Be Super Kind

Doctors are people too. Is this a controversial statement? I’m going to go further and say doctors are people first. I bring this up because some doctors are amazing but they are still only human. There’s a special respect from me for our rural doctors including rural generalist GPs. To me, they are Superhuman! I look at what I do now, and what I used to do as a rural doctor (within 30km of a major Australian city), and, to quote a popular film it’s not the same game. It may not even be the same sport.

 

 

 

I’ll move to some other popular culture. A guilty secret of mine is that I like comics. One series I really liked (and beware this is a NSFW comic and not for children) is Irredeemable. It’s the story of an alien superman (The Plutonian) who becomes a superhero on Earth. He’s super resilent, can fly, has superhuman endurance…you know, those usual rural generalist abilities. The series opens with a family running for their lives. Heat beams target them. Their house is reduced to rubble. Spoiler Alert – they die. Hovering in midair over their bodies is The Plutonian. What happened?

 

 

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Prior to the above events, the Plutonian was doing his thing, saving people. It’s what he did. Day in, day out, with never a day of rest. He stops a nuclear bomb going off in a packed sports stadium. The crowd goes wild. He stands there, letting his adrenaline drop down. One voice comes to his ears amongst the adulation of the crowd.

 

 

‘What a poser’, or words to that effect. Only a few words, only one person, and buried in a sea of praise. But they were enough. They were too much. Superhumans are human too. Perhaps they are human first too? He snaps and flies off.

 

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I think 14 doctors committed suicide in the last 12 months. I could be wrong about this number. I’m not wrong when I suspect the number that had contemplated suicide was probably much higher. I don’t know the answer but being kind is a good start. Please, be kind. That is all.

 

#bekind

I would love to hear other views on this. We are all professionals or patients or both and we can always improve. Let me know here on the blog (or on our website) – or, if you’re a GP, on the fantastic GPDU FB Group – where GPs are invited to a festival of education and collegiality (#FOAMed – #GPDU18) May 30 – June 1!

 

Get a Great GP!

(Here’s some we made earlier)

Dr Nick Tellis

Your Specialist In Life

Dr Nick Mouktaroudis

Dr Gareth Boucher

Dr Gareth’s Cycle of Care

Dr Penny Massy-Westropp

Dr Penny Massy-Westropp

Dr Monika Moy

Dr Monika Moy

Dr Katherine Astill

Dr Katherine Astill 1

We look forward to seeing you soon!

Qi at Partridge Street General Practice

We’ve just celebrated the Chinese New Year – the Year of the Dog. People born in Dog years display loyalty and honesty amongst many other good qualities. However it is said that they can also be critical – maybe overly so. Segueing to another Chinese concept, we meet Qi, the vital life force that flows through the body. Let’s put these together.

 

 

 

A wise man once told me that the three pillars (the vital life force) of general practice are quality, service, and finance. All three of these come together in the form of the Practice Incentive Payments (PIP) scheme. You can read about this here but in summary Accredited General Practices are paid amounts of money for reaching certain quality measures. These include planning the management of a proportion of patients with diabetes and asthma, and ensuring women are screened for cervical cancer. There are also Incentive Payments for managing aged care and quality in prescribing.

 

 

 

 

These payments were due for a change on May 1st 2018. Were they promoting the vital life force of General Practice, were they tick box exercises for busy GPs, or were they overly critical of General Practice, not focusing on true quality? Enter QI – Quality Improvement. Rather than Qi, QI may be an altogether different beast.

 

 

But!

 

 

The Department of Health has confirmed that the Practice Incentive Program Quality Improvement Incentive will now occur from 1 May 2019.

 

 

From their press release:

 

 

The Practice Incentive Program (PIP) has been a key driver in quality care in the general practice sector and the PIP QI Incentive will continue to build on this important work, further strengthening quality improvement in primary health care. The additional 12 months will enable the Department, with the support and advice from PIPAG, to ensure that any implementation issues are identified and addressed and that general practices have adequate opportunity to prepare. It will also allow the Department to continue to consult with stakeholders on refining the design of the PIP QI Incentive.

 

The changed time frame will mean that the following five incentives which were to cease on 1 May 2018, will now continue through to 30 April 2019.

 

 

The five incentives are:

Asthma Incentive

Quality Prescribing Incentive

Cervical Screening Incentive

Diabetes Incentive

General Practitioner Aged Care Access Incentive

 

The six PIP Incentives that continue to remain unchanged are:

eHealth Incentive

After Hours Incentive

Rural Loading Incentive

Teaching Payment

Indigenous Health Incentive

Procedural General Practitioner Payment

 

 

What next? Will the new QI beast be reflective of quality in General Practice? Will the measures align with what we as General Practitioners believe is high quality Great General Practice care? Or will it aptly be launched in the Chinese Year of the Pig in 2019?

