forms |
| regularly update and publish a comprehensive directory of local mental health resources for local GPs |
Mental health directory updated and redistributed annually |
Directory of local counselling services and referral guide for CSAMHS agencies updated as required and available on request
Both documents are available to download on the CSDGP website; a full update of the counselling directory is due in 2004 |
| (*CDM) Develop EPC kits and training modules for local mental health professionals |
number of local mental health professionals taking up CSDGP EPC kits and training |
Nil. No mental health professionals have taken up EPC kits or training this year.
Care Planning and Case Conferencing Small Group session planned for D&A/mental health interested GPs in late 2004 |
| consult local consumer groups (including ATSI and NESB) with a view to improving access to mental health services |
consumer involvement in mental health programs increases |
Limited action thus far.
The CSAMHS coordinator of consumer initiatives is involved in the CSDGP/CDG/CSAMHS Advisory Committee |
| Maintain collaborative links with CSAHS mental health services and continue to implement the MH MoU |
regular meetings continue and MoU targets are achieved |
Two Advisory Committee meetings and four Working Party meetings held with CSAMHS staff; ongoing collaboration on forms for assessment and the tracking of referral data occurred
The absence of a CSAMHS GP Liaison Officer has hampered the progress of CSDGP-CSAMHS collaboration, however monthly Working Party meetings are occurring |
|
| Program | CLINICAL SUPPORT | | Goal | Improve the physical and mental health of people living with mental illness in Central Sydney | | Strategy | CSDGP provides quality mental health education opportunities for local GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| local GPs attend a range of CSDGP mental health CPD activities |
Six mental health lecture sessions per year |
number of mental health lectures organised |
Four mental health lectures held. Average ratings for events July-Dec 2002 3.5/5. Average rating for events held Jan-June 2003 3.5/4
Topics covered at lectures; psychological presentation of physical illness, brief interventions for behavioural change, the Guardianship Tribunal and management of anxiety. |
| (*CDM) mental health small group learning sessions facilitated |
number of GPs involved in small group learning activities
evaluation of mental health small group learning sessions |
12 GPs involved in local Sphere training in August; 19 GPs involved in Psychiatry Supervision
A number of D&A small group sessions have been set up with CSAHS for mid-late 2003
Psychiatry Supervision received consistently high evaluations.
Two of the three groups have continued without sponsorship due to their popularity |
| (*PMHC) peer support and psychiatrist supervision opportunities created for local GPs |
number of GPs taking up peer support and psychiatrist supervision |
Two psychiatry supervision groups continue to meet monthly with 17 GPs participating
No peer support activities held in the 12 month period July 2002 - June 2003. Peer support event scheduled for 27 July 2003 with 30 GPs expected to attend |
| clinical attachments with local psychiatrists organised for local GPs |
number of GPs taking up clinical attachments with local psychiatrists |
2 GPs participated in clinical attachments
Evaluation of clinical attachment from GPs and Psychiatrists were very positive |
|
| Program | CLINICAL SUPPORT | | Goal | Improve the physical and mental health of people living with mental illness in Central Sydney | | Strategy | (*CDM) CSDGP helps improve consumer access to mental health services |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| (*CDM) local GP uptake of new mental health MBS items is maximised |
Mental Health MBS item resources available on CSDGP website |
appearance on website |
19 BOMHC related downloads uploaded to CSDGP website in May 2003
CSDGP website also contains links to current BOMHC websites (RACGP) |
| Training opportunities provided to enable local GPs to comply with new mental health MBS item requirements |
number of local GPs taking advantage of CSDGP training |
A total of 76 GPs attended six Familiarisation workshops; 32 GPs have received the e-learning Familiarisation CD-ROM
CSDGP has also offered local BOHMC approved clinical training (Sphere and the upcoming Peer Support Workshops) |
| Mental health MBS item resources available as a kit for local GPs |
Number of local GPs requesting the MH MBS kits |
CSDGP guide to BOHMC revamped and mailed to all 700 local GPs in May 2003
The guide was also mailed to all accredited practices in June 2003 |
|
| Program | CLINICAL SUPPORT | | Goal | Improve the health of people with diabetes and vascular disorders in the Central Sydney area | | Strategy | (*CDM) Develop local guidelines for the early detection of diabetes in Central Sydney |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| (*CDM) Local diabetes guidelines adopted by local general practices |
local guidelines developed in consultation with local GPs, endocrinologists, other diabetes care providers and local consumers |
50% of local GPs use new local diabetes care guidelines |
Diabetes and Macrovascular 2000 Guidelines incorporated into ReMinD system. 130 GPs enrolled in ReMinD. Approximately 25% of local GPs use the ReMinD system.
GPs were targeted with information about ReMinD through practice visits, articles in CSDGP newsletter, information on CSDGP website and at CPD events |
|
| Program | CLINICAL SUPPORT | | Goal | Improve the health of people with diabetes and vascular disorders in the Central Sydney area | | Strategy | Update and market ReMind service to local practices |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| 10% increase in the number of patients in Central Sydney enrolled in ReMinD |
update ReMinD system to harmonise with SIP diabetes payment system |
ReMinD system compatible with diabetes SIP system |
ReMinD system updated and is now compatible with Diabetes SIPs.
System updated during 2002 to comply with annual cycle of care requirements of SIP Diabetes Incentive |
| liaise with local GPs to enhance ease of use of ReMinD system |
20% increase in number of GPs using ReMinD system |
8% increase in number of GPs using ReMinD system.
Survey conducted of all GPs currently enrolled in ReMinD to review GP needs and ensure that program remains relevant to these |
| update modules in ReMinD resource folder: smoking cessation, diabetes, hypertension, lipid management, physical activity, weight management |
ReMinD modules updated |
Not achieved
New resource folder will be developed 2003-2004 when sponsorship funding is secured |
| provide annual population reports by practice on HbA1c, lipids, smoking, physical activity, diabetic foot and eye care |
Reports produced annually for all participating GPs |
2002 report distributed June 2003
Receipt of data from pathology companies was delayed as was analysis of data by RPA Diabetes Centre |
| attain and maintain RACGP clinical audit points for GPs participating in the ReMinD program |
number of GPs acquiring clinical audit points from ReMinD |
Application forwarded to RACGP May 2003
Awaiting confirmation of CPD point allocation from RACGP |
|
| Program | CLINICAL SUPPORT | | Goal | Improve the health of people with diabetes and vascular disorders in the Central Sydney area | | Strategy | (*CDM) Work with local aboriginal medical services to increase detection and optimise management of diabetes in Central Sydney's ATSI population |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| (*CDM) local aboriginal medical services participate in development of local guidelines, adopt local guidelines and participate in ReMinD program |
liaise with local AMS to enhance uptake of ReMinD by their GPs |
Local AMS is a partner in redevelopment of ReMinD |
Project officer initiated contact with AMS in February 2003 and discussions commenced March 2003
AMS concerned over data collection form (in relation to literacy issues of ATSI population). Discussions with AMS Board are continuing |
|
| Program | CLINICAL SUPPORT | | Goal | Improve the health of people with diabetes and vascular disorders in the Central Sydney area | | Strategy | Update and enhance diabetes/macrovascular resources available to Central Sydney GPs on the CSDGP web site |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| > 50 local GPs regularly access CSDGP diabetes resources on the CSDGP website |
Web site diabetes and macrovascular content is interesting, relevant and up to date |
number of GPs accessing web site |
No data available
Software recording hits on website unable to differentiate hits on individual pages |
| Web site diabetes and macrovascular content regularly advertised IN CSDGP newsletter |
CDSDGP diabetes web site referred to in newsletter at least six times per year |
Website regularly promoted in CSDGP newsletter
ReMinD column featured in each edition of CSDGP newsletter |
|
| Program | CLINICAL SUPPORT | | Goal | Improve the health of people with diabetes and vascular disorders in the Central Sydney area | | Strategy | Provide a range of quality diabetes/macrovascular CPD opportunities for Central Sydney GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| More than 50 different local GPs participate in CSDGP organised diabetes/macrovascular CPD activities |
four diabetes/macrovascular CPDs per year |
number of diabetes/macrovascular CPDs per year |
Two CPDs held with a total attendance of 122 GPs
Events held in March and May 2003 |
| resources and facilitation for small group learning in diabetes/macrovascular |
number of GPs participating in CSDGP organised small group sessions |
One small group of 12 GPs met for a series of 4 meetings
These meetings were developed in close consultation with RPA Diabetes Centre |
| clinical attachments at local endocrinology centres arranged |
number of local GPs participating in diabetes attachments |
No GPs participated in this initiative
Improved coordination and marketing of this program should improve participation |
|
| Program | CLINICAL SUPPORT | | Goal | Improve the health of people with diabetes and vascular disorders in the Central Sydney area | | Strategy | Increase the number of patients in Central Sydney enrolled in the CSAHS Priority Health Care Programs targeting diabetic foot complications, heart failure and stroke |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| More than 500 patients are enrolled in each of the CSAHS Priority Health Care Programs |
work with diabetes foot care project to increase involvement and recruitment among GPs |
number of participating patients |
Less than 500 patients enrolled in each program, but enrolment rate is consistent with statewide results
|
