Putting prevention into practice (Green Book)

Appendix 04(2) What is your weight? kg Women only _____________ / _____________ (3) Have you ever had rubella (german measles)(3) What is your height? cm or the rubella vaccine? _____________ / _____________ Yes No Unsure6. Alcohol(1) How often do you drink alcohol? 9. CancerNever Go to Q7 (1) Do you protect yourself from the sun when outdoors?Monthly2–3 times 2–4 times wear protective clothing4–6 times Every day always often sometimes rarely(2) On a day you drink alcohol, how many drinks neverdo you usually have? use sunscreen creams1–2 3 or 4 always often5 or 6 7–9 sometimes rarely10 or more never(3) How often do you have six or more drinks Women only on one occasion? (2) Have you had a Pap test in the past 2 years?Never Monthly or less Yes No UnsureWeekly Daily or almost dailyIn the past 12 months have you had any 10. Medicationsconcerns about your drinking? (1) Do you regularly use any nonprescription drugs (eg. over-the-counter)?Yes No Yes which ones? Please list * ____________________________________Unsure No (2) Do you regularly use any herbal or other7. Mental health natural medicines? (1) During the past month have you often been Yes which ones? Please list bothered by feeling down, depressed or * ____________________________________ hopeless? No Yes No (3) Do you use any recreational drugs, eg. Unsure marijuana, speed, ecstasy? (2) Do you feel that you have someone to talk to Yes which ones? Please list or support you if you need to? * ____________________________________ Yes No No Unsure Those age less than 50 years go to Q138. Immunisation(1) When was your last tetanus booster?MM/YYYY____________ / ____________Unsure Never 11. For those 50 years and older (1) In the past 2 years have you used a special kit(2) Have you had 3 doses of polio vaccine (drops (bowel cancer testing kit) to test your stool or injection)? (poo) for blood? Yes No Yes No Unsure UnsurePutting prevention into practice – guidelines for the implementation of prevention in the general practice setting 2nd edition 85

Appendix 04(2) In the past 12 months, have you had a fasting (5) Have you had your hearing checked in the past blood sugar level taken to test for diabetes? year? Yes No Yes No Unsure UnsureWomen only (6) Do you ever have trouble with your bladder?(2) Have you had a mammogram (breast X-ray) Yes No Unsurein the past 2 years? Do you ever lose your urine or get wet? Yes No Yes No Unsure 13. What health topics would you like more information about?12. For those 65 years and over PLEASE RETURN THIS COMPLETED QUESTIONNAIREThose age 50–64 years go to Q13 TO THE PRACTICE STAFF LET THE DOCTOR KNOW IF YOU WOULD LIKE(1) When was the last time you were immunised TO REVIEW THIS INFORMATION against influenza? ANOTHER APPOINTMENT MAY BE REQUIRED IF THERE IS A LOT TO COVER/DISCUSSMM/YYYY____________ / ____________ Unsure Never(2) When was the last time you were immunisedagainst pneumococcal pneumonia?MM/YYYY____________ / ____________ Unsure Never(3) Have you had a fall in the past year? Yes Did you injure yourself? No(4) Have you had your vision checked in the past year? Yes No Unsure86 Putting prevention into practice – guidelines for the implementation of prevention in the general practice setting 2nd edition

Appendix 05Checklist for assessing the quality of patient education materialsIssue Response Comment(s)AudienceWho is the material aimed at?Does it reflect the diversity of the audience?Will your practice population understandand accept the information?Consider literacy levels, language, cultural practicesContentIs it informative?Is the meaning clear and concise?Does it reflect the most important preventionareas identified?Does it discuss common misconceptions?Does it discuss areas of uncertainty?Does it provide a balanced view?Does it address all meaningful outcomes,including quality of life?Is it about a sensitive topic that needs care in its use?Is an action or a response asked for?(If so, this may need to be followed up)SourceIs the source of the information clear?Is the information valid, unbiased and evidencebased?Is it topical?Is the material up-to-date? Check the latest editiondate and suggested review dateDoes it provide details of additional sourcesof support and information?ClarityIs it easy to read?Is sufficient detail provided?Are the aims clear?StyleIs it positive/encouraging?Does it promote shared decision making?Is the physical presentation simple and engaging?Is the print of adequate size for the elderlyor sight impaired? Putting prevention into practice – guidelines for the implementation of prevention in the general practice setting 2nd edition 87

