1 / 17

Disaster Recovery Program

Disaster Recovery Program. Mediation Process involving Residential Aged Care Facility, GPs, Pharmacy & the Division of GP Presented by Susan Denny Aged Care GP Panels Program Manager. HISTORY. Privately owned & managed residential aged care facility

ronda
Download Presentation

Disaster Recovery Program

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Disaster Recovery Program Mediation Process involving Residential Aged Care Facility, GPs, Pharmacy & the Division of GP Presented by Susan Denny Aged Care GP Panels Program Manager

  2. HISTORY • Privately owned & managed residential aged care facility • Operated by large group with at least 30 other facilities throughout Australia • 167 bed facility – High, Low, Ageing in Place & Dementia specific • 2 large separate buildings over large area • Serviced by 18 GPs • 4 practices, 3 provide medical care to more than 95% of the residents

  3. GP PANEL • 2 GPs • Director of nursing (DON) • Manager of low care • Managing director of RACF • Pharmacist • Aged Care GP Panels program manager • 1 hour Bimonthly GP Panel breakfast meeting • Quarterly Medication Advisory Committee meeting

  4. GP ISSUES • GP owed scripts • Limited nursing support for GPs • Residents without medication • No dedicated area for GPs • All records are paper based centrally • No current GP model of care • Poor communication • No designated car parking for GPs • No IT system • Lack of utilisation of appropriate item numbers

  5. PHARMACY ISSUES • GP owed scripts • Potentially medico legally compromised by providing medications without scripts • Each pharmacy works to different standards • Residents without medication • Pharmacy losing money

  6. FACILITY ISSUES • GP owed scripts • DON not able to make certain decisions without consulting with managing director in Melbourne • All records are paper based centrally • Poor documentation • Lack of communication • Due for re-accreditation this year • Funding issues – Aged Care Funding Instrument (ACFI) • Inefficient systems in place • Limited staff education • Staff stress • Lack of protocols

  7. ISSUES FOR RESIDENTS • Having to pay for scripts when they have reached the safety net • No medication • Medication swapped-potential for medication mismanagement • New residents without GP • Transported to A & E due to lack of medical services • Family distress & frustration (often family unaware) • Overall compromised care

  8. CATALYST TO DISASTER • Pharmacy decided to stop supplying medications without a script • Certain residents without own medication • Medication sharing and swapping • GPs disenchanted & threatening to withdraw services • New residents without a GP Each player not aware, or understanding of each others roles and responsibilities

  9. Facility COLLISION COURSE Pharmacy

  10. NEED FOR MEDIATION • Decision to contact an independent mediator • Dr Jane Fyfield – Healthcare International MBBS; DGM; Grad Dip Health Admin; MPH Emial address - jfyfield@optusnet.com.au • Cost - $2,950 plus GST

  11. PROCESS • Mediator discussed issues with: • GPs from each clinic • Pharmacist • Managing director of facility • DON & manager of low care • Finance manager of facility • Aged care program manager • Report compiled and distributed to all parties • Mediation meeting with all parties to discuss: • Identified issues • Roles • Recommendations • Implementation

  12. WHERE TO FROM HERE? Recommendations • IT • GP Model of Care • Communication • Staffing

  13. WHO IS RESPONSIBLE? - Facility Accommodating GPs • Reserved car parking • Designated work area • IT interface with GP software • Nursing support for GPs • Availability Communication strategy • Communication book • Pigeon holes for clinics/GPs • Clinical pathways

  14. WHO IS RESPONSIBLE? - GPs • GP Model of Care • Sharing residents between GPs – maximise efficient use of time • After hours arrangements in place • Regular visiting times • Medication management • Utilise item numbers effectively • Good record keeping • IT implementation • Recall systems • GP involvement in GP Panels & Medication Advisory Committee

  15. WHO IS RESPONSIBLE? - Pharmacy • List for GPs currently owing scripts • New process for future script renewal, requests be provided to next medication advisory committee for discussion and dissemination • Pharmacy needs to have model for GPs to accept

  16. WHO IS RESPONSIBLE? - CWGDoGP • GP Model of Care • IT Committee

  17. How do we know when we are there? Acknowledgements: Department of Health & Ageing General Practice Victoria Healthcare International, GPs, DON, Manager low care, Facility Managing Director, Facility Finance Manager, Board Members & CEO of Central West Gippsland Division of GP

More Related