| work with stroke program to facilitate involvement and recruitment of participants by GPs |
number of participating patients |
Regular attendance at CSAHS PHC meetings has been maintained. Program support material has been distributed to GPs
|
| work with heart failure program to facilitate involvement and recruitment of patients by GPs |
number of participating patients |
Regular attendance at CSAHS PHC meetings has been maintained. Program support material has been distributed to GPs
|
|
| Program | CLINICAL SUPPORT | | Goal | (*CDM) Improve the health and wellbeing of people with asthma living in Central Sydney | | Strategy | Develop local guidelines for the management of asthma in Central Sydney |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| (*CDM) Local asthma guidelines adopted by local general practices |
guidelines put together by local GPs in consultation with local respiratory physicians, other service providers and consumers |
50% of local practices use local asthma guidelines |
Local asthma guidelines yet to be established
Development and distribution of material to support Asthma 3+ program has been focus of activity |
|
| Program | CLINICAL SUPPORT | | Goal | (*CDM) Improve the health and wellbeing of people with asthma living in Central Sydney | | Strategy | Update and enhance asthma resources available to Central Sydney GPs on the CSDGP web site |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| (*CDM) > 50 local GPs regularly access CSDGP asthma resources on the CSDGP website |
CSDGP web site asthma content is interesting, relevant and up to date |
>50 local GPs accessing asthma web page |
No data available
Software recording hits on website unable to differentiate hits on individual pages |
| Web site asthma content regularly advertised IN CSDGP newsletter |
asthma web page mentioned at least six times per year in newsletter |
Regular promotion of CSDGP website appears in each Division newsletter
Newsletter has 10 editions annually |
|
| Program | CLINICAL SUPPORT | | Goal | (*CDM) Improve the health and wellbeing of people with asthma living in Central Sydney | | Strategy | Provide a range of quality asthma CPD opportunities for Central Sydney GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| (*CDM) More than 50 different local GPs participate in CSDGP organised asthma CPD activities |
four asthma CPDs per year |
number of asthma CPDs |
One asthma CPD event held
45 GPs attended this event. Average rating for meeting of learning objectives of event 3.5/4 |
| resources and facilitation for small group learning in asthma |
number of GPs participating in CSDGP facilitated asthma small group learning |
No asthma small groups were held
Asthma small group meeting planned for July 2003 |
|
| Program | CLINICAL SUPPORT | | Goal | Improve the health and wellbeing of young people living in Central Sydney | | Strategy | Provide health resource material to local GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Up to date youth health material distributed to all local GPs annually |
Directory of youth support services updated, distributed annually and published on division website |
youth health services directory published annually |
Directory of youth health services updated as required, published and uploaded to the CSDGP website (hard copy available on request)
Evaluation of usage of the directory by the 18 youth interested GPs showed at least 40% had used it to make referrals to local services |
| youth health issues and management guidelines regularly updated, distributed and published on web site |
youth web page accessed by at least 50 GPs this year
up to date youth health issues feature in newsletter at least four times per year |
No data available
Software recording hits on website unable to differentiate hits on individual pages Anecdotal evaluation of usage of the website by the 18 youth interested GPs suggests that the website resources are of use
One feature article published; major articles on related topics (mental health and D&A) published
The feature article covered GPs in Schools; monthly column on youth health issues published |
|
| Program | CLINICAL SUPPORT | | Goal | Improve the health and wellbeing of young people living in Central Sydney | | Strategy | Provide a range of quality youth health CPD experiences to local GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| More than three CPD events in youth health organised each year |
Lectures, small group learning opportunities and clinical attachments made available to local GPs by CSDGP |
Youth health case studies developed for small group learning
two lectures per year on youth related topics
more than ten GPs participating in youth health agency clinical attachments per year |
No action
Youth small group workshops relating to GPs in Schools planned for early 2004
Four CPD lectures held this year
Topics covered were; management of substance abuse, adolescent psychiatry, update in illicit drugs and assessing disturbed behaviour in adolescence
One GP has participated this year
|
|
| Program | CLINICAL SUPPORT | | Goal | Improve the health and wellbeing of young people living in Central Sydney | | Strategy | Provide trained GPs to speak to young people in local high schools on a range of health and lifestyle issues |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| GP speakers program established in three different high schools every year |
Local GPs receive training and support to hold health forums in local high schools |
more than three forums held this year |
A total of six visits to four high schools by five GPs meant 400 students were involved in discussions about health; all visits had >90% positive evaluation
Topics covered included access to GP care' accessing Medicare, D&A, sexual health, stress management and general health |
|
| Program | CLINICAL SUPPORT | | Goal | Improve the health and wellbeing of young people living in Central Sydney | | Strategy | Increase referral rates between GPs and local youth services |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| increased referral rates between GPs and local youth services |
promote the youth REACH project to local GPs |
20% increase in number of local GPs participating in REACH |
20% increase in GP participation in the project; the audit process has been presented at youth health conferences and used as a model by other Division youth projects
The Youth REACH consumers have ended their participation due to their age; the Youth REACH audit process has wound up and plans have been developed for a broader GP interest list to complement GPs in Schools |
| youth friendly GP list distributed to schools and youth health agencies |
list updated and regularly redistributed |
Youth interested GP list distributed to 12 local high schools and over 30 local youth services and updated as required
All youth health services within the CSDGP region have received two or more copies of the list |
| Division representatives meet regularly with local youth health agencies |
number of youth health intrasectoral meetings attended by CSDGP representatives |
Six youth interagency meetings in two LGAs attended and GP related issues raised
|
|
| Program | CLINICAL SUPPORT | | Goal | Improve ante and postnatal care for mothers in Central Sydney | | Strategy | Expand and enhance the shared antenatal care and postnatal programs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| Increased number of GPs accredited for shared antenatal care |
monthly articles in newsletter |
10 articles per year |
Each edition of CSDGP newsletter contained an article relevant to ANSC
Newsletter has 10 editions annually |
| antenatal shared care web page developed and maintained |
interesting, informative, relevant and inspiring antenatal shared care web page |
Added to the CSDGP website during the year were the updated ANSC program details, first section of the GP resource folder, titles of relevant brochures (and supply details), presentations from ANSC events and links to other websites
Further developments to ANSC page of website have been planned |
| New GPs signed up for ANSC |
10% increase in number of GPs accredited for ANSC |
9% increase in number of GPs accredited. 30 GPs were recruited to the program 12 in November 2002 and 18 in March 2003 bringing the total number of GPs in the CSAHS ANSC program to 349
|
|
|
|
| Increased proportion of pregnant women choosing shared antenatal care |
increase awareness among pregnant women that shared GP care is available |
Shared care delivery rate increases from 54% to 60% |
Data not currently available due to problems with RPAH/CSAHS ANSC database
Database problems have been rectified to some extent and accurate data should be available shortly |
|
|
|
| Pregnant women of NESB are able to access a GP who can consult in their language |
provide lists of GPs who speak community languages to CSAHS |
50% of NESB women are able to consult a GP who speaks their language |
RPA/CSAHS data is not available to measure performance against indicator as stated
179 (51%) of ANSC GPs consult in a total of 45 languages other than English |
|
|
|
| Increased number of GPs accredited for postnatal care |
monthly articles in newsletter (with antenatal care) |
ten articles per year |
An article has been submitted each month for the CSDGP newsletter
Newsletter has 10 editions annually |
| postnatal shared care web page developed and maintained |
Extant postnatal care web page |
Resources and information are available on the CSDGP website
Updated information is regularly uploaded |
| Recruit new GPs for postnatal care program |
number of GPs in PNC program increases from 48 to 55 |
115 GPs have completed the requirements to be enrolled in the PNC program
There has been an increase in excess of 100% in the number of GPs enrolling in the PNC program over the last year |
|
|
|
| (*FF) Increased referrals from local GPs to Early Childhood and Drug and Alcohol services |
promote early detection of at risk families by local GPs through CPDs, clinical attachments and by providing small group learning resources |
three CPDs per year
small group learning resources developed
four GPs placed in clinical attachments |
Program launch held on 31 November 2002. One CPD held with 53 attendees
14 agencies attended the launch. Two further CPDs planned for August and November 2003
Two small group meetings held with 21 attendees in total
Meetings run in conjunction with RPA Women and Babies. Topics covered were newborn examination and management of jaundice
One clinical attachment completed during this period
|
| compile a resource directory for at risk families in consultation with early childhood centres and drug, alcohol and gambling services |
resource directory developed and updated annually |
A resource directory for Glebe was developed in conjunction with local interagency groups and updated during the year.