06 AppendixState prevention contacts WESTERN AUSTRALIA The DirectorQUEENSLAND Health Promotion ServicesSenior Project Officer Health Department of WAPublic Health Services Ground floor, C BlockQueensland Health Department 189 Royal StreetGPO Box 48 East Perth 6004Brisbane 4000 Ph: 08 8226 6421Ph: 07 3234 0111 Fax: 08 8226 6133Fax: 07 3221 0951 www.health.wa.gov.auwww.health.qld.gov.au SOUTH AUSTRALIATASMANIA ManagerHealth Promotion Policy Officer Health Promotion UnitDepartment of Community Services and Health CommissionHealth Box 6GPO Box 125B Rundle Mall Post OfficeHobart 7001 Adelaide 5000Ph: 03 6233 3551 Ph: 08 8226 6421Fax: 03 6233 2899 Fax: 08 8226 6133www.dhhs.tas.gov.au www.health.sa.gov.auVICTORIA NEW SOUTH WALESGeneral Practice Unit ManagerHealth Enhancement Unit Health Promotion BranchDepartment of Human Services NSW Health Department16th floor Locked Mail Bag 961120 Spencer Street North Sydney 2059Melbourne 3000 Ph: 02 9391 9000Ph: 03 9637 4021 Fax: 02 9391 9579Fax: 03 9637 4077 www.health.nsw.gov.auwww.dhs.vic.gov.au AUSTRALIAN CAPITAL TERRITORYNORTHERN TERRITORY ManagerManager Health Promotion UnitCasuarina Community Care Centre ACT HealthTerritory Health Services GPO Box 825PO Box 40596 Canberra 2601Casuarina 0811 Ph: 02 6207 5111Ph: 08 89 227 301 www.healthpromotion.act.gov.auFax: 08 89 227 477www.nt.gov.au/ntg/health.stml88 Putting prevention into practice – guidelines for the implementation of prevention in the general practice setting 2nd edition

Index 07A clinical care coordinator, role PRACTICE preventionability of 17 framework 12in the consultation 23–7of the community and the clinics 38 see also partnerships (with collaboration patients); partnerships (with health system 55–6 in the community and the practice staff)of the practice 37–46PPIP 71–3 health system 60–2 coordinator for practicePRACTICE prevention in the consultation 31–3 prevention 17 in the practice 51 framework 11–12 PPIP 76 coronary heart diseaseaccess to disadvantaged PRACTICE prevention patients, applying PDSA cycle 6–7 groups, improving 57 framework 13–14access to services, improving see also partnerships current prevention performance 8 56 (with other health careact on the results (A) 6 professionals) cycle planning process, use‘Afternoon tea with my GP’ collaborative care 38 of 13 the community and the 39 health system Dalternative ways of delivering ability 55–6 applying the framework decision aids, use of 26–7 prevention activities 38–9 55–63 decision balance 24applying the framework collaboration 60–2 diabetes management 21to the community and the coordination 56–8 diabetes screening in general iterative cycles 59–60 health system 55–63 principles 55 practice 19to the consultation 22–35 receptivity 55 disadvantaged groups 9–10to the practice 36–63 targeting 58–9 addressing the needs of 57audit, case note 49 community events 61 improving access and serviceAustralian Government community organisations 61 the consultation 22 delivery to 57 Health Priority Areas 58 ability 23–7 divisions of general practiceAustralian Primary Care applying the framework SNAP implementation, NSW 22–31 Collaboratives Program 59 collaboration 31–3 28 coordination 27–8 support for general practiceB effectiveness 33–4barriers to change 36 iterative cycles 31 in the community 61barriers to implementation, principles 22 use of 21 receptivity 22–3 do the change (D) 5 identifying 12 targeting 28–31 domestic violence 59benefit/cost considerations 11 coordinationbenefit of in the community and the E health care system 56–8 treatment/intervention, in the consultation 27–8 effect–performance paradox assessing 81–3 in the practice 46 53–4Better Outcomes in Mental PPIP 74–5 Health initiative 39 effective information‘buddy system’ 19 management 20–1C effectivenesscapability see ability in the community and thecase note audit 49change health system 62–3and your practice 4–5 in the practice 51–4stages of 3–4 of the consultation 33–4 PPIP 76–7 PRACTICE prevention framework 14Putting prevention into practice – guidelines for the implementation of prevention in the general practice setting 2nd edition 89

Index efficiency effective information O PPIP 76–7 management 20–1 PRACTICE prevention one minute interventions patient centred approach 16 using the 5A framework framework 15 practice nurses 17–19 34, 35 electronic resources, use practice prevention team opportunities for prevention of 42 19–20 activities 31 exercise enablers 38 utilising available supports 21 information management, organisational infrastructure F 11 flags (reminders) 45 effective 20–1 Internet, use of 42 outcomes, strategies to make G interventions them visible 11 GP workload, practice nurse’s efficient and practical P role in reducing 18 strategies 35 GPs four levels 36 Pap tests 29 at the forefront of one–minute 34–5 paper based recall system 45 intra–practice communication partnerships (with other prevention 2 attitudes/beliefs toward 50 health care professionals) iterative cycles 38–9, 60–2 prevention activities 11 in the community and the partnerships (with patients) benefits of prevention 3 13 contribution to delivery health system 59–60 GP strategies and tools in the consultation 31 to support 32–3 of prevention 15 in the practice 50 partnerships (with practice group education 39 PPIP 75–6 staff) 13 PRACTICE prevention involving partners in patient H care 61 hazardous drinkers framework 13 patient adherence, issues decision balance 24 and strategies 24 one-minute interventions 35 K GP factors 24–5 health departments 61 knitting while you wait 51 intervention factors 25 health priority areas 58–9 patient factors 25–6 health promotion campaigns L patient centred approach lifestyle change (SNAP) 29 9, 16 39, 51, 63 of the consultation 31–2 health summary sheet 46 M patient centred model 32 health system see the mammography 29 patient drinking at a men’s health at the local pub hazardous level, decision community and the health balance 24 system 40 patient education materials healthy inequality 9–10 men’s health promotion in checklist for assessing quality of 87 I a rural setting 51 providing quality 39–40 immunisation 29 model for prevention 2 patient group sessions 39 implementation interventions, motivational interviewing patient held records, use of 27 reviewing 31 22–3 patient information implementation process strategies 23–4 be strategic with 40 changing 13 multifaceted interventions, managing 41 deciding/targeting 13 Patient Prevention Survey 28 efficiency 15 effect size, by number adult survey form 84–6 implementation strategies of interventions 53 patient register 43–4 development 44 10–11, 14 N patient self management effectiveness in improving natural history of disease, strategies 33 patient surveys 47–8 prevention 52 and level of prevention 1 managing 48 improved prevention needs assessment tools 47 networking nights for GPs 60 performance strategies New South Wales divisions 16–21 designated coordinator for of general practice, SNAP practice prevention 17 implementation 28 number needed to treat (NNT) 81–390 Putting prevention into practice – guidelines for the implementation of prevention in the general practice setting 2nd edition

