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Nurses

Putting heart into systematic, preventive health care.

Tamworth, September 2019:

I was picked up at Tamworth airport and driven to my hotel by a professional driver, a lovely guy, aged probably in his early 30’s. We chatted and he asked me why I was visiting his town. When I told him Hunter New England has the highest incidence of preventable deaths from heart disease in NSW and myself and many health professionals were all there to work together to try to change that – to ‘Save 2000… Continue reading

Christmas 2018 blog

Merry Christmas & Reflections on 2018

As I prepare for my 56th flight of the year to return home for a Christmas break I reflect on the reasons why 2018 has been one of my favourite years in this 12th year of running my business. For me the reason is the connection to people.

No doubt the  reason I am feeling even more connected to people this year is because we did more consulting, more in-practice and online customised… Continue reading

US ‘person-centred’ study tour part 3: New York

What an incredible experience New York was! Visits included 2 Urgent Care centres, 4 Pharmacies (which have to be seen to be believed), a Physical Therapy centre (Physio) and the famous Mount Sinai hospital. From my 3-state tour I now have 35 pages of notes (and 400 photos) but to summarise, my top 5 learnings were:

  1. Health care roles are evolving  It is common for patients to see at least 3 clinicians in one visit. A patient in the… Continue reading

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

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

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

Recalls & Reminders – why is it so hard?

Why do so many practices have difficulty designing and using an effective recall and reminder system that doesn’t end up in an unworkable mess?

Make sure your practice system is designed with the following characteristics in mind and you will have a safer and more effective recall and reminder system:

Collaborate as a practice team and design one clear practice-wide system followed by all staff

Separate ‘recalls’ from ‘reminders’ to make your practice system more manageable:

Recalls = ‘clinically… Continue reading

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