The resource directories are updated four times each year to coincide with school terms |
|
| Program | CLINICAL SUPPORT | | Goal | Improve the health of GPs in Central Sydney | | Strategy | Provide training for GPs who wish to provide personal medical care to other medical practitioners |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| More than 25 local GPs undertake "doctors for doctors" training per annum |
Run a series of "doctors for doctors" small group CPDs |
small groups successfully organised |
Not achieved this year
It is planned to offer this option again within the GP CPD survey to inform the 2004 CPD topics |
|
| Program | CLINICAL SUPPORT | | Goal | Improve the health of GPs in Central Sydney | | Strategy | Provide an exercise program to local GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| More than 50 local GPs participate in the pedometer program |
GPs participate in a walking program using a pedometer to encourage increased incidental activity and walking to raise their general level of fitness |
number of local GPs involved in the program |
This program is now complete. 68 GPs participated in the program
|
|
| Program | CLINICAL SUPPORT | | Goal | Improve the health of GPs in Central Sydney | | Strategy | Provide a list of 'GP friendly GPs' to all local GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| "GP friendly GP" list maintained, updated and distributed annually |
provide a list of GPs who are willing to see other GPs as patients to all local GPs |
number of GPs on the list
list updated and distributed annually |
Not achieved
It is planned to offer this option again within the GP CPD survey to inform the 2004 CPD topics
See above
|
|
| Program | CLINICAL SUPPORT | | Goal | Provide a substantial quantity of quality CPD to GPs in the Central Sydney area | | Strategy | regular large group lectures provided by CSDGP to local GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| At least 20 relevant, good quality large group lectures provided annually |
conduct an annual needs assessment among local GPs and local consumer groups (including NESB and ATSI) to determine the following year's CPD program |
Needs assessment completed and acted on |
Annual survey conducted in October 2002. Response rate 15% (105/685). 21 lectures in total were held by clinical and practice support programs
|
| RACGP CPD points apply for all CSDGP CPD events |
All CSDGP CPD events have RACGP CPD points |
Applications made and granted for all relevant events
|
| information about local services and AHS initiatives included in CPD events |
all events refer to local services and AHS initiatives |
CPD events focus on local services and feature local speakers
|
| information about EPC care plans and case conferences incorporated into CPD events wherever possible |
number of events that incorporate EPC information |
GPs prepared and presented EPC Care Plans at three events
|
| information about CSDGP initiatives (eg CSDGP website, NPS, Families First, Cervical Smear project) incorporated into CPD events wherever possible |
All CSDGP CPD events used as a vehicle to advertise CSDGP initiatives |
Vast majority of CPD events are project based. 12/13 events Feb-June 2003 were reflective of CSDGP programs and initiatives
|
| NPS case studies incorporated into CPD events wherever possible |
number of CPD events that incorporate NPS case studies |
Four events featured NPS case studies
|
| At least 50 GPs attend each one of these events |
GP attendance at each event |
Mean no. of attendees at CSDGP events = 65
|
|
| Program | CLINICAL SUPPORT | | Goal | Provide a substantial quantity of quality CPD to GPs in the Central Sydney area | | Strategy | Small learning groups provided by CSDGP |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| At least 10 small group learning groups established in 2002/3 |
small group facilitators trained |
number of facilitators trained |
25 GPs trained as small group facilitators
|
|
| Program | CLINICAL SUPPORT | | Goal | Provide a substantial quantity of quality CPD to GPs in the Central Sydney area | | Strategy | Clinical attachments provided to local GPs by CSDGP |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| At least 50 different GPs benefit from clinical attachments each financial year |
At least fifteen different clinical attachments offered every year |
number of attachments offered
number of GPs taking up attachments per year |
Clinical attachments available in 11 areas
20 GPs undertook clinical attachments this year
|
|
| Program | CLINICAL SUPPORT | | Goal | Provide a substantial quantity of quality CPD to GPs in the Central Sydney area | | Strategy | Clinical audit activities facilitated by CSDGP for local GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| At least three clinical audit activities conducted by CSDGP in the current RACGP triennium |
Audit activities conducted as part of the different Clinical Support activities |
number of GPs involved in CSDGP clinical audits
number of audit activities conducted |
4 GPs have taken up NPS clinical audits
2 Audit activities have been offered in Cervical screening and in NPS.
|
|
| Program | CLINICAL SUPPORT | | Goal | Provide a substantial quantity of quality CPD to GPs in the Central Sydney area | | Strategy | CPD video library provided for local GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| At least 20 different GPs utilise the CPD video library in 2002/2003 |
All relevant HTN and RHF CPD satellite broadcasts taped |
number of broadcasts taped per year |
All relevant broadcasts taped
Satellite broadcasts to be incorporated into the small group program from July 2003 |
| Video library advertised in every newsletter |
number of video library references in each monthly newsletter |
Video library widely advertised in Division newsletter throughout the year
Newsletter has 10 editions annually |
|
| Program | PRACTICE SUPPORT | | Goal | (*CDM) Maximise notifications of cervical screening to the NSW Register by practices in Central Sydney | | Strategy | Work with local practices to increase use of practice pap smear registers and recall reminder systems |
| Outcomes | Activities | Indicators | Results&Commentary |
|
|
|
| (*CDM) local practices use recall reminder systems to maximise uptake of cervical screening |
create practice business plans for PIP and non PIP practices showing the business case (as well as the public health case) for an organised practice approach to cervical screening |
practice cervical screening business plans available |
Cervical Screening Resource folder completed May 2003 and distributed to 53 practices. Resource information uploaded to CSDGP
Cost benefit analysis for accredited practices registered for both PIP and additional CDM incentives contained in resource folder |
| work with clinical software vendors and NSW Cervical Screening to develop methods to import practice cervical screening data held by NSW cervical screening into practice electronic medical records |
methods developed |
Project Officer undertook specialised Medical Director training focussing on Cervical Screening with NSWCSP. Working relationship established with Pap Test Register and presentation on practices accessing patient data was given by their representative at CPD event (June 2003)
Project Officer has worked with IT/IM Project officer to achieve outcome. Training session for Practice Managers/staff in Medical Director Recall and Reminder undertaken (May 2003) |
| work with practice managers and clinical software companies to develop cost and time effective ways of creating a list of probable unscreened women at a practice |
probable unscreened list protocol developed |
Practice Manager/staff training in Medical Director Recall and Reminder undertaken (May 2003)
Further training sessions are planned |
| work with local practice managers to develop effective recall reminder systems |
recall reminder systems documented |
Practice Manager/staff training in Medical Director Recall and Reminder undertaken (May 2003). Recall and Reminder Manual developed and 65 distributed to local practices and is now available on the CSDGP website for downloading. CPD event addressing recall/reminder systems held June 2003
|
| Practice managers offered resource packs, CPD events and practice visits to increase use of cervical smear recall reminder systems |
two CPD events organised targeting practice managers on recall reminder systems
resource packs distributed, and published on CSDGP web site
Number of practices visited |
CPD event “Practice Improvement Strategies -Cervical Screening and Recall & Reminder systems” held June 2003. Attended by 22 GPs and 24 Practice managers/staff
Education events targeted GPs, their Practice Managers and staff to promote integrated organisational learning
Cervical Screening Resource folder completed May 2003 and distributed to 53 practices. Recall and Reminder Manual developed and 65 distributed to local practices.
