Newsletter Articles - March 2018
Volume 4   |   Issue 3

Message from the CEO

We live in interesting times and of course this month we have seen a change of Government and with that, a new State Health Minister, Stephen Wade and new and interesting directions in health are forecast.

A new and welcome focus, is the promise to establish “Wellbeing SA”, as a prevention, health promotion and primary health care agency, within SA Health. It is proposed that “Wellbeing SA” will advocate for and purchase services in public health and health promotion, will include a health promotion branch and focus on preventing health issues before they arise. The new directions also propose the maximisation of partnerships for prevention across South Australia, through networks which embrace all Government Departments, the Commonwealth Government, Primary Health Networks, local Councils, Local Health Networks, and non-government organisations. This is certainly consistent with the new SA Health, Strategic Plan presented last year which had a focus on the need for partnering.

This focus on wellbeing and health prevention and promotion is one that the CSAPHN is very pleased to see and fully supports and looks forward to contributing to.

The new government while in opposition widely circulated views on decentralisation of health with country areas clearly identified as an issue and this note includes a link to the direction in this regard. This is a key extract from same:

Decentralising the public health system through the establishment of metropolitan and regional boards of management

  • Putting real responsibility and accountability at the local level, with strengthened oversight
  • Improving patient safety and holding boards accountable for delivering real progress

Within its first 100 days …..

  • Move to establish governing boards for the existing three metropolitan health networks
  • Consult on the boundaries of up to six regional health networks as the first step to establish their boards of management
  • Put legislation into the Parliament to underpin the new governance and accountability framework and establish board powers and functions
  • All board chairs will be appointed by 31 July 2018.

They also published a workforce strategy of relevance to the country regions and again I have included a link to same herein.

Our Rural Health Workforce Plan will include:

  • a broad services plan for country health services; and
  • a plan to recruit, train and develop the health professionals and skilled volunteers needed to deliver country health services.

Our Rural Health Workforce Plan will:

  • Recognise the responsibility of SA Health to support health services beyond hospitals and health services, including general medical practices and Aboriginal-controlled community health services;

All of the above has impact on our region and forecasts change and changes in priorities of government as it relates to health. This is the future and we positively embrace the future.


HealthPathways South Australia Portal Now Live

SA Health, Adelaide PHN and Country SA PHN are pleased to announce the HealthPathways portal is now available to GPs and health professionals across South Australia.

HealthPathways is a free web based portal that gives GPs and health professionals quick access to the latest clinical information and resources relevant to patient care.

HealthPathways provides:

  • evidence based information on assessment and management of specific health conditions
  • local referral pathways and criteria
  • relevant patient resources

We encourage all GPs and health professionals in South Australia to go to the HealthPathways South Australia project site to register for a login and to find out more about the program http://saproject.healthpathwayscommunity.org/.


Yorke & North Practice Managers Meeting

Country SA PHN Yorke and North team were pleased to hold a Practice Managers workshop in conjunction with GPex on Wednesday 14 February 2018.

A total of 32 practice managers and office staff, representing 22 practices in the region, participated in the workshop held at Clare Country Club.

Country SA PHN’s Digital Health & Systems Integration Coordinator, Sarah Wiles, delivered an informative session on current digital health topics including the My Health Record and HealthPathways project. On behalf of GPex, Jody Bund provided the group with a session on KPIs, business planning and handling difficult conversations. 

Alongside the educational component, the event provided a great opportunity to network with other practice staff. The Yorke and North team look forward to the second Practice Manager workshop which will be held mid-June 2018. 


Country SA PHN presents on My Health Record and My Gov Registration at Port Elliot Computing Group

The Port Elliot Computing Group (PECC) has been working with the Country SA PHN to deliver community education sessions on topics including Dementia, safe driving, schools program for young carers and Memory and Ageing. The PECC currently has 28 volunteers assisting community to log into My Gov and My Health Record, as well as assist with other community requests.

Miriam Daniels, outgoing president, requested Country SA PHN present for the second year at their AGM on Monday 5 March. Sarah Wiles from the Digital Health Team offered a comprehensive presentation on My Health Record and My Gov registration and fielded many questions. The audience would have kept going, only stopped by enticement of tea and supper by Miriam and her committee.

