Presentation on theme: "MEDICARE YEAR OLD HEALTH CHECK"— Presentation transcript:
1MEDICARE 45- 49 YEAR OLD HEALTH CHECK Train the Trainer
2IntroductionThe Australian Government has introduced a number of health check items to assist in the identification of common health problems and risk factors of disease and illness in specific target populations.Specifically MBS item number 717 targets men and women aged years with at least one risk factor for chronic disease.This item was introduced under the Australian Better Health Initiative (ABHI), a joint initiative of the Council of Australian Governments which aims to enhance the capacity of the health system to promote good health and reduce the burden of chronic disease.
3What are we going to cover.. Overview of the year old Health CheckOverview of other Health Check and Health AssessmentItemsOutline training resourcesMotivational Interviewing – links to health assessmentOverview of Wave 2 fundingProvide/demonstrate links to the MPFA PILaunch/baseline uptakeDivision showcase regarding links with CDM item numbers and health assessments through the ABHI
4Aims of the 45-49 year old health check Once only health checkAssist with the detection and prevention of chronic disease and enable early intervention strategies in this age groupLifestyle factors (smoking, physical inactivity etc.)Biomedical factors (blood pressure, cholesterol etc.)Family History of chronic diseaseFocus on preventative care for the first time
5Who is eligible for the 45- 49 year old health check? Patients aged years who are at risk of developing chronic diseasePatients who have at least 1 risk factor for chronic disease
6Aim of the 15- 54 year old Adult Health Check for Aboriginal and Torres Strait Islanders Aboriginal and Torres Strait Islander people aged years should access the specific Aboriginal and Torres Strait Islander Adult Health Check (Item 710)Aboriginal and Torres Strait Islander people may alsoaccess Item 717 if eligiblePatients aged years who are at risk of developing chronic diseasePatients who have at least 1 risk factor for chronic disease
7What does the 45-49 year old health check involve? The MBS requires:Information Collection, including taking history and performing examination and investigations as requiredMaking an overall assessment of the patientInterventions as indicatedProviding advice and information to the patient
8Who can help with a health check? And How? Practice NursesAboriginal Health WorkersOther Health professionalsIdentifying eligible patientsThrough examination of patientrecordsCollection information frompatientsSuch as measuring height,weight, blood pressure (at thedirection of the GP)Providing patients withinformationAbout recommendedinterventions (e.g. details oflocal community resources,support services and referraloptions)
9What happens if you identify a patient with a Chronic Disease? Prepare a GP Management Plan (Item 721)Team Care Arrangement (Item 723)
10Other Health Checks and Health Assessments TypeItem Number45-49 Year Old717Aboriginal and Torres Strait Islander People704, 706, 708, 710Patients aged 75 years and over700, 702Humanitarian entrants to Australia714, 716People with an intellectual disability718, 719Permanent residents of residential agedcare facilities712
11Training Resources Division-Specific resources Practice-level ResourcesFor Practice ManagersFor Health Professionals
12Division-Specific Resources PowerPoint Presentation and Facilitators Guide (AGPN)2 hour PresentationLearning ObjectivesIncrease understanding of who is eligible for the year old health check, what assessment entails, and who can help with each step of the assessmentIncrease awareness of the burden of care that this patient group places on the Australian healthcare system and highlight that this health check can be used to reduce this burden; andInform participants of the tools, interventions and approaches available to help them bring about behavioual change.
13Division-Specific Resources Practice Detailing Cards (AGPN)6 Practice Detailing CardsUsed to raise awareness with GPs and practice staff about the health check item numbers during practice visitsWhat information do they provide?The eligible population for each item numberDetails of the MBS fee for each itemWhere and when the health check should be conductedGuide to the health Check Information Resources (AGPN)Overview of Health Check Resources available through AGPN
14Division-Specific Resources Rural Health Education Foundation DVD (RHEF)Satellite broadcast of an expert panel discussing the best practice use of the 45 year old health check.Also contains electronic versions of all AGPN resources.A Guide to facilitating Adult learning (RHEF)Adult learning principles for facilitating group learnersProvides basic instructional information to facilitate face to face learning.The Learning Guide (RHEF)Provides a framework for facilitating discussionContains activities to facilitate group discussion and engage with the material covered in the DVD.