Resources regularly uploaded to Division website throughout reporting period
30 practice visits have been undertaken. 53 helpdesk calls have been followed up with information being delivered to practice
A large number of practices have been given phone support. |
|
|
|
| (*NCCSP) Hard to reach, at-risk populations of eligible women who have not been screened for at least four years (4) are targeted |
Identify all available avenues for recruitment and engagement of hard to reach women particularly in suburbs identified with a low screening rate (eg. sporting and recreational clubs and centres, multi-cultural and youth groups, Council on the Ageing, maternal and child health centres, women's groups, religious groups and support groups) |
Eligible women are reached and educated regarding Cervical Screening |
Working relationships have been developed and meetings regularly attended with Inner West CALD, Inner West Ethnic group, CASS, FPA Health, Leichhardt Women's Community Health Centre, Ashfield Well Women's Clinic, HACC Inner West 5 and Marrickville/Canterbury Forums, HACC Area Forum, Anglicare, CSAHS Multicultural Department, various meetings within the 8 LGAs covered by CSDGP and Centrelink
Through communication with multi-cultural groups it was identified that many migrant women would prefer to consult with a female GP. A guide was developed to assist services to use the NSWCSP website to identify GPs both by gender and available consulting languages for these women |
| Development and promotion of Cervical Screening Management workshops for both GPs and practice staff, using clinical software to institute efficient recall/reminder systems in addition to developing a cost and time effective model utilising paper records |
Increase in screening rate/decrease in unscreened rate in target group. Baseline established March 2002 22,427
Screening rate 80.3% (4 year rate)
Recall/reminder systems are implemented within Division practices |
June 2002 figures indicated 77.5% (4 year rate). Updated data for June 2003 not yet available (see commentary)
NSW Cervical Screening Program data will be made available to CSDGP again only at conclusion of current project (November 2003)
Practice Manager/staff training in Medical Director Recall and Reminder undertaken (May 2003). Recall and Reminder Manual developed and 65 distributed to local practices. Cervical Screening Resource folder completed May 2003 and distributed to 53 practices CPD event addressing recall/reminder systems held June 2003. Training session for Practice Managers/staff in Medical Director Recall and Reminder undertaken (May 2003)
Project Officer coordinated CSDGP Practice Support Team in the development of the Recall and Reminder manual |
| Access reports on past projects by Area Health Services and Divisions auspiced by NSW Cervical Screening program to identify proven successful strategies |
Reports are obtained from NSW Cervical Screening program |
Neither CSAHS or NSWCSP were able to provide this information as written reports (see commentary)
Both CSAHS and NSWCSP are represented on the Project Management Advisory Committee and anecdotal reports of both successful and unsuccessful strategies have been offered in guidance |
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| (*NCCSP) cervical screening education strategies, interventions and information reaches a broad range of GPs and flows on to local consumers |
Identifying, developing and promoting training opportunities for GPs and practice nurses in cervical screening and Women's Health (e.g. FPA) |
Quality training opportunities are sourced and/or developed, made available and are well attended by GPs and nurses |
8 fully funded RN training positions were made available to the Division by FPA Health in conjunction with NSWCSP. The group commenced the distance learning component of the course in June 2003 and face to face training and 14 hours of clinical placement will take place from August 2003.
12-16 funded GP training positions were made available to the Division by FPA Health in June 2003 and the training will take place in August 2003.
Training was promoted through monthly Division newsletter, monthly CSDGP Practice Nurse newsletter, and fortnightly Practice Staff Bulletin. Both courses are fully booked. |
| Liaise with NSW Cervical Screening Program to identify useful resources, education opportunities and programs to support the uptake of the new MBS item by GPs |
Regular contact with NSW Cervical Screening program by Project Officer |
Regular contact with NSWCSP has been maintained and useful resources have been provided. Project officer has developed a one page, double sided laminated step by step sheet to support uptake of the Cervical Screening PIP incentive
NSW Cervical Screening Program has a representative on the Project Management Advisory Committee which meets second monthly |
| Promotion of availability of NSW Cervical Screening Pap Test register data for direct import of information to clinical software |
Pap Test register data is being utilised to identify eligible women within practices |
Promoted on CSDGP website and in Cervical Screening Resource Pack (55 distributed). Pap Test Register representative gave a presentation on practices accessing patient data at CPD event (June 2003).
Regular contact is maintained with the Pap Test Register via mail. |
| Provide electronic recall letter templates to practices |
Electronic recall letter templates are available for download from Division website and available in hard copy |
Template has been developed and is available on disk - this is to allow easier upload and installation of the template to Medical Director
These templates will be placed on the website in 03/04. |
| Development of a business case for GPs demonstrating public health case and cost effectiveness of an organised approach to promotion of Cervical Screening |
Business case developed and available for download from Division website and available in hard copy |
Business case developed and available on CSDGP website and in hard copy within the Cervical Screening Resource pack
Website and resource folder will be updated regularly |
| Compile regular articles on cervical screening information and resources for Division newsletter |
Quality Cervical Screening article printed in each Division newsletter |
Articles have been written for each monthly Division newsletter and fortnightly practice Staff Bulleting
NSWCSP “Pap Tip” is featured each month in Division newsletter. Newsletter has 10 editions annually |
| Education for Practice managers and their staff in the use of the appropriate item number to attract PIP/SIP benefits and outcomes payment |
One page summary of PIP Cervical Screening Incentive payments is developed and is available for download from Division website and in hard copy |
One page, double sided laminated step by step sheet to support uptake of the Cervical Screening PIP incentive has been developed and uploaded to CSDGP website
114 laminated sheets were delivered to accredited practices within the Division. This summary is based on the PIP/SIP information included in the Cervical Screening Resource pack |
| Identify useful consumer information and distribute to practices |
Quality consumer information is identified and distributed to all Division practices |
Examples of consumer information and order forms to access additional stock included in the Cervical Screening Resource pack which has been distributed to 53 CSDGP practices
|
| Identify relevant work by Division and GPs with local community groups addressing preferences for learning/gaining information, ongoing advice/support and access to Cervical Screening services |
Involvement with local groups to implement educational strategies and disseminate information |
CSAHS Well Women's Clinic (Ashfield) promoted by Division to GPs. Discussions held with Leichhardt Women's Community Health Care nurse in relation to successful clinics for Vietnamese women in Marrickville. Working relationships have been developed and meetings regularly attended with Inner West CALD, Inner West Ethnic group, CASS, FPA Health, HACC Inner West 5 and Marrickville/Canterbury Forums, HACC Area Forum, Anglicare, CSAHS Multicultural Department, various other meetings within the 8 LGAs covered by CSDGP and Centrelink
Through communication with multi-cultural groups it was identified that many migrant women would prefer to consult with a female GP. A guide was developed to assist services to use the NSWCSP website to identify GPs both by gender and available consulting languages for these women |
| Assess feasibility of training lay members of the target group to deliver the education and training to local community groups |
Feasibility study conducted to assess value of using lay members to deliver education and training |
Regarded as not feasible as this work is already underway (see commentary)
Following discussions with CSAHS this initiative was identified as one they are already undertaking with little success |
| Organise meeting with AMS and other local ATSI health care organisations to identify appropriate communication channels and opportunities to work together to raise awareness of cervical screening within the indigenous community |
Relationship is established and regular meetings are held |
Relationships already established with AMS and Inner West Aboriginal Community Company (Marrickville) by other Division staff were utilised to engage with indigenous groups
Communication with Jennifer Reath, RACGP GP Manager of Indigenous Health Project has been of great assistance. |
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| Program | PRACTICE SUPPORT | | Goal | (*CDM) Maximise notifications of cervical screening to the NSW Register by practices in Central Sydney | | Strategy | Work with local practices and local agencies to establish ongoing, sustainable pap smear referral services |
| Outcomes | Activities | Indicators | Results&Commentary |
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| (*CDM) Directory of pap smear referral agencies for local GPs created and published |
Directory created, distributed and published on CSDGP web site |
extant directory |
A guide has been developed to assist GPs to navigate through the NSWCSP website to identify GPs by postcode, gender and available consulting languages if they wish to refer patients to another GP
This area of the NSWCSP website is regularly updated |
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| (*CDM) Relationships with local cervical screening agencies are enhanced |
Work with local pap smear agencies including
ø CSAHS cervical screening program to coordinate GP visits
ø CSAHS community health to identify pap referral clinics
ø FPA to coordinate increased training for practice nurses and GPs
ø LWHC to coordinate an outreach program
ø local GPs to identify GPs that take pap referrals
ø NSW cervical screening to identify low screening suburbs |
documented outcomes from working with these agencies |
Both CSAHS and NSWCSP are represented on the Project Management Advisory Committee which meets second monthly.
