The GP Network Northside Practice Support Team offer on-site support and training for all staff on Chronic Disease Management (CDM) and Health Assessment MBS items.

The CDM and Health Assessment items were introduced to improve coordination of care for people with chronic conditions and complex care needs, and to provide more preventative care. The items provide a framework for a multidisciplinary approach to health.

Contact your Practice Support Officer on 9477 8700 for support.

Resources

Desktop Guide to Item Numbers Flipchart
1. Desktop Guide to Item Numbers
2. Chronic Disease Management and GP Multidisciplinary Case Conference Items Summary
3. Health Assessment Items Summary
4. Mental Health Items Summary
5. Pap Smear Items Summary
6. Practice Nurse Items Summary
7. Residential Aged Care Facility Items Summary
8. Systematic Care Claiming Rules
9. GP Mangement Plan, Team Care Arrangement and Reviews Flowcharts
10. Health Assessment – Healthy Kids Check Flowchart
11. Health Assessment – Type 2 Diabetes Risk Evaluation Flowchart
12. Health Assessment – 45-49 Year Old Flowchart
13. Health Assessment – 75 Years and Older Flowchart
14. GP Mental Health Treatment Plan and Review Flowcharts
15. Home Medicines Review Flowchart
16. Residential Medication Mangement Review Flowchart
17. Diabetes Annual Cycle of Care SIP Flowchart
18. Asthma Cycle of Care SIP Flowchart
19. PIPs and SIPs Summary

Web Links

DoHA – MBS Primary Care Items
Medicare Benefits Schedule Online
Australian Absolute Cardiovascular Disease Risk Calculator
NSW Attorney General’s Department – Capacity Toolkit
DADHC – Planning Ahead Fact Sheets

Coronary Heart Disease Web Links

Heart Foundation Guide to Management of Hypertension
Heart Foundation Reducing Risk in Heart Disease Guidelines

Moving On: A self-management program for people with a chronic illness

GP Network Northside is currently involved in the evaluation of a new chronic disease self-management program - Moving On. Click here to learn more about the program and the research study.