Training for Divisions of General Practice

1. TEAMWORK RESEARCH STUDYEnhancing The Role Of Non-GP Staff In Chronic Disease Management In General Practice Training for Divisions of General Practice

2. 5 ELEMENTS OF TEAM BUILDING • Clear goals and measurable outcomes • Division of labour • Communication • Administrative and clinical systems • Training K. Grumbach and T. Bodenheimer; Can health care teams improve primary health care practice? JAMA March 2004 Vol 291 No. 10 UNSW research centre for primary health care and equity

3. THE PROCESS OF BUILDING A SYSTEM BASED ON TEAMWORK • Quality care = systems + teamwork • Identify area of practice to work on • Set goals • Build system • Look at task allocation • Identify training needs • Set review date • DOCUMENT EVERYTHING! UNSW research centre for primary health care and equity

4. ROLES OF NON GP STAFF • Practice managers • Practice nurses • Receptionists UNSW research centre for primary health care and equity

5. ENHANCING THE ROLE OF NON-GP STAFF • UNSW Research Centre for Primary Healthcare & Equity • GP + two non-GP staff • Electronic prescribing • 60 practices across NSW & Victoria • Does enhanced teamwork lead to: • Improved care for patients with diabetes, ischaemic heart disease/hypertension? • Increased patient satisfaction? • Increased job satisfaction for staff? UNSW research centre for primary health care and equity

6. STRUCTURE OF INTERVENTION • An education session • 1-2 hours • Ideally PM, PN, principal GP • Identify “driver” • 3 practice visits over 6 months • 1-2 hours each • Ideally “driver”, PM, PN, other admin. staff • Resources • Manual, workbook, CD UNSW research centre for primary health care and equity

7. GOAL-SETTING • Goal 1 • “We want to use HMR as much as possible” • Goal 2 • “We want 6 patients who have had a Health Assessment and are eligible for HMR to have an HMR by the end of the month” UNSW research centre for primary health care and equity

8. BUILDING A SYSTEM • What is the process step by step? • Write it down • Who will perform each step and by when? • Write it down • Who needs what training to achieve this? • Write it down • Formalise the written process • Review date UNSW research centre for primary health care and equity

9. POINTS TO CONSIDER • Practices committed to project • Allowed us to set up 4 visits • We were able to identify the driver • Practice staff were already moving towards deciding to make a change in practice • How can Practice Support Officers sell this approach to practices? • What are the barriers • How can you overcome these barriers? UNSW research centre for primary health care and equity

10. IDEAS FOR MORE GOALS • Patients who have: • GPMP/TCA have HMR • Dementia have HMR • Asthma cycle of care have HMR • 45-49 year old health check have HMR • Diabetes have GPMP, TCA and HMR • Been discharged from hospital have HMR UNSW research centre for primary health care and equity

11. CPD • Practice reports • Clinical audit: 40 points UNSW research centre for primary health care and equity