8 fully funded RN training positions were made available to the Division by FPA Health in conjunction with NSWCSP. The group commenced the distance learning component of the course in June 2003 and face to face training and 14 hours of clinical placement will take place from August 2003. 12-16 funded GP training positions were made available to the Division by FPA Health in June 2003 and the training will take place in August 2003. Ongoing dialogue has been conducted with Leichhardt Women's Community Health Care nurse in relation to the viability of establishing outreach clinics
A great deal of care has been taken to ensure that CSDGP does not duplicate existing services of other local providers or replicate strategies that others have found unsuccessful |
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| (*NCCSP) A range of modes of cervical screening service delivery are developed |
Establishment of self funded Cervical Screening Outreach Clinics (with use of appropriate interpreter where required) in conjunction with other agencies e.g. Leichhardt Women's Health Centre |
Self funded Outreach Clinics are established |
Ongoing dialogue has been conducted with Leichhardt Women's Community Health Care nurse in relation to successful clinics for Vietnamese women in Marrickville and whether these are viable in other locations. At this point, there is little interest by GPs in such a proposal. Existing cultural specific services eg. Ashfield Well Women's Clinic (a CSAHS clinic for Chinese women) has been promoted to local GPs.
The lack of space in many practices precludes the ability to conduct an outreach clinic. It has been extremely difficult to satisfy HIC requirements (to allow billing for the service) to make an outreach clinic financially viable for GPs |
| Identification and promotion of existing community Cervical Screening services |
Existing community services are identified and promotional strategies developed |
Ashfield Well Women's Clinic (a CSAHS clinic for Chinese women) has been promoted to local GPs
Promotion has primarily been through information in Division newsletter articles. Newsletter has 10 editions annually |
| Directory of pap smear referral agencies for local GPs created and published |
Directory is developed and available for download from the Division web site and available in hard copy |
A guide has been developed to assist GPs to navigate through the NSWCSP website to identify GPs by postcode, gender and available consulting languages if they wish to refer patients to another GP
This area of the NSWCSP website is regularly updated |
| Final report provided to DoHA |
Model(s) established
Outcomes, barriers and future strategies identified |
The final report will seek to identify workable models
A six monthly report has been satisfactorily completed and the final report will be submitted in November 2003
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| (*NCCSP) Relationships with key stakeholders in cervical screening are enhanced |
Establishing focus group of key stakeholders to assist in identifying project direction and program activities (eg. NSW Cervical Screening, CSAHS, FPA,RACGP) |
Well attended focus group meetings are held |
2 meetings of the focus group of key stakeholders (NSWCSP, CSAHS, FPA and RACGP) were held in the development phase of the project
|
| Defining the membership of an ongoing Management Advisory Committee distilled from the focus group to provide continuing input into program activities |
Management Advisory Committee established and meeting regularly |
Members of the Project Management Advisory Committee were drawn from the focus group and continue to meet second monthly
The contribution of this group has been of great assistance to the project |
| Working closely with CSAHS Women's Health Program Officers to promote and expand inter GP referral system |
Regular contact with CSAHS Women's Health Program Officers is established |
CSAHS representatives were included in the focus group and one of those representatives is a member of the Project Management Advisory Committee
Regular meetings are held directly with CSAHS in addition to their input through the Project Management Advisory Committee |
| Appointment of a Project Officer to facilitate project |
Project Officer is recruited |
Project Officer was successfully recruited and commenced in the position on 28/10/02
|
| Recruitment of a Cervical Screening Project Advisor to provide support to the Project Officer |
GP Project Adviser is appointed |
An excellent GP Advisor was recruited in January 2003
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|
| Program | PRACTICE SUPPORT | | Goal | Maximise notifications of age appropriate immunisation to the ACIR by practices in Central Sydney | | Strategy | Establish and maintain a collection of best practice immunisation resource materials |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Immunisation best practice collection established and maintained |
in consultation with local practice managers, create practice business plans that demonstrate the business as well as public health imperatives behind reporting all childhood immunisations |
Immunisation practice business plans documented |
Immunisation Resource Manual including immunisation best practice for cold chain, immunisation procedures for administration, ACIR reporting and cost benefit analysis developed and distributed in Feb 2003
Cost benefit analysis demonstrates revenue for practices through accurate reporting of data to ACIR. Resource manual has been uploaded to CSDGP website |
| in consultation with practice managers and software providers, establish methods to incorporate ACIR20 data into practice electronic medical records |
import methods are documented |
Import method not documented this year.
Targeted mailouts and practice visits in addition to monthly articles in Division newsletter focussed on benefit of requesting and reference to GPII020A reports. |
| in consultation with practice managers of successful immunisation practices, document effective recall reminder systems for childhood immunisation |
documented recall reminder systems |
Recall/Reminder strategies document developed.
Recall/Reminder Strategies manual developed and made available to all practices, and placed on CSDGP website. Practice Improvement Strategies CPD event held in June 2003 focussing on recall/reminder systems. IT Training held for GPs and practice staff to support establishment of an intrapractice electronic recall/reminder system |
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| Program | PRACTICE SUPPORT | | Goal | Maximise notifications of age appropriate immunisation to the ACIR by practices in Central Sydney | | Strategy | Assist local practices to adopt best practice immunisation recall, reminder and reporting systems |
| Outcomes | Activities | Indicators | Results&Commentary |
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| More than 50% of local practices use immunisation recall reminder systems |
Provide practice visits to assist practices move towards best practice immunisation systems |
100 practices visited each year |
54 practices visited. Advice and support to institute recall/reminder systems given
Practice visits to support immunisation will be promoted through all Division publications and CSDGP website |
| Provide CPDs for practice managers on best practice immunisation systems |
Two immunisation CPDs for practice managers per year |
Five two-part HIC training sessions held in conjunction with HIC and NSW Health focussing on use of ACIR website access were held during reporting period. Immunisation CPD event held February 2003
|
| Place all CSDGP immunisation resources on CSDGP website |
resources visible on website |
All Immunisation resources uploaded to CSDGP website
Website updated January 2003 |
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| Program | PRACTICE SUPPORT | | Goal | Maximise notifications of age appropriate immunisation to the ACIR by practices in Central Sydney | | Strategy | Provide CPD events for GPs and practice managers to assist their practices to adopt best practice immunisation recall, reminder and reporting systems |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Ongoing training in best practice immunisation recall, reminder and reporting systems provided to GPs and practice staff in groups, individually and in practice visits |
Education provided for GPs and their practice staff |
Regular CPD and practice staff training provided |
71 practices visited
Practice visits were promoted through targeted mailouts, promotion in all CSDGP publications and on CSDGP website |
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| Program | PRACTICE SUPPORT | | Goal | (*CDM) Maximise the number of local practices using the new MBS EPC items | | Strategy | Provide best practice EPC resource materials to local practices |
| Outcomes | Activities | Indicators | Results&Commentary |
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| (*CDM) Local practices have access to a collection of best practice EPC resource materials |
develop EPC business plans for local practices demonstrating financial as well as public health incentives for making use of EPC MBS items |
documented practice EPC business plans |
EPC resource folder developed and a cost benefit analysis (utilisation of a practice nurse for Health Assessments) was included. EPC resources have been uploaded to the CSDGP website. A total of 28 folders have been provided to local practices with academic detailing on request
EPC resource folder updated May 2003 with RACGP amended templates. Resource folder has received good feedback and requests have been received from practices from other Divisions. |
| Develop and document EPC best practice systems that facilitate and support practice GPs in utilising EPC MBS items |
documented EPC practice systems |
Flow charts for the three EPC components have been developed in addition to information on use of Medical Director to identify eligible patients. Development of one page, double sided laminated step by step EPC information sheets for use by GPs and all staff (practice managers/nurses/general staff) commenced
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| Program | PRACTICE SUPPORT | | Goal | (*CDM) Maximise the number of local practices using the new MBS EPC items | | Strategy | Provide academic detailing and CPD events for local practice managers to assist them to adopt best practice EPC systems |
| Outcomes | Activities | Indicators | Results&Commentary |
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| (*CDM) At least two practice manager based EPC CPD events each year |
organise two EPC CPDs per year for practice staff |
50 practice staff attend |
All CPD events this year have had an EPC component where relevant
An EPC case study (Care Plan or Case Conference) has been a component of relevant clinical CPD events during the reporting period. One EPC CPD event for practice managers/staff scheduled, but consequently cancelled due to lack of interest (only one RSVP received) |
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| (*CDM) At least 50 practices visited annually for upskilling in EPC systems |
Practice visits to assist practices looking at implementing EPC systems |
20% increase in EPC occasions of service by CSDGP GPs |
A total of 41 practice visits were undertaken.