 

For what it’s worth, here are my measurements of quality, service, and finance in General Practice – the Qi of GP:

 

 

Quality – Time and Presence with Our Valued Patients

 

Service – Charging a private fee to those who can pay, allowing us to be charitable to those who cannot

 

Finance – Running Practices efficiently and well, with clinicians as owners steering the course of patient centred practices.

 

 

I would love to hear other views on this. We are all professionals or patients or both and we can always improve. Let me know here on the blog (or on our website) – or, if you’re a GP, on the fantastic GPDU FB Group – where GPs are invited to a festival of education and collegiality (#FOAMed – #GPDU18) May 30 – June 1! My last quality ltip – for personally better Qi – is below!

 

Get a Great GP!

(Here’s some we made earlier)

Dr Nick Tellis

Your Specialist In Life

Dr Nick Mouktaroudis

Dr Gareth Boucher

Dr Gareth’s Cycle of Care

Dr Penny Massy-Westropp

Dr Penny Massy-Westropp

Dr Monika Moy

Dr Monika Moy

Dr Katherine Astill

Dr Katherine Astill 1

We look forward to seeing you soon!

#BFD17 x #newtech

We live in an instant world and we seek convenience. How can technology give you more of what you want while Your GP gives you more of what you need?

 

 

 

david dahm health and life automation
Thanking David Dahm from Health and Life

 

 

We never want to lose the doctor patient relationship in General Practice. It’s the most valuable part (and the most rewarding part) of our vocation and service as GPs. If we can have technology in the background rather than in the way, I think we can strengthen this. Facebook is one example.

 

 

dr nick tellis talk to me facebook your gp

 

 

 

Here’s another. Step one: buy a gaming keyboard. Step two: Program some macros. Step three: Spend more time with Our Valued Patients and less with our technology and medical software!

 

 

 

Here’s me cutting my login time to zero. It’s one small step for Dr Nick….

 

 

 

 

 

 

dr nick tellis keyboard macros
16 macros to go…

 

 

 

dr nick tellis business is not a dirty word
Be Better (thanks Dr Ajay Naidu for the flattering pictures!)

 

 

What do you think?. Is this part of the future? Too soon?

 

 

Not what you want? Let me know. In the meantime, we’re all still here for you at Partridge Street General Practice, face to face, IRL 😎

 

 

 

Your GPs at Partridge Street General Practice

 

 

Dr Gareth Boucher

Dr Penny Massy-Westropp

Dr Monika Moy

Dr Katherine Astill

Dr Nick Mouktaroudis

Dr Nick Tellis

 

 

 

Talk to Your GP

​Not so long ago it was quite hard to contact Your GP. You had to phone the practice to make an appointment (some waiting), come to the practice (more waiting), and then sit in the waiting room (more waiting). We live in an instant world and we seek convenience. How can technology give you more of what you want while Your GP gives you more of what you need? Try this!

 

 

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More and more of our valued patients are choosing to book online but You can still call Partridge Street General Practice and we’re always happy to talk to you. You can also email us or contact us here for non-urgent inquiries, remembering that email is not a secure form of communication.

 

 

 

Imagine if you could ask some simple questions of Your GP, without waiting on the phone or sitting in the waiting room. Simple questions that have been asked of me in the past:

 

 

 

When should I come in to see you next?

I lost my script, what do I do?

I was discharged from hospital, what next?

 

 

 

We never want to lose the doctor patient relationship in General Practice. It’s the most valuable part (and the most rewarding part) of our vocation and service as GPs. If we can add to it, by improving communication before a face to face consult, I think we can strengthen this. We have a trial project with free access to a secure app where you can speak with me (not Facebook!). It’s not for urgent consultations! It’s free to sign up – you only pay if you use it.

Have a look here!

 

 

dr nick tellis talk to me facebook your gp
Talk to Your GP

 

 

 

 

What do you think – tell me here (or on the app!) about what you think. Is this part of the future? Too soon? Not what you want? Let me know. In the meantime, we’re all still here for you at Partridge Street General Practice, face to face, IRL 😎

 

 

 

Your GPs at Partridge Street General Practice

 

 

Dr Gareth Boucher

Dr Penny Massy-Westropp

Dr Monika Moy

Dr Katherine Astill

Dr Nick Mouktaroudis

Dr Nick Tellis

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Dr Nick Tellis – Know Your GP

How many of you know what Your GP has done professionally? Find out – and ask away!

 

 

 

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Click away here!

 

 

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Remember, all of our GPs here at Partridge Street General Practice are Here to Help You!