15Practice-level Resources For Practice Managers and Health Professionals Rural Health Education Foundation DVD (RHEF)Satellite broadcast of an expert panel discussing the bestpractice use of the 45 year old health check.Included on the DVD:4 Filmed case studiesQuick Reference GuidesBusiness CaseGuide to Health Checks Information ResourcePractice posterWall chart (no hard copy available)
16Practice-level Resources For Practice Managers Patient Practice prevention survey (RACGP)Taken from “Putting Prevention into Practice” (the Green Book).Used to identify eligible patients through identification of risk factorsPractice Support Templates (RACGP)2 template lettersUsed to contact patients who:have a risk factor OR may have a risk factorMedical Director Templates (AGPN)A template for the year old health check can be uploaded into Medical DirectorAvailable:
17Practice-level Resources For Practice Managers Business case for Item 717 (AGPN)Discusses financial and non-financial benefits of conducting the year old health check to eligible patients.Practice Poster and Wall Chart (AGPN)PowerPoint presentation (RACGP)Outlines the 45 year health check and the role of GPs and their teams.Available:
18Practice-level Resources For Health Professionals Quick reference Guides (AGPN)Companion resources to the practice detailing cardsTo assist GPs in conducting health checksWhat information do they provide?How to conduct a health checkInformation on eligibility of patients for each item numberWhat is involved with each health check
19Practice-level Resources For Health Professionals Checklist (RACGP)“Guidelines for Preventive Activities in General Practice” (the Red Book).Provides a checklist on key factors to address during a health checkLifescripts (DoHA)Lifescripts guidelines and evidence cards, assessment tools andprescription pads help GPs and their practice manage lifestyle risk factors.These resources can also assist GPs and practice nurses in conducting the year old health check.Another Useful resources (RACGP)“SNAP – a population health guide to behavioural risk factors in general practice”.
20Practice-level Resources For Health Professionals Motivational Interviewing TechniquesHelping patients change behaviourUsed to explore patients attitudes to their lifestyle and health risksAssess patients’ willingness to changeHelp patients identify and overcome barriers to adopting a healthier lifestyle2nd Session: Stan Steindl – from Psychology consultantsFurther information on Motivational Interviewing isavailable from
21Case Study 2 – Video Case Study 2 Time: 4 minutes 50 seconds. The role of the practice nurse and other health professional in assisting GP’s in performing the year old healthCheck.Use of LifescriptsUse of motivational interviewing techniques.Time: 4 minutes 50 seconds.
22How to order resources? AGPN and RHEF Health Check Kits Send Order Form tofor downloadsRural Health Education Foundation Resources45-49 health checkIndigenous Health ChecksLifescripts ResourcesDoHAAGPNOrder form: Fax (02) or Call (02)RACGP ResourcesAvailable from:
23Wave 2 Funding for Divisions The Department of Health and Ageing has requested a proposal from General Practice Queensland to act in a fund-holding capacity and conduct a Request for Proposal (RFP) process for Divisions of General Practice$79, 200 (GST inclusive) will be available for disbursement to Divisions in each financial year to the period endingFunding will be awarded on an application basis, outlining educational strategies focussing on health checks
24Wave 2 cont.Division funding proposals will be invited under 2 streams:Generic use of the MBS health checks (including one new planned health check item)Specific population cohorts identified with a greater burden of chronic disease and lifestyle risks, such as Aboriginal and Torres Strait Islander people, refugees and people with intellectual disabilities
25EvaluationEvaluation will be undertaken at a Division and SBO level to measure the extent and effectiveness of the various approaches to up-skilling general practices in best practice use of health check items for eligible patients.This will be achieved through:Monitoring uptake of Group A14 MBS items 700 – 719Evaluation of health check resources including the practice detailing cards, satellite broadcast program etc (survey)Identification of additional resource and materials developed by Divisions or practices to support implementation of the items at the practice level
26Evaluation cont.Assessing the extent to which the MBS health check items have been integrated with other Division initiatives/ programsEvaluation results of Division educational strategies/activities to:assess changes in behaviour, attitude, skills and knowledgedetermine barriers and enablers to general practice health professionals undertaking health checks in the practice settingIdentification of successful models for implementing health checks in target populations
27Multi Program Funding Agreement 2008-12 National Performance IndicatorDGPP Access 2The number of health checks and health assessments provided to patients of Aboriginal and/or Torres Strait Islander origin by GPs within the Division (compared to the estimated population in the area who could benefit from the health check)Includes items 704, 706, 708 and 710Data sources – Medicare Australia and ABS
28MPFA 2008-12 cont. National Performance Indicator DGPP Prevention 1 The number of year old health checks provided to at-risk patients by GPs within the Division (compared to the estimated population who could benefit from the health check)Includes item 717Data sources – Medicare Australia and ABS
29Support in ACTION!!Redcliffe Bribie Caboolture Division of General PracticeProject Coordinator: Barbara O’TooleLinks with Chronic Disease Management item numbers and health assessmentsthrough the Australia Better Health Initiative funding.
30Motivational Interviewing Techniques Coming Up…..Session 2:Motivational Interviewing Techniques- Stan Steindl