Embed Size (px)
Citation preview
Contact the GP Liaison Unit
Dr Michelle Johnston (GPLO)
Dr Edwin Kruys (GPLO)
Merrin Godwin (Clinical Nurse)
Sandi Kemp (Clinical Nurse)
Peta-Maree Willett (Project Officer)
Sue Hawkins (Administration Officer)
Claire Juratowitch (Administration Officer)
Email [email protected]
Phone 07 5202 3822 / Mobile 0439 591 731
Fax 07 5202 1044
Sunshine Coast University Hospital
6 Doherty Street Birtinya 4560
PO Box 5340 Sunshine Coast MC 4560
Date: 28.02.2019 I Together we can deliver better healthcare
Inside this issue:
Termination of Pregnancy & Pathway 1
Smart Referrals 2
Maternal Fetal Medicine Service 3
Diabetes contact details 3
Eating Disorders Service 3
Hospital in the Home 4
ieMR goes LIVE at SCUH 4
Maleny Soldiers Memorial Hospital 5
CPC & HealthPathways Update 6
Education Calendar 7
Useful Contacts 7
Termination of Pregnancy (TOP)
Prior to 3 December 2018, it was unlawful to administer a drug
or to perform a surgical or other medical procedure intending to
terminate a pregnancy except in limited circumstances. The
new Termination of Pregnancy Act 2018 applies to termination
of pregnancy in Queensland. The purpose of the Act is to
enable reasonable and safe access by women to terminations
of pregnancy and to regulate the conduct of a registered health
practitioner in relation to terminations.
Registered medical practitioners may perform a lawful
termination of pregnancy on request up to a gestational limit of
22 weeks. After 22 weeks, termination can be provided if two
consulting medical practitioners consider that it is appropriate in
all relevant circumstances.
Where there is a conscientious objection to being involved in
TOP care, clinicians have a professional responsibility and legal
requirement to ensure transfer of care within a reasonable time
frame to a doctor or clinic that does not have an objection.
Further information is available here
https://clinicalexcellence.qld.gov.au/priority-areas/service-
improvement/termination-pregnancy
Cont. p 2
Led by the Healthcare Improvement Unit, Clinical Excellence Queensland, the Smart Referrals Program will be
commencing their roll out of the new digital referral solution to General Practitioners (GPs) from April 2019.
The local Sunshine Coast Hospital and Health Service (SCHHS) Project Team clinically led by Dr Sandra Peters, are
excited to be leading the way as the first Queensland Health region to implement this exciting new technology.
Smart Referrals are new digital referrals that have been developed to align with the state-wide Clinical Prioritisation Criteria
(CPC). The essential information including pathology, tests and imaging required for the referral are clearly displayed to
ensure a quality referral is provided.
The Sunshine Coast HHS are partnering with the Sunshine Coast
Primary Health Network (PHN). Together they have been engaging
with local GP Practices to prepare for the Smart Referrals roll out.
Further details around the progress of the implementation will be
shared leading up to the roll out.
This week, PHN project representatives completed their first
successful installation of Smart Referrals at Better Health on Buderim.
Installations are a key preparation milestone to prepare GP practices
for later roll-out.
Any practices considering using Smart Referrals
that have not yet returned their practice setup form
are invited to book a time for an on-site demo.
To register your interest and to organise a date / time,
please contact [email protected]
Left to Right Greg Hayes (BPAC software vendor rep), Mitch Grambauer (PHN),
Clinton Bazley (PHN), Dr Jon Harper (GP and PHN GPLO), and Karen Mansley (PHN).
TOP GP Referral pathways
General practitioners have several referral options, including:
1. Refer to another General Practitioner who provides
medical terminations of pregnancy.
2. Refer to a private provider who provides medical and
surgical terminations of pregnancy.
3. Refer to the Sunshine Coast Hospital and Health
Service:
• Sexual Health Service, Clinic 87 (Nambour General
Hospital) - GPs can refer directly to Clinic 87 for
more timely care for women under 9 weeks for a
medical termination of pregnancy, and patients can
also self refer.
• Gynaecology - Reproductive Options Clinic - GPs
can refer for medical or surgical termination of
pregnancy through your normal referral system to the
SCUH Central Referrals Centre. Please indicate that
this is a PRIORITY REFERRAL.