Indexpatients coordination 74–5 providing quality preventionas partners 13, 32–3 effectiveness and efficiency information 39–40benefits of prevention 3payment incentives 17, 21 76–7 Q‘plan, do, study, act’ (PDSA) iterative cycles 75–6 quality improvement principles 72 cycle 5–7, 13, 59 receptivity 72–3 approaches 59application to identifying targeting 75 quick guide to putting practice prevention team CHD patients 6–7 prevention into PRACTICEplan the change (P) 5 19–20 78–80planning for prevention 3–7 practice staffchange and your practice 4–5 benefits of prevention 3 R‘plan, do, study, act’ (PDSA) contribution to delivery randomised control trials cycle 5–7 of prevention 15 (RCTs) 33stages of change 3–4 prevention reality pyramid, for smokingpneumococcal polysaccharide benefits of 3 GPs as the forefront of 2 cessation 15–16 vaccine, return on effort 54 levels of 1 recalls 45population health model for 2 receptivity planning for 3–6 in the consultation 22–3 information, gathering prevention activities of the community and the and using 49–50 alternative ways of deliveringPPIP see practice prevention health system 55 inventory and plan 38–9 of the practice 37the practice assessing opportunities for 31 PPIP 72–3ability 37–46 prevention approach, PRACTICE preventionapplying the framework 36–54 sustainability 15 framework 10–11collaboration 51 prevention framework in recruiting other health carecoordination 46effectiveness 51–4 general practice 8–21 practitioners/lay healthiterative cycles 50 applying the framework workers 38principles 36–7 referrals 62rationale 36 22–63 reflection, opportunity for 13receptivity 37 PRACTICE prevention reminders 45practice nurse clinic 17 efficient use of 45practice nurses framework 9–16 return on effort,cost effectiveness 17 strategies for improved pneumococcaleffectiveness 17 polysaccharide vaccine 54role of 18 prevention performancePRACTICE prevention 16–21 S framework 9 prevention information, secondary prevention 1ability 11–12 providing quality 39–40 self management strategiescollaboration 13–14 prevention performance,coordination 12 current 8 (patients) 33effectiveness 14 prevention targets 41 75+ health assessment 17efficiency 15 preventive approach, reason smokers, one minuteiterative cycles 13 for 1–2principles 9–10, 72 primary prevention 1 interventions using the 5Aquick guide 78–80 principles framework 34, 35receptivity 10–11 in the community and the smoking cessation, realitytargeting 12–13 health system 55 pyramid 15–16practice prevention inventory in the consultation 22 SNAP 28, 29 and plan (PPIP) 71–7 in the practice 36–7 SNAP guideline 27–8ability 73–4 PPIP 72 stages of change model 3–4,collaboration 76 PRACTICE prevention 22 framework 9–10 State prevention contacts 88 priority prevention areas, study (S) 6 identifying 12 surveys, patient 28, 47–8, prompts 45 84–6 sustainable patient centred consultations 30Putting prevention into practice – guidelines for the implementation of prevention in the general practice setting 2nd edition 91

Index systematic and whole of practice approach to preventive care 9, 10 T target goals 12 target groups, identifying 12 targeting in the community and the health system 58–9 in the consultation 28–31 in the practice 46–50 PPIP 75 practical and circumstantial factors 30 PRACTICE prevention framework 12–13 priority groups and individuals 28–9 Team Health Care II 56 teamwork 13, 14 tertiary prevention 1 V Vietnamese Primary Health Care Network 63 W waiting room knitting 51 walking groups 40 whole of practice approach to preventive care 9, 10 workplace programs 61 Y youth health clinics and services 6192 Putting prevention into practice – guidelines for the implementation of prevention in the general practice setting 2nd edition

NotesPutting prevention into practice – guidelines for the implementation of prevention in the general practice setting 2nd edition 93

Notes94 Putting prevention into practice – guidelines for the implementation of prevention in the general practice setting 2nd edition