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US ‘person-centred’ study tour part 2: Georgia

I am very privileged to be on this US ‘person-centred’ study tour (see prelude & part 1 of tour here) with a clinician who  has worked half their life in Australia and half in Georgia, USA. They currently work in the US and have joined me on this tour which is both enlightening and also opening many extra doors, enabling detailed insights into US systems and the impact of recent large-scale patient-centred healthcare reforms.

Family and… Continue reading

US ‘person-centred’ study tour part 1: Honolulu

This is blog/report 1 of my October ‘person-centred’ US study tour. These blogs will be long as I condense many visits from each US state into weekly posts. See my facebook and twitter posts for regular commentary and onsite photos.

I am fortunate to have family living in the US who (although they think I am weird) have kindly allowed me to accompany them on their medical appointments and experience care from a patient perspective. I am also… Continue reading

Ensuring health equality for all

Way back in 1988 I worked in a homeless shelter in Atlanta, USA. I was young, naive and exploring the world. Staying with family living in Georgia, I was not allowed to work legally so I volunteered at a refuge for homeless women and children. It is an understatement to describe this experience as an eye-opening, ideal-shattering experience.

In the 4 months I worked at the shelter I met dozens of women and children who were homeless. Their stories were… Continue reading

‘Health Care Homes’ – alternative Australian models

Health Care Homes – Blog 4 of 4 part series

Most general practices we work in these days are struggling to remain viable whilst continuing to offer a high standard of healthcare. If they are still bulk billing it is not uncommon for doctors to see 50 patients per day and patients to wait over an hour to be seen. I am finding if practices are not already charging patients a gap fee they are talking about introducing one.… Continue reading

Health Care Homes – Success Stories so far

Health Care Homes – Blog 3 of 4 part series

It is really too early in the official Health Care Home trials to expect significant improvements in patient health outcomes. Many sites “took a while to get going” and some are still at the very beginning stage of registering patients. In last week’s blog I outlined technology and other challenges which have slowed progress.  This week however I want to share a few very early ‘success stories’.

Essentially,… Continue reading

Health Care Homes – Struggles and Successes

Health Care Homes – Blog 2 of 4 part series

In our last blog we talked about the official Health Care Home trials as well as ‘readiness’ sites (with their many and varied names).  The Train IT Medical team work with many practices across Australia who are official trial sites as well as practices actively involved with trialling innovative changes. We thought it is time we share some of the stories of successes and struggles – straight from… Continue reading

The patient consumer client-centred primary healthcare medical home practice clinic neighbourhood

Health Care Homes – Blog 1 of 4 part series

What Practice Managers need to know:

  1. The way we provide healthcare in Australia is changing.
  2. Differing models are being trialled.
  3. Practices that evolve and adapt will be the ones who survive.

Some of the reasons major change is needed:

  1. Our patients are living longer with complex health needs.
  2. Medicare in its current form is unsustainable.
  3. Prevention, continuity of care and improved co-ordination is vital for health improvement.
  4. Patient expectations… Continue reading

My Health Record is now an ‘Opt-out’ System

Train IT Medical Principal Katrina Otto’s interview with HotDoc

My Health Record is a digital record allowing a patient to access a summary of their health information securely online. The record can also be accessed by health practitioners who are directly involved with the patient. This year there is a My Health Record Expansion Program being implemented across Australia. We spoke to Katrina Otto, an official My Health Record trainer, to find out more about how the new system… Continue reading

MedicalDirector Clinical Top 5 ‘Recalls & Reminders’ Tips

This is the third in our blog series focusing on effective use of practice software to improve recall and reminder systems. At Train IT Medical we work with many practices and see successful recall and reminder systems however we also see a lot of frustration (unnecessary money wasted, time spent and stress) so we are keen to help all MedicalDirector Clinical software users maximise efficiency. Here are our top 5 tips:

Tip 1 – Differentiate between ‘Clinically Significant’ Recalls … Continue reading

Bp Premier Indigo: – Good news for Recalls & Reminders!

Following on from our earlier blog ‘Recalls and Reminders – why is it so hard?’ we are pleased to advise that the recent release of Bp Premier (Indigo) has 3 new features which should help Bp Premier clinical software users significantly improve their ‘Recall and Reminder’ system:

1. Reminder Comments

It is now possible to add a comment to a reminder when it is created. The comment is only for clinicians ie it will not appear on any patient communication.… Continue reading

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