If you need advice, please call the Gynaecology/Early
Pregnancy Assessment Service CNC (via switch 5202 0000).
Smart Referrals is a digital referrals capability enabling faster
streamlined management of referrals to and within Queensland
public hospitals.
New Maternal Fetal Medicine (MFM) service @ SCUH
Service Profile
Women’s and Families services will commence the new Maternal Fetal
Medicine (MFM) service on 13thFebruary 2019. Dr Greg Duncombe, an
experienced MFM in Brisbane has been appointed to provide this service
which focusses on the management of high risk pregnancies including
ultrasound assessment and invasive testing. The MFM service will be provided
at SCUH in MOPU (Antenatal Clinic) on level 4.
MFM clinics
Clinics will be held on Wednesdays and Thursdays 8am – 4.30pm
Referrals
Requests for this service should be sent to the SCUH referral centre and
identified as an antenatal referral for the Maternal Fetal Medicine service.
Ph: 5202 8910 Fax: 5202 2722
Email: [email protected]
Referral Criteria
Abnormal first trimester screening
Abnormal morphology
MCDA/MCMA twins
Significant Fetal growth restriction
Rhesus disease and alloimmunization
High risk of preterm birth including cervical length
CVS or amniocentesis
Diabetes Service contact
information – In the January edition of
the GP Liaison: Your hospital
connection newsletter we published an
update on the Diabetes Service and
their new location at Caloundra Health
Service.
The diabetes service thank-you for your
ongoing support and welcome new
referrals. Please note direct referrals
from GP’s are accepted for diabetes
education and allied health. The
Endocrinology and Diabetes service
“hub and spoke” model provides
services from the following 4 locations:
Caloundra Diabetes Centre, Sunshine
Coast University Hospital, Gympie
Spoke, Nambour Spoke.
All calls about diabetes should be
directed to the Caloundra Diabetes
Centre (Diabetes Hub). They would be
happy to assist you. Thank you.
Ph: 5436 8983
Fax: 5436 8893
Eating Disorders Service - Sunshine Coast
The Eating Disorders Service – Sunshine Coast (“EDS”) commenced in October 2018 and has recently moved to the new Community Hub at Maroochydore. Based on the Queensland Eating Disorder Service model, the team is offering the following services:
• treatment recommendations;
• single session specialist consultation clinic for assessment/diagnostic clarification;
• time limited individual therapy sessions using evidence based practice;
• regular education. The service encourages inclusion of a family member or support person, and ensure referring GPs are informed of the outcome and any further recommended actions. Referral Consumers eligible to access this service will be 18 years and above with disordered eating cognitions and/or behaviour.
A referral (can be accessed via the SCHHS website, the Health Pathways website or by email/phone/fax) will need to be completed by a GP for risk assessment and to ensure ongoing medical monitoring by the GP.
The service is provided free of charge for Medicare eligible individuals. Who are we?
• Specialist Eating Disorders Psychiatrist
• Mental health nurse
• Allied health specialists
Contact Us For more information contact the EDS-SC intake officer at 07 5202 9898 (Monday to Friday 9:00am to 12:00pm), via email at [email protected], fax: 07 5202 9501 or after hours 1300 MH CALL (1300 642 255).
How to refer a patient directly to HITH:
• Phone our HITH Medical Officer via switch on 5202 0000 (24/7)
• Discuss patient suitability and plan
A full suite of HITH conditions including inclusion exclusion criteria, medication plans and referrers checklists
can be found on our QHEPs page at: https://www.health.qld.gov.au/sunshinecoast/community/hith
Hospital In The Home (HITH)
The Hospital In The Home (HITH) program provides acute
medical care in patients own home (or other selected
location). For the duration of the admission, the patient
remains a patient of the hospital, and the SCHHS HITH
team coordinates medical care. The SCHHS HITH program
welcomes direct referrals from General Practitioners where
clinically appropriate.
Currently SCHHS HITH offers 20 virtual beds, moving to 36
virtual beds in 2019.
Patients that are suitable for HITH must:
• Consent to the program
• Live within the SCHHS catchment
• Have adequate social support
• Have a refrigerator on site
• Be in a safe environment (for both patient and
visiting staff)
• Have a working telephone available
Some examples of situations/conditions that are appropriate
for HITH are listed below. It is important to note that the below
conditions are not the only conditions that may be accepted.