Liz from the Regional Strategies and Service Design Team and Sash also from the Digital Health team were present to mingle and respond to queries during this time. Both Country SA PHN teams are planning return trips for one on one assistance at the centre.


Health Care Home Update

Country SA PHN will soon be making available training in Motivational Interviewing, Health Coaching and Self-Management to support Health Care Homes and their wider Health Care Neighbourhood in delivering quality primary health care to their patients as part of a care team.

The Health Care Neighbourhood includes specialists, allied health professionals, pharmacists and other health care providers (both public and private) outside the Health Care Home who play a vital role in delivering the care needed by patients with chronic and complex conditions.

The training which will be offered includes:

  • Better Questions
  • MediCoach
  • The Flinders Program ™ of Chronic Condition Management

The training will be made available to Health Professionals in the following locations:

  • Mount Gambier
  • Bordertown/Keith
  • Victor Harbor
  • Port Pirie
  • Clare
  • Angaston
  • Adelaide Hills
  • Cummins / Port Lincoln
  • Whyalla

Registration for the training is essential and will open in the coming weeks. There will be a maximum of 20 participants per session and Health Care Homes staff will be given priority for attendance.

For more information please contact This email address is being protected from spambots. You need JavaScript enabled to view it..


The Pain Revolution – Principles, pearls and pitfalls

CSAPHN is currently partnering with the Queen Elizabeth Hospital (QEH) Pain Management Unit to pilot a project on the Yorke Peninsula to develop and implement a GP-led, practice based multidisciplinary pain management program.

Through this project we were lucky enough to engage Professor Lorimer Moseley to present a highly entertaining education session on the science behind pain to 40 health professionals in Kadina recently. Lorimer is recognised world wide for his contribution to the pain field and has been awarded prizes from the World Peak Body on Pain - the IASP - the American, British and European Pain Societies, and physiotherapy or pain societies in 12 other countries.

Practices participating in the pilot are Moonta Medical Centre, Owen Terrace Medical Practice, Kadina Medical Associates and Broughton Clinic. The project is also engaging Allied Health Providers to provide them with clinical upskilling and to identify referral pathways. The QEH Pain Management Unit Specialists are delivering outreach clinics for patients with highly complex chronic pain management needs.

Arthritis SA have also been engaged through this project and has delivered three community education sessions on ‘’Living with chronic pain – techniques for coping’’ in Kadina, Moonta and Wallaroo with another to be held on 10th May at the Day Care Centre, Pt Broughton Hospital at 10am. Bookings for this session are essential-email Christina This email address is being protected from spambots. You need JavaScript enabled to view it. or call 8821 6720


Women under 25 do not need routine cervical screening under the National Cervical Screening Program.

Routine cervical screening is not recommended in the renewed program for women under 25 years. Some women under 25 will present with an expectation for routine screening, having had previous Pap tests. It is important that these women are aware that Medicare does not fund routine HPV cervical screening tests in women under 25.

Pathology laboratories are reporting that a significant number of samples are being submitted from women under 25 years of age. Given Medicare does not fund routine HPV cervical screening tests in women under 25 these will either need to be privately funded by the patient or, with the consent of the referring practitioner, not be processed by the laboratory.

Commencing screening at age 25 will reduce the investigation and treatment of common cervical abnormalities that would usually resolve by themselves. The time from HPV infection to cervical cancer is usually 10 to 15 years.

Women under 25 years who are currently under clinical management for a cervical abnormality should be managed according to the recommendations on transitioning women in the 2016 Guidelines.

To avoid out of pocket fees for your patients, you should familiarise yourself with the Pathology Test Guide for Cervical and Vaginal Testing.

To further assist healthcare providers, NPS MedicineWise through its RADAR publication has posted a comprehensive article outlining what providers need to be aware of when requesting the new Cervical Screening Test.

 

CONTACT US

Beckwith Park, 30 Tanunda Road Nuriootpa SA 5355
PO Box 868 Nuriootpa SA 5355
T 08 8565 8900 F 08 8311 1723
E This email address is being protected from spambots. You need JavaScript enabled to view it.

@countrysaphn

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