 

 

 

You can see any of our Great GPs right here:

Dr Gareth Boucher

Dr Penny Massy-Westropp

Dr Monika Moy

Dr Katherine Astill

Dr Nick Mouktaroudis

Dr Nick Tellis

Five things Your Practice can do to Reduce Your Cyber and Privacy Security Risk

Are you a Practice Owner? Are You embracing the brave new world of E everything? Paul Fitzgerald, of Cyber Health International offers You some thoughts in this guest post on partridgegp.com

Mr Paul Fitzgerald

The Australian Privacy Principles, and the recently passed (by the Australian Parliament) Mandatory Breach Notification bills provide various guidelines, which should be adhered to by anyone who handles any electronic medical data. Basically, the principles stipulate that all medical practices must ensure that all necessary measures are in place while saving, accessing and sharing any electronic medical data to keep patient data secure. Lack of compliance to the security standards could lead to large fines for both companies and individuals. Several steps can be followed by medical practices to ensure compliance to privacy standards. These steps include:

Run a complete risk assessment of the practice



Many medical practices adopted electronic health recording systems before there were clear guidelines on what these systems should contain. This means that a practice could be using electronic systems which are not compliant with current standards. To ensure compliance, a risk assessment should be done on the current systems to highlight areas in which compliance is not enforced, and to expose areas in which changes are needed. Ensure the latest version is being used, including any security patches from the vendor.

Prepare for disaster before it occurs



All data handled by a medical practice should be safe both from loss and corruption. One of the main ways of ensuring that data is not lost in case of any mishaps is backing up of medical data daily. Data should be backed up in an offsite location to ensure that in case of incidents such as natural, or man-made, disasters the data backup is not destroyed, as well. Antivirus programs should also be installed on all computers to ensure that data is not corrupted or destroyed by computer viruses, or held to ransom by cyber criminals.

Implement an ongoing employee training programme



Any system is only as strong as its weakest link, and in some cases poorly trained employees, or temporary staff, are the entry point for hackers into medical practices. It is also these staff who are more likely to have an “oops” moment and accidentally release confidential information. A medical practice could have excellent processes and systems, but if the employees don’t use their passwords to securely access records and files the system security is rendered useless, and anyone can gain access to these records. Medical practices should continually train their staff on how to follow the right security protocols, to ensure data integrity and security.



Purchase medical products with security compliance, and compatibility in mind



New equipment bought for a medical practice should be compatible with existing systems and should offer enough security features. With the advent of connected devices, the Internet of Things, it is critical that devices are secure, and kept up to date. Before making any major purchases enough review of the product should be done to ensure both security and compatibility.

Collaborate with affected parties



Changes which need to be made to bring about cyber security and privacy compliance affect many people in the practice. Affected groups should be offered training and management must ensure that staff understand the importance of compliance to everyone involved in the practice. Also, ensure that key staff are trained on what to do in the event of a breach. A comprehensive disaster plan is essential, and must be practiced regularly.
 

Thanks Paul! He does add, if you would like to discuss a risk assessment of your practice, please visit Cyber Health International to arrange a time that suits you to receive a call. Remember though, a lot of General Practices are small businesses, and a lot of You are the Key People in those businesses. Look after yourselves, see Your GP, get a great workplace, and Good Luck!

This is why I will not use the PCEHR

I think I can confidently say that I will be following Dr Kruys’ lead on this issue. Very disappointing.

 

 

That’s what I wrote 2 years ago. Since then GPs have had multiple pushes and pulls towards the Patient Controlled E-Health Record. What’s happened? See below.

 

 

Reach exceeds Grasp

 

 

 

Watch this space. Why would such a system exist if doctors, hospitals, and patients are not enthusiastic about it?

 

 

Here is the Value for Others in Your Health Record

 

 

In the meantime, Partridge Street General Practice will continue to provide You Excellent Care via Your GPs.

 

Dr Gareth Boucher

Dr Penny Massy-Westropp

Dr Monika Moy

Dr Katherine Astill

Dr Nick Mouktaroudis

Dr Nick Tellis

 

 

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Doctor's bag

This is why I will not use the PCEHR

Karen Dearne, freelance journalist and former e-health writer for The Australian, has produced a review of the PCEHR, on behalf of the Consumers e-Health Alliance.

The conclusion is disappointing: It appears that the government has been successful in uploading non-clinical documents about users, but otherwise our expensive national e-health record system seems to be in a pilot stage.

The full document can be downloaded here. Below are a few quotes from the report.

The numbers are telling

“After two years and more than $1 billion in costs, only 26,332 shared health summaries have been uploaded by doctors to the troubled Personally Controlled e-Health Record system.

While the Department of Health and the National e-Health Transition Authority trumpet their ‘success’ in signing up 1.7 million Australians to date, the truth is that the system holds a mere 288,368 clinically useful documents.

Obviously, if every person who had registered had just one

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