Should you wish to refer a patient or discuss suitability,
please phone our medical officer directly.
• Residents of Residential Aged Care Facilities
• Wound Management
• Anticoagulation with warfarin
• Appendicitis
• Cellulitis
• Urinary Tract infection
• COPD Bronchiectasis
• Deep Vein thrombosis
• Hyperemesis Gravidarium
• Mastitis
• Pelvic Inflammatory Disease
• Pneumonia
• Post Operative Wound Infection
• Pulmonary Embolus
New Electronic Records Go Live at Sunshine Coast University Hospital
SCUH is implementing the new integrated Electronic Medical Record (ieMR) from: 29 January 2019 for the
Enterprise Scheduling Management (ESM) module (patient appointment bookings) and 11 February for
ieMR clinical modules. SCUH Clinics will be ramped down for a period of 6 weeks after the ESM/ieMR go-
live.
Priority will continue to be placed on all Rapid Access and Category 1 referrals, however the waiting time
for some Cat 2 and 3 patients may be extended as a result of the implementation of the ieMR as staff get
used to a new way of working.
How long for/ when: For a period of 6 weeks from 28/01/19 to 03/03/19.
Why: To allow SCUH staff going live with ieMR time for adoption of the change and ensure the safety of
our patients.
How does it affect you: There is no change for the referral and discharge process. This notification is for
information purposes only.
What you need to do: Your patience would be much appreciated. Please communicate as necessary with
your patients the change that is occurring at SCUH. Thank you.
Maleny Soldiers Memorial Hospital
Although the Sunshine Coast Hospital and Health Service (SCHHS) has undergoing significant changes over the past
two years, The Maleny Soldier’s Memorial Hospital (MSMH) continues to offer health services to Maleny and the wider
community. These services include:
- Emergency department
- Medical services
- Palliative care
- Ambulatory clinics
- Essential diagnostic and clinical support services
- Community based services
The emergency department is open 24 hours a day 7 days a week on-call. While there is no medical imaging or
pathology on site, the staff are able to triage and arrange transfer to tertiary centres for urgent investigations and care as
needed.
Medical inpatient services cover a range of acute and sub-acute medical issues. The hospital provides a fully functional
sub-acute rehabilitation unit with a primary focus on patient-centred care and proven excellent track record in patient
outcomes. This service has a broad range of allied health input and is especially successful with those who are having
complications related to movement disorders such as Parkinson’s Disease.
Palliative care is provided at Maleny Soldier’s Memorial Hospital with telehealth input available from the SCHHS palliative
care team.
MSMH is well known for its Movement Disorder Clinic, and this continues to run as an outpatient clinic.
The hospital also offers a Midwife Clinic for extended midwifery services including antenatal and postnatal care (also
covering postnatal home visits).
Blood collection and infusion/transfusion services are available.
How can I refer my patient to MSMH?
Acutely unwell patients can be directly referred from the community and the medical officers are happy to discuss these
referrals at any time through the hospital reception (Ph: 07 5420 5000).
Referrals to the midwife clinic can be faxed (Fax: 07 5420 5001) directly to the hospital or can be arranged through the
central referral process at Sunshine Coast University Hospital (SCUH).
Infusion/transfusion clinic can be faxed directly to the hospital (Fax: 07 5420 5001) and will be assessed by our medical
and nursing staff.
Palliative care patients can be referred from the community palliative care service. New and acute palliative care patients
can be referred directly through the emergency department for urgent assessment and treatment.
The movement disorder clinic, rehabilitation and community based services continue to take referrals through the central
referral service at (SCUH).
Maleny Soldier’s Memorial Hospital
17 Bean Street, Maleny
Phone 07 5420 5000
Fax 07 5420 5001
Clinical Prioritisation Criteria (CPC) and HealthPathways Update
Qld state-wide referral guidelines (CPC) are now in the 3rd year of application for our district.
GPs see these guidelines in the non-acute assessment request pages of Sunshine Coast HealthPathways.
https://sunshinecoast.healthpathwayscommunity.org
Username: usersc Password: pwsc
Congratulations to the GP Community for managing to get through this phase and for saving Sunshine Coast
HealthPathways as a website ‘favourite’. We hope that the support we can provide has helped. Sessions can be
arranged for education and assistance.