EPC uptake figures indicate small increase in numbers of Health Assessments being undertaken but a continuing decline in numbers of Care Plans and Case Conferences being conducted. This is consistent with state and national trends. Increased focus on utilisation of EPC items will be included in all relevant CPD events for GPs during 2004 |
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| Program | PRACTICE SUPPORT | | Goal | Maximise the use of practice nurses by local practices | | Strategy | Establish and maintain a collection of best practice business plans and employment protocols relating to practice nurses |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Best practice business plans and employment protocols for practice nurses established, maintained and distributed to local practices |
Model business plans developed in consultation with local practice managers to demonstrate financial and work place improvements that a practice nurse can bring through EPC, immunisation, cervical smears, ECG, spirometry, diabetes management, wound dressing and other efficiencies |
Business plans developed |
Nursing in General Practice Resource pack developed and distributed to 35 practices on request. The Practice Nurse business case studies developed by ADGP are an inclusion in this resource folder
The Practice Census (November 2002) identified 55 CSDGP Practice Nurses. By June 2003 this number had grown to 65. |
| Standard employment protocols developed to assist in engaging practice nurses |
Employment protocols for practice nurses documented in consultation with local practice managers |
Nursing in General Practice Resource pack developed (December 2002) and distributed to 35 practices includes the RCNA Nursing in General Practice Fact Sheets covering recruitment and engagement of a nurse. Further, a discussion paper on “Contractor v Employee” is an inclusion in the pack.
In the monthly newsletter to CSDGP Practice Nurses relevant information regarding employment and professional liability issues (and insurance) have been disseminated |
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| Program | PRACTICE SUPPORT | | Goal | Maximise the use of practice nurses by local practices | | Strategy | Provide CPD events for GPs and practice managers to assist them in taking on new practice nurses |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Ongoing training provided to practice managers and GPs in groups, individually and in practice visits to assist them in employing practice nurses |
regular CPDs and small group material provided to local GPs and practice managers |
number of practices taking up new practice nurses |
As of 30th June 2003 there were 57 Practice nurses in CSDGP. There is no baseline data for 2002. No formal CPD events were staged in 02/03. There will be events in 03/04. The Nursing in General Practice Resource pack was delivered to 35 practices and helpdesk support was provided to 25 practices. Regular monthly articles appeared in the Division newsletter addressing different aspects of Nursing in GP
One to one assistance to GPs and practice managers has been a far more popular method of them obtaining the support they have required. 4 nurses seeking work in general practice have been supported and assisted in finding suitable positions |
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| Program | PRACTICE SUPPORT | | Goal | Maximise the use of practice nurses by local practices | | Strategy | (*CDM) Provide CPD and resource materials to assist existing practice nurses to maximally assist their practices |
| Outcomes | Activities | Indicators | Results&Commentary |
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| (*CDM) CSDGP practice nurses provided resources and training in asthma, diabetes, cervical screening; health assessments and other nursing skills relevant to general practice in 2003. |
Training for practice nurses provided in the following areas:
EPC, SIPs, immunisation, cervical smears, ECG, spirometry, diabetes management and wound dressing |
number of nurses trained |
The Practice Census (November 2002) identified 57 CSDGP Practice Nurses. A practice nurse focussed survey was conducted in December 2003 to identify the range of activities performed and training needs. 3 Practice Nurse training events have subsequently been held. Legal Aspects of practice nursing and Wound Care (May 2003), and Asthma Management (June 2003). Fully funded RN training positions were made available to the Division by FPA Health in conjunction with NSWCSP. The group commenced the distance learning component of the course in June 2003 and face to face training and 14 hours of clinical placement will take place from August 2003. A total of 33 practice nurses have received training. A monthly newsletter to Practice Nurses was established in December 2003 and this is used to disseminate information on available resources, training and to distribute the monthly ADGP Practice Nurse newsletter.
Training was promoted through the monthly Division newsletter, monthly CSDGP Practice Nurse newsletter, and fortnightly Practice Staff Bulletin. |
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| Program | PRACTICE SUPPORT | | Goal | Maximise the number of accredited practices in Central Sydney | | Strategy | Maintain and develop a comprehensive collection of accreditation resource materials |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Accreditation resources are collected, developed, maintained and made available to local practices |
up to date accreditation resources sourced from AGPAL, GPA, DoHA, ANSWD, ADGP and other DGPs |
up to date resources on file |
A large range of accreditation resources have been collected, widely distributed. And placed on the CSDGP website. CSDGP is registered for AGPAL ROR helpdesk site.
Working relationships have been established with all major stakeholders which has enabled resources to be gathered from knowledge pool. |
| Accreditation resources adapted and developed to suit local practices |
Localised resources on file |
Accreditation resources sourced from major stakeholders have been adapted for local needs. Additionally, a large range of resources considerate of local issues have been developed by project officer (see website).
Resources are regularly publicised in monthly in Division newsletter, fortnightly in Practice Staff Bulletin and by regular attendance of project officer at CPD events |
| Accreditation resources are all available on CSDGP web site |
All CSDGP accreditation resources are available on CSDGP website |
All available accreditation resources have been uploaded to CSDGP website
Resources on website are regularly updated |
| Accreditation resources are available as a kit including written material and a CD |
Accreditation kit available |
Accreditation Kit developed and distributed to all interested practices. No CD has been distributed as all material is now on the website.
Kit has been distributed at CPD events, and either by mail or in person directly to practices in response to helpdesk enquiries |
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| Program | PRACTICE SUPPORT | | Goal | Maximise the number of accredited practices in Central Sydney | | Strategy | Establish a practice manager support network |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Practice manager network and newsletter implemented |
second monthly practice manager newsletter |
successful publication 6 times per year |
2 focus groups held in July & August 2002. Launch of Practice Managers network October 2002. Practice Staff newsletters are distributed to 273 CSDGP practices each fortnight.
The Practice Staff newsletter was commenced in July 2002 - initially produced weekly, from September this became fortnightly. |
| second monthly practice manager meeting |
six meetings per year |
5 Practice Manager network meetings were held.
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| Program | PRACTICE SUPPORT | | Goal | Maximise the number of accredited practices in Central Sydney | | Strategy | Provide regular practice manager accreditation education events |
| Outcomes | Activities | Indicators | Results&Commentary |
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| At least two practice manager accreditation events staged each year |
practice manager accreditation CPDs |
number of meetings |
Two CPD events focussing on practice accreditation have been held
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| Program | PRACTICE SUPPORT | | Goal | Maximise the number of accredited practices in Central Sydney | | Strategy | Provide an accreditation phone support service |
| Outcomes | Activities | Indicators | Results&Commentary |
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| A staff member is available 9 to 5 every working day to provide accreditation support to local practices |
accreditation project officer contactable by mobile phone during office hours, alternative contact available when on leave or away |
number of calls not able to be answered on the same working day |
Project officer available 9am till 5.30pm Mon-Fri. All calls answered or returned within one working day.
Project officer answers calls directly if on site. When attending practice visits calls are diverted to voicemail and answered on return to office. |
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| Program | PRACTICE SUPPORT | | Goal | Maximise the number of accredited practices in Central Sydney | | Strategy | Provide academic detailing to practices that require assistance in gaining accreditation or reaccreditation |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Accreditation assistance practice visits made to at least 25 practices each year |
Short accreditation PowerPoint presentation including business plan and overview of requirements developed for practice visits |
power point presentation on file |
40 practice visits to provide assistance have been made - these visits are tailored to the individual needs of the practice and have been "hands on" rather than adopting the didactic approach a formal presentation would entail.
