Winter Strategy 2019 practice initiatives

The aim of this initiative will support practices to lead heightened quality care for those patients’ clinicians think are at high risk of being unstable, very unwell or admitted to hospital during the 2019 flu season.

From a total of 25 submissions,

  • 11 practices were successful in obtaining funding
  • 8 out of 12 of our clusters regions were represented in the project, providing good spread across the catchment
  • over $170K of funds have been dispersed primarily on supporting general practices in trialing quality improvement activities for the upcoming flu season, and to support the upskilling of primary care staff across the region
  • 5 of the 11 practices will be utilising the Patient Activation Management (PAM) tool, which will include the upskilling of 14 clinicians in tailoring their care to appropriately support their patients’ needs.

Below is a summary of the practices which have been funded:

  • Kiama Medical Practice – will implement four quality improvement activities which focus on patients with diabetes, chronic conditions, chronic obstructive pulmonary disease (COPD) and those using multiple medications. The practice aim to enhance their recall and reminder system so that they can identify and proactively recall patients to have the flu shot, and to train staff in data management.
  • Ulladulla Endoscopy and Medical Centre – will develop a diabetes management clinic with Local Health District involvement. By doing this, they hope to increase their practice’s capacity to improve patient outcomes by targeting patients with HbA1C>7% and with minimal GP contact in the last six months.
  • Brindabella Family Practice (Queanbeyan) – will implement three quality improvement activities which focus on patients with asthma or COPD, or are Aboriginal and Torres Strait Islander. The practice aim to improve their vaccination rates and deliver more comprehensive care.
  • Queen Street Medical Practice (Moruya) – will implement into their practice two quality improvement activities which are focused on patients with COPD and multiple chronic conditions. These will be nurse-led clinics aiming to increase patient self-management skills and to decrease any exacerbations.
  • Equilibrium Healthcare (Helensburgh) – will implement two quality improvement modules into their practice which are focused on patients with COPD and cardiac conditions. Their aim is to start a pulmonary and cardiac rehabilitation service within the practice due to gaps in local services.
  • Junction Street Family Practice (Nowra) – will implement two quality improvement activities which are targeted at their patients with respiratory conditions, such as asthma and COPD. The aim is to increase vaccinations amongst these patients, and optimise the management of their conditions.
  • Meroo Street Family Practice (Bomaderry) – will introduce shared medical appointments for patients with asthma and COPD, and for Aboriginal and Torres Strait Islander patients. The sessions will be facilitated by the GP, with a practice nurse and various allied health professionals involved.
  • Gerringong Family Medical Practice – will be targeting patients with COPD as recent data shows a decline in flu vaccination rates amongst this group.
  • Sapphire Coast Medical Practice (Bega) – the practice will be targeting patients with COPD who had no influenza vaccination in the last year. They will aim to deliver a coordinated and comprehensive care approach to these patients.
  • Sapphire Clinic (Merimbula) – will be targeting patients with asthma and COPD in an attempt to increase the vaccination rate amongst their respiratory patients, following low rates last year.
  • Windang Beach Family Medical Practice (Windang) – will be running nurse-led clinics to target numerous high risk patients to trial group self-management sessions.