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Medical Director / BEST PRACTICE Resources

Please ensure when downloading templates, right click on template and save as to a location on your computer and DO NOT OPEN TEMPLATE until you import it into your clinical software. If you require assistance with these templates please phone Kim van Bruchem at the Division on (02) 6884 0197 or via email: kvanbruchem@dubboplainsdgp.com.au

HOW DO I DOWNLOAD MEDICAL DIRECTOR TEMPLATES?

HOW DO I DOWNLOAD BEST PRACTICE TEMPLATES?

H E A L T H A S S E S S M E N T S

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Item	Description	Location	Criteria	Medical Director Template	Best Practice Template
700	Health Assessment	Consulting Room	Aged 75+ Payable Annually	75+ Health Assessment	75+ Health Assessment
702	Health Assessment	Home or Equivalent	Aged 75 +Payable Annually	75+ Health Assessment	75+ Health Assessment
704	Health Assessment (ATSI)	Consulting Rooms	55 Yrs + Payable Annually	55+ Health Assessment	55 + Health Assessment
706	Health Assessment (ATSI)	Home or Equivalent	55 yrs + Payable Annually	55 + Health Assessment	55+ Health Assessment
708	Child Health Check (ATSI)		0-4 Years Payable 9 monthly	0-4 Yrs 5-9 Yrs 10-14 Yrs	0-4 Yrs 5-9 Yrs 10-14 Yrs
710	Adult Health Check (ATSI)	Consulting Rooms/Home	15-54 Yrs Payable 18 Monthly
712	Comprehensive Medical Assessment (CMA)	Consulting Rooms or Residential Aged Care Facility of permanent resident of Aged Care Facility	Payable Annually
717	Health Check		45 Year Old - Once only
718	Health Assessment Intellectual Disability	Consulting Rooms	Payable Annually	MD Template	BP Template
719	Health Assessment Intellectual Disability	Home or Equivalent	Payable Annually	MD Template	BP Template

C H R O N I C D I S E A S E M A N A G E M E N T

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Item	Description	Location	Criteria	Medical Director Template	Best Practice Template
721	Preparation GP Management Plan		Payable 2nd yearly (annually only if significant change)	MD Template
723	Coordination of Team Care Arrangements		Payable 6 monthly (3 monthly if significant change)	MD Template
721/723	Combined GP management Plan & Team Care Arrangements			Combined MD Template	Combined BP Template
725	Review of a GP Management Plan		Payable 6 monthly (3 months if significant change)
727	Coordination of Review of Team Care Arrangements		Payable 6 monthly (3 months if significant change)
729	Contribution to a Multidiciplinary Care Plan or Team Care Arrangements Prepared by other provider.		Payable Annually (6 months if significant change)
731	Contribution to a Multidisciplinary Care Plan prepared by an Aged Care Facility		Payable Annually (6 monthly if significant change)

M E N T A L H E A L T H

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Item	Description	Location	Criteria	Medical Director Template	Best Practice Template
2710	GP Mental Health Plan		Payable Annually
2712	Review GP Mental Health Plan		Payable 6 monthly
2710/2712	GP Mental Health Plan + Review			MD Template	BP Template
2713	GP Mental Health Consultation		>20 mins
ATAPS	Access to Allied Psychological Services		GP Mental Health Plan + Low income only	MD2 Template MD3 Template	BP Template
K10	Assessment Tool			K10	K10
Schedule 1				MD Template	BP Template
Other Mental Health tools for download
ATAPS	Hand written form		GP Mental Health Plan + Low income only	Referral - Focused Psychological Strategies	Referral - Focused Psychological Strategies
Edinburgh	Post Natal Depression			Edinburgh Post Natal Depression	Edinburgh Post Natal Depression
K10	Assessment Form			K10	K10
SF 12	Short Form	Excel Format		SF12	SF12
MMSE	Mini Mental State Examination			Mini Mental State Examination	Mini Mental State Examination
DASS 21				DASS Response form	DASS Response form

C A S E C O N F E R E N C E

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Item	Description	Location	Criteria	Medical Director Template	Best Practice Template
734	Organise & Facilitate a Case Conference	Residential Aged Care Facility	15-30 minutes	*MD template	*BP Template
736	Organise & Facilitate a Case Conference	Residential Aged Care Facility	30-45 minutes	*MD template	*BP Template
738	Organise & Facilitate a Case Conference	Residential Aged Care Facility	> 45 minutes	*MD template	*BP Template
740	Organise & Co-ordinate a Community Case Conference		15-30 minutes	+MD Template	+BP Template
742	Organise & Co-ordinate a Community Case Conference		30-45 minutes	+MD Template	+BP Template
744	Organise & Co-ordinate a Community Case Conference		> 45 minutes	+MD Template	+BP Template
746	Organise & Co-ordinate a Discharge Case Conference		15-30 minutes	+MD Template	+BP Template
749	Organise & Co-ordinate a Discharge Case Conference		30-45 minutes	+MD Template	+BP Template
757	Organise & Co-ordinate a Discharge Case Conference		> 45 minutes	+MD Template	+BP Template
759	Participate in a Community Case Conference		15-30 minutes	+MD Template	+BP Template
762	Participate in a Community Case Conference		30-45 minutes	+MD Template	+BP Template
765	Participate in a Community Case Conference		> 45 minutes	+MD Template	+BP Template
768	Participate in a Discharge Case Conference		15-30 minutes	+MD Template	+BP Template
771	Participate in a Discharge Case Conference		30-45 minutes	+MD Template	+BP Template
773	Participate in a Discharge Case Conference		> 45 minutes	+MD Template	+BP Template
775	Participate in a Residential Aged Care Facility Case Conference		15-30 minutes	*MD template	*BP Template
778	Participate in a Residential Aged Care Facility Case Conference		30-45 minutes	*MD template	*BP Template
779	Participate in a Residential Aged Care Facility Case Conference		> 45 minutes	*MD template	*BP Template

M E D I C A T I O N M A N A G E M E N T

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Item	Description	Location	Criteria	Medical Director Template	Best Practice Template
900	Participation by a GP in a Domiciliary Medication Management Review		Payable Annually
903	Participation by a GP in a Residential Medication Management Review	Permanent residents of Aged Care Facility	Payable Annually	MD Template

G E N E R A L T E M P L A T E S

Item	Description	Location	Criteria	Medical Director Template	Best Practice Template
	Workcover Report on Injured Worker			MD Template	BP Template
	Centrelink Cert			MD Template	BP Template
	Death Certificate			MD Template	BP Template
	Workcover Insurance report.			MD Template
	Veteran Affairs D904 Form			MD Template	BP Template

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Dubbo Plains Division of General Practice
258 - 260 Macquarie Street
PO Box 1834 Dubbo NSW 2830
Phone (02) 6884 0197 Fax (02) 6884 0198
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