All practice visits have been supported with relevant hard copy documentation required by the practice. |
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| Program | PRACTICE SUPPORT | | Goal | Maximise the number of accredited practices in Central Sydney | | Strategy | Provide mock survey visits |
| Outcomes | Activities | Indicators | Results&Commentary |
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| At least 25 mock survey visits each year |
list of local GPs and practice managers who are surveyors compiled and updated annually |
number of mock surveys done |
13 mock survey visits have been provided - 13 practices acquired accreditation in reporting period.
All practices who received mock survey visits received unconditional accreditation. |
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| Program | PRACTICE SUPPORT | | Goal | (*CDM) Maximise the number of local practices claiming the new chronic disease SIPs | | Strategy | Establish and maintain a collection of best practice CDM resource materials |
| Outcomes | Activities | Indicators | Results&Commentary |
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| (*CDM) Collection of CDM best practice resource materials developed and maintained by CSDGP and accessed by local practices |
CDM resources sourced from ANSWD, ADGP, DoHA and other DGPs |
resources placed on website |
One page, double sided laminated step by step sheets developed for Asthma 3+ Plan, Diabetes Annual Cycle of Care and Cervical Screening PIP incentives and have been placed on the website.
These sheets were targeted to all accredited practices and anecdotal feedback indicated that the resources were well received by GPs and practice managers/staff. |
| CDM resources developed in concert with CSAHS and other local providers |
resources placed on website |
CSAHS, RPA Diabetes Centre and National Asthma Council consulted in development of step by step sheets. All resources have been uploaded to CSDGP website.
Website is updated regularly. |
| CDM practice business plans and practice implementation protocols developed in consultation with successful SIP practices |
resources placed on website |
Immunisation Resource Manual including cost benefit analysis developed and uploaded to CSDGP website in Feb 2003. Cost benefit analysis demonstrates revenue for practices through accurate reporting of data to ACIR
Recall/Reminder Strategies manual developed and uploaded to CSDGP website in June 2003. IT Training held regularly for GPs and practice staff to support establishment of an intrapractice electronic recall/reminder system.
85% of practices registered for PIP have registered for additional CDM incentives with increased overall use of incentive item numbers since November 2002 quarter. PIP/SIP statistics provided to Division do not allow for identification of individual practices with a high SIP claim rate. There has been difficulty in identifying any practice that considered itself as a “successful SIP practice” |
| All CDM SIP resources placed on CSDGP web site |
number of SIP resources not on web site |
All general PIP/SIP resources available on CSDGP website
Website updated regularly. |
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| Program | PRACTICE SUPPORT | | Goal | (*CDM) Maximise the number of local practices claiming the new chronic disease SIPs | | Strategy | Provide academic detailing and CPD events to local practice managers to assist them to adopt best practice SIP systems |
| Outcomes | Activities | Indicators | Results&Commentary |
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| (*CDM) At least 50 practice managers detailed each year on best practice SIP systems |
develop a short PowerPoint presentation including business plans and options for SIP implementation within a practice |
number of practices visited |
27 academic detailing visits undertaken to practices. Telephone support given as required.
Faxback survey has been distributed to all accredited practices to identify those either not registered for or not utilising SIP incentives |
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| (*CDM) At least two SIP CPD events per year for practice managers |
develop two CPD presentations to assist practice managers considering adoption of SIP systems to move forward to adopt them |
number of practices taking up SIPs |
Two CPD events organised for Practice Managers addressing PIP/SIP issues.
CPD events well attended by Practice Managers and staff. |
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| Program | PRACTICE SUPPORT | | Goal | Increase the proportion of local GPs using prescribing software | | Strategy | Group, individual and surgery based training provided to local GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
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| 10% increase in practices with electronic prescribing every year |
Electronic prescribing taught to GPs by IT trainer in groups or individually, at CSDGP training room or on site at practices |
100 GPs trained every year |
58 GPs trained during the reporting period.
405 (65%) of all Division GPs have reported that they are using a clinical software package that has electronic prescribing capability The need of GPs to access training in prescribing software shows a decreasing trend 24% of Division GPs report no access to computers in their practice - while 12% (=82) report that they have access but are not using a clinical software package that has electronic prescribing capability. |
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| Program | PRACTICE SUPPORT | | Goal | Increase the number of local practices providing email and web access to their practice staff and GPs | | Strategy | provide training and resources to local practices to assist them in providing web access to their practice staff and GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
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| 10% increase in practices providing email access to their GPs every year |
develop inexpensive ISP/software/hardware solutions to the issue of providing email to individual practice staff |
number of practices with email addresses for individual doctors at the practice |
Very few practices have organised independent accounts on a practice wide basis.
374 (59%) of GPs have reported having practice access to the internet thus potentially allowing email access. |
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| 10% increase in practices providing web access to their GPs every year |
develop inexpensive ISP/software/hardware solutions to the issue of providing web access to individual practice staff |
number of practices providing web access to doctor's desktops |
Unfortunately few practices are taking full advantage of internet use.
374 (59%) of GPs have reported internet access in their practices. Widespread use of dialup services primarily used for billing (but there is an emerging trend toward use of ADSL connections with the introduction of HIC online billing solutions. The Division has arranged for free access to web pages through eSecure Healthcare. |
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| Program | PRACTICE SUPPORT | | Goal | Increase the number of local practices using PKI | | Strategy | provide training and resources to local practices in the use of PKI |
| Outcomes | Activities | Indicators | Results&Commentary |
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| 20% increase in number of practices using PKI every year |
Assist practices to access pathology and radiology downloading |
number of practices downloading pathology and radiology reports |
Not known.
|
| assist practices to access PKI encryption for email and path/radiology downloading |
number of practices using PKI for clinical email and downloading of results |
Only 43 GPs (7%) have reported PKI registration.
The lack of PKI registration within the Division is largely due to the proliferation of practices utilising HCN products
(Medical Director and PracSoft) who have indicated there disinterest in registering for PKI until HCN makes a HIC online solution available. |
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| Program | PRACTICE SUPPORT | | Goal | Assist local practices to provide comprehensive after hours care to their patients | | Strategy | Develop a database of existing after hours services |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Local GP after hours services database developed and updated annually |
survey local practices' current after hours arrangements |
survey completed |
Annual Practice Survey was conducted in November 2002.
Survey response was pleasing and the CSDGP database was updated and expanded as a result. |
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| Program | PRACTICE SUPPORT | | Goal | Assist local practices to provide comprehensive after hours care to their patients | | Strategy | Work with local GPs to enhance existing after hours services |
| Outcomes | Activities | Indicators | Results&Commentary |
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| 10% increase in number of GPs claiming 2nd and 3rd tiers in after hours care every year |
provide business case and best local practice scenarios to practices who are considering upgrading their after hours services |
number of local practices in tiers 1, 2 and 3 of PIP after hours categories |
There has been a steady but slow increase in the number of practices accessing these tiers during the reporting period.
The 2002 Practice Census provided the additional information required to allow targeted support. |
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| Program | PRACTICE SUPPORT | | Goal | Maximise the number of local practices that provide teaching to medical students | | Strategy | Provide assistance and resources to local practices who wish to take on medical students |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Resources available for practices wishing to pursue medical student teaching |
criteria for taking on medical students established with local medical schools |
local medical schools provide selection criteria for practices wishing to take on medical students |
Selection criteria are not available from the University
Liaison with the University of Sydney Department of General Practice (October 2002) led to a lead article addressing medical student teaching being featured in the Division newsletter. |
| application process for taking on medical students obtained from local medical schools |
medical schools provide documented application process |
Application process (including Selection Criteria) is not available from the University.
