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IT Solutions for General Practice Ask, Triage, Manage

IT Solutions for General Practice Ask, Triage, Manage. Prepared for: Smokefree Nurses Aotearoa/New Zealand. March 2010 Prepared by: Lis Cowling – Harbour Health Kindly presented by: Lynn Stevenson. Tobacco Control: Brief Advice and Interventions in Primary Care.

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IT Solutions for General Practice Ask, Triage, Manage

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  1. IT Solutions for General PracticeAsk, Triage, Manage Prepared for: Smokefree Nurses Aotearoa/New Zealand March 2010 Prepared by: Lis Cowling – Harbour Health Kindly presented by: Lynn Stevenson

  2. Tobacco Control:Brief Advice and Interventions in Primary Care • More Quit Attempts, More Often • “ABC” approach for health care workers • Primary care targeted to implement “ABC” • Development of ABC E-learning tool for primary care

  3. To address • Knowledge • Skill • Priority • Recording • Guidelines and Evidence • Time and funding Resource ABC e-learning tool and training will begin to assist with the barrier of knowledge – ATM Tool will do the rest!

  4. Background • Professor Paul McDonald, University of Waterloo, Canada • Paper based questionnaire to indicate readiness and level of support required to quit smoking • Triage into appropriate smoking cessation service to suit individual • Permission given to Harbour Health to create electronic, NZ version of tool

  5. Development • Steering Group formed • Adapted to NZ environment • Web Based, linked into PMS Systems • Brief Intervention statement prompts • Decision support • NZ National Guidelines • Patients triaged to best personal cessation option

  6. Linking with PMS ATM - Linking with MedTech 32

  7. Brief Advice

  8. Intervention - Referral

  9. Intervention - Prescribing

  10. Intervention - Prescribing Info and • Contraindications

  11. Intervention - Patient Advice

  12. ATM Pilot Piloted in 12 Harbour Health Practices Sept 09 to Dec 09 – 28 GPs and 7 PNs • Participants found the ATM to be user-friendly (72%) and to be ‘helpful’ or ‘very helpful’ in raising the issue of smoking with their patients (74%), exploring smoking cessation options with their patients (83%), and in knowing the best service to refer their patient to (71%). (Full evaluation available: www.harbourhealth.org.nz )

  13. Future Watch this space! Working with MoH to look at feasibility of a national roll out ….. Acknowledgements: • Professor Paul McDonald, Waterloo University, Canada • ATM Steering Group • MoH for funding this project

  14. Contact Details Lis Cowling Email: lcowling@harbourhealth.org.nz DDI: 09 448 0462 Mobile: 0275 502 400 Harbour Health 42B Tawa Drive, Albany, AK www.harbourhealth.org.nz

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