SCHHS GPLO Unit (07) 5202 3822 PHN (07) 5456 8100
The HealthPathways criteria are used by the SCHHS to triage, accept or decline a referral.
• All Category 1 referrals will be accepted.
• All ‘complete’ Category 2 and 3 referrals will be accepted (includes all essential information according to
guidelines)
• All ‘incomplete’ Category 2 and 3 referrals will not be accepted (missing essential information according to
guidelines)
• All referrals are considered clinically and individually
The specialists and specialty nurses work hard to ensure that GPs are advised of the reason for declined referrals.
They also appreciate GP efforts to meet criteria to ensure safe and thorough clinical handover in referral.
HealthPathways provide information on:
• Condition specific health pathways to support assessment and management of patients in the community
• Options for alternative pathways of care
• How to refer your patient for a specific condition in a specific specialty
• Public and private healthcare provider information
• Patient fact sheets
• Clinical resource information and links
• District bulletin updates
Merrin Godwin SCHHS CPC Coordinator & GPLO CN
HealthPathways
The Sunshine Coast HealthPathways website is intended to be the most up-to-date “source of truth” for clinical
management advice and hospital referral guidelines for your patients.
Recent NEW pathways
• Headaches in Children and Adolescents
• Bleeding Gums
• Transient Ischaemic Attach (TIA) * updated *
• Non-Acute Asthma in Children
• Pertussis (Whooping Cough)
Have you logged onto HealthPathways lately?
There are an increasing number of localised health service information pages available, and key information regarding
referral criteria requirements for SCHHS outpatient clinics.
http://sunshinecoast.healthpathwayscommunity.org Login: usersc Password: pwsc
Education Calendar @ SCHHS
Gynae Update Evening
Date: Tuesday March 5th
Time: 6.00pm (light supper) for 6.30pm – 8.30pm
Venue: Sunshine Coast Health Institute (SCHI) Auditorium, SCUH, 6 Doherty Street, BIRTINYA
Register: Follow event link to register https://www.ourphn.org.au/scevents/
GP Education on Limb Injuries, Fracture Management and Iron Infusions
Date: Saturday March 23rd
Time: 8.30am registration for 8.45am – 4.30pm
Venue: Sunshine Coast Health Institute (SCHI) Auditorium, SCUH, 6 Doherty Street, BIRTINYA
40 category 1 points in the 2017-2019 triennium (Activity no.: 151114) ACCRM points pending
Register: Follow event link to register https://www.ourphn.org.au/scevents/
Useful Phone Numbers and Contacts
Referral Centre for ACC
Note: Outpatients is now called
Ambulatory Care Centre/ACC
Referral Centre GP Hotline (not for patients) 07 5202 6633
**GP’S/Practice staff only to call this hotline for outpatient
appointment enquiries**
Patient line 07 5202 2222
Fax 07 5202 0555 (but e-referral preferred)
GP Liaison Office Phone 07 5202 3822 / 0439 591 731
Fax 07 5202 1044
Email [email protected]
STS Addressbook Enquiries
(STS = Secure Transfer
Service. This address book is
managed in Brisbane)
Phone 1800 198 175 / 07 3726 4880
Contact this service if you need to update the details for new or
existing GPs to receive electronic correspondence from
Queensland Health sites.
Email [email protected] and we will forward
to SCUH to update in HBCIS.
Clinical Information Access
Note: Medical Records is now
called Clinical Information
Access
Non-urgent – written request faxed on practice letterhead
Urgent – mark fax clearly with ‘Urgent’ and specify
timeframe/reason, or GP to call directly (not via a staff member
please)
SCUH Ph 07 5202 3011 Fax 07 5202 3419
Nambour Ph 07 5470 6389 Fax 07 5470 5425
Caloundra Ph 07 5436 8503 Fax 07 5436 8766
Maleny Ph 07 5420 5000 Fax 07 5420 5001
Gympie Ph 07 5489 8667 Fax 07 5489 8757
Pathology Enquiries 07 5202 2111
Medical Imaging Enquiries 07 5202 3333