In the edition of the Division newsletter featuring the medical student teaching article a flyer was included offering GPs the opportunity to receive additional information on selection criteria and general support directly from the University of Sydney Department of General Practice. |
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| Program | ADMINISTRATION | | Goal | Increase communication between CSDGP and GPs in Central Sydney | | Strategy | Provide a monthly newsletter |
| Outcomes | Activities | Indicators | Results&Commentary |
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| At least 10 issues of Newsletter produced annually |
decrease copy deadline to mail out period from 14 to 7 days |
deadline to mail out period for each newsletter |
Jul 2002 - June 2003 Newsletter was produced 11 times and achieved 100% coverage of GPs practising in area known to the Division (730 GPs)
Newsletter distributed first week of issue month. Deadline was reduced to 7 days for external sources. |
| increase advertising revenue by 50% |
advertising fees received per month |
Jul 2002 - June 2003
Y ~ $11220, an increase in advertising income of $597 or 5.3%
Now implementing a template marketing letter to target interested advertisers |
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| Program | ADMINISTRATION | | Goal | Increase communication between CSDGP and GPs in Central Sydney | | Strategy | Provide a useful, relevant and high quality website to local GPs and local practice staff |
| Outcomes | Activities | Indicators | Results&Commentary |
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| CSDGP website hits increase by 50% per annum |
all streams (clinical, practice support and admin) update their section of the web page monthly |
monthly updates to all stream pages |
Website log maintained detailing dates of page updates. Pages updated fortnightly and as requested.
Oct 2002- June 2003
Average daily hits 968
Average monthly hits 26,064
Hits to website increased by 161%
(May 2002 -
7000
June 2003 18278)
Usage statistics from website host (Oct-2002- June 2003). |
| advertise website every month in all sections of the newsletter |
number of references to website in newsletter each month |
Website prominently advertised 2nd monthly between Jul - Dec 2002. Advertised monthly between Jan - June 2003.
Website address appears on all corporate material. |
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| Program | ADMINISTRATION | | Goal | Increase communication between CSDGP and GPs in Central Sydney | | Strategy | increase GP involvement in the running of Division projects |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Establish reference groups for clinical and practice management streams |
advertise for member GPs to participate in all major working groups |
number of major working groups with two or more member GPs |
Nil
Increased number of GP advisers. There are no more than 2 GP advisers per committee as yet |
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| Program | ADMINISTRATION | | Goal | Improve the profile of CSDGP and local general practice | | Strategy | Actively promote the Division and its good works to local GPs |
| Outcomes | Activities | Indicators | Results&Commentary |
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| 50 new members join every year |
CSDGP GP census carried out annually |
census completed |
Census was completed
Total of 71 new members joined from July 2002-June 2003. (45 Ordinary and 26 Associate) |
| Non members specifically targeted annually |
mail out completed |
Non members targeted by GP Census mailout, by article in April 2003 Newsletter. Also by ANSC mailout. Membership forms handed out at CPD events.
Direct mailing of non members completed in August 2003 prior to AGM in October |
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| Program | ADMINISTRATION | | Goal | Improve the profile of CSDGP and local general practice | | Strategy | Actively promote the Division to significant local stakeholders |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Regular meetings reinstated with CSAHS executive |
Objectives of the CSAHS/GP Memorandum of Understanding are pursued (MoU attached) |
number of MoU objectives achieved |
The attached list of meetings where Division has a representative
MoU attached. |
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| Regular meetings initiated with local HACC providers |
CSDGP is represented at local HACC forums |
number of EPC presentations made to local HACC agencies |
Number of EPC presentations made = 3
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| Program | ADMINISTRATION | | Goal | Improve the profile of CSDGP and local general practice | | Strategy | Actively promote general practice to the local population |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Regular contributions published in local newspapers |
develop relationships with local media organisations |
number of meetings with local press barons |
Number of meetings with local press barons = 0
This activity has been held over for 03/04 financial year |
| regular press releases sent to local newspapers |
number of press releases published |
Press releases published =4
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| Program | ADMINISTRATION | | Goal | Identify the local community's health needs, other major stakeholder needs, and the needs of local GPs on an ongoing basis | | Strategy | increase collaboration with local consumers |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Consumers involved in all major working groups |
two consumers on all major working groups by the end of 02/03 financial year |
number of major working groups populated by consumers |
Number of groups with consumers =1
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| Program | ADMINISTRATION | | Goal | Identify the local community's health needs, other major stakeholder needs, and the needs of local GPs on an ongoing basis | | Strategy | increase collaboration with CSAHS and other community health service providers |
| Outcomes | Activities | Indicators | Results&Commentary |
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| At least two new collaborations initiated each year with local community health service providers |
CSAHS representatives on all appropriate major working groups |
number of major working groups populated by CSAHS operatives |
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| Program | ADMINISTRATION | | Goal | Identify the local community's health needs, other major stakeholder needs, and the needs of local GPs on an ongoing basis | | Strategy | conduct an annual GP questionnaire to elicit local GP needs |
| Outcomes | Activities | Indicators | Results&Commentary |
| - no details provided - |
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| Program | ADMINISTRATION | | Goal | Translate community, stakeholder and local GP needs into ongoing revisions of the strategic and business plans | | Strategy | Community, stakeholder and local GP issues and concerns are routinely documented and filed to allow inclusion in ongoing revisions of the strategic and business plans |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Ongoing strategic planning process established and maintained |
Cyclical strategic planning process documented and implemented |
Documented cyclical strategic planning process |
Strategic Planning process documented.
Occurred in March 2003.
New 3-year rolling strategic planning process will occur in line with rolling funding concept. |
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| Program | ADMINISTRATION | | Goal | Provide efficient, effective and accountable administration of CSDGP | | Strategy | The Board and its subcommittees are appropriately resourced |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Board and its subcommittees have clear terms of reference |
Terms of reference updated for the Board and all its subcommittees |
Terms of reference approved by the Board |
Terms of Reference for PR Committee and Audit committee approved by the Board
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| Role descriptions for all Directors and office holders created and updated annually |
Role descriptions approved by the Board |
Board agenda records.
Approved in March 2003 Board Meeting
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| Directors lead the strategic planning process |
Directors convene an annual strategic planning workshop |
Occurrence of director's planning meeting |
Annual Strategic Planning Workshop held in March 2003.
Visions for Divisions 'Strategic summit' also attended by one Director and two staff 8 & 9 August 2003.
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| Directors receive monthly reports on business plan progress |
Provide Business Plan progress report |
Progress report published in Board Meetings |
Monthly financial and outcome reports provided. Two- monthly detailed financial and outcome reports provided to Audit-Committee.
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| Program | ADMINISTRATION | | Goal | Provide efficient, effective and accountable administration of CSDGP | | Strategy | Appropriate policies, procedures and schedules are developed, implemented and maintained |
| Outcomes | Activities | Indicators | Results&Commentary |
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| A set of best practice policies and procedures are developed, reviewed and approved by the Board |
Financial management, human resources, physical assets and business process policies and procedures developed, maintained and implemented. Business processes include meeting procedures, consumer participation, and CDP development. |
best practice policies and procedures developed, adopted and implemented |
Policies developed, reviewed and approved by Board this year are attached:
See separate list
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| Schedules are developed for funding, financial, outcome and compliance reporting |
schedules put together by admin staff |
schedules adopted and implemented |
Summary Schedule of Funding developed. New accounting processes flowchart developed.
Financial and compliance reporting included in Minutes of Audit Committee. |
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| Program | ADMINISTRATION | | Goal | Provide efficient, effective and accountable administration of CSDGP | | Strategy | The Board regularly monitors and continually improves its own performance |
| Outcomes | Activities | Indicators | Results&Commentary |
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| Board performance is evaluated |
Annual board self evaluation questionnaire |
completed board self evaluation survey |
Board performance evaluated and reported back to Board in March 2003
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| Annual activation audit of all board decisions |
completed activation audit |
Retrospective activation audit of all board decisions (Action Point list as source) completed in December 2003.
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| Directors' training needs are recognised and met |
All new directors are provided with a Board orientation kit |
Board orientation kit given to all new Directors |
Two new Directors provided with Board orientation kit.
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| All directors attend annual governance training workshops |
attendance at governance training |
All directors received training in MYOB, financial report analysis and seven out of eight directors attended governance training.
The eighth director attended training three times previously. |
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| A Board succession plan is developed and implemented |
Board succession plan created, implemented and updated annually |
At least one new Director on the Board each year |
Succession planning is being developed and has been added to Public Relations Committee agenda. Outcomes to date include discussion on ideas for new GPs joining the Division and improved involvement and interest in becoming a director. Plans to run a focus group are on the Action Points List e.g. Advertise focus group, personal invitations by directors, compile list of questions, and compile agenda for Focus Group.
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