Issue 11 - March 2017
My week in focus
I thought it would be interesting for you to hear about the work I do during a typical week in my role as CD Primary and Integrated Care apart from the many emails I receive directly from you when a patient of yours hasn’t received the service you expect from the hospital. I also spend time supporting our five GP liaisons of course who are doing great work. Last week was busy as always, here are last week's highlights:
Usually my day as a GP, I work at South City Health and thoroughly enjoy the clinical work within a great general practice team. However last Monday I visited Paeroa Medical centre and Hauraki PHO head office to talk about SmartHealth and opportunities for GPs and their patients. Great discussion occurred leading to several GPs getting clinician accounts and nurses having a broader understanding of the opportunities. If you would like me to visit your practice to have a discussion please let me know.
Sheril-Ann Wilson and I put the finishing touches to the new Acute GP referral process and memo you should have all received by now. Please see Sheril-Ann’s section for the detail. Thanks also to Sheril-Ann for helping to pull this off! A development I am very excited and if a little nervous at the same time….
Meeting with respiratory department and managers discussing a model to support COPD patients in the community and for primary and secondary care to work together better to manage exacerbations. Generally a lot of what I do is supporting our Strategy and Funding department in making the right funding decisions for Primary care. You will hear more about the COPD initiative soon. I also met with a PHO from Midcentral to share ideas in the GP liaison space.
Discussion around the proposed Waikato Medical School followed by a useful discussion with the hospital in how primary and secondary care can work together better when managing serious/sentinel events. We are now developing a new process ensuring that primary and secondary care work together when these issues arise and share each other’s learnings. In the evening I met with the Magic Waikato/BOP netball team to further discuss our partnership around population health messages and SmartHealth.
Progressed a new pathway which will provide IV adenosine to practices who want to manage SVT patients in the community to reduce the need to refer to ED. I also did some work on a new community falls prevention initiative which all PHOs have been heavily involved in to help reduce falls and their adverse consequences.
We continue to enrol patients and clinicians into SmartHealth, the virtual out of hours service continues to grow and is well received by patients. Please let me know if you would like a practice visit to find out how you can sign up yourselves and your patients to start enjoying the professional and patient benefits.
Your Electronic Referrals to Waikato DHB
Changes to letters received by GP referrers and patients
Waikato DHB is making some changes to BPAC at the the triaging clinicians’ end that are being driven by the National Patient Flow Project – due to a small delay, these changes are now due to Go Live on Tuesday 4th April 2017.
The main change that you may see in Primary Care is to some of the letters that are sent back to referrers and patients.
Some of the language has been amended to align with the new decline reasons that are reported to the Ministry of Health.
Additionally, if a referral has been for advice only (and not for an FSA) and advice is being provided, any correspondence will simply acknowledge the request for advice and provide the advice. There will be no mention of referrals being declined. Many of you have asked for this to happen so it is gratifying this has occurred
Electronic Clinic letters to GPs - Golive!
Following on from our successful electronic discharge summary launch we have now started sending clinic letters electronically to GPs. We are working slowly through all our hospital departments and by Mid April all clinic letters should be sent to GPs electronically, straight to your inbox which is great news. I want to thank our IS teams and our hospital departments for all the hard work on this. Please let me know if you have any questions.
New acute GP referral process
April 3rd sees the launch of our new acute GP referral process into Waikato hospital removing the need for obligatory registrar phone calls. Please can I ask that you use the specialty referral guidelines properly and only send appropriate patients up to hospital. You must name the specialty on the ED ereferral form (please see memo in Sheril-Anns section for more detail). I need to prove to secondary care that primary care can do this well.
The GP liaison team and I are trying to put in place the changes that general practice are telling us are important. The changes we can make to support our general practices and their patients; it’s a privilege to work on your behalf so please keep the suggestions coming in.