3rd Edition RACGP Standards for General Practice

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3rd Edition RACGP Standards for General Practice

• Key changes to Standards and how to meet them
• Rodney Mackintosh
• Practice Support Officer
• rodney.mackintosh_at_mdgp.com.au

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Discussion

• Highlight
• Practice areas concerned
• Standards concerned
• Associated indicators
• Whats changed from former standards
• What you can do

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Areas Concerned

• Management of health information
• Continuity of care
• Safety and quality
• Access to care
• Collaborating with patients
• Content of patient health records
• Practice systems

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Management of Health Information

• 4.2.2 IT Security Requirements
• Mandatory IT requirements
• Former standard 4.2.1 no specific security
  requirements only flagged indicator related to
  privacy of patient medical records
• Conduct a computer security self-assessment

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Continuity of Care

• 1.5.3 Consistent Approach
• Consistency in diagnosis of conditions
• Regular meetings to discuss clinical care
• Former standard 1.3.2 clinical meetings
  recommendation
• Regular and documented meetings to discuss
  clinical procedures are handled consistently
  throughout the practice

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Continuity of Care

• 1.5.4 System for follow up of tests / results
• Written policy and system for follow-up and
  recall for clinically significant tests /
  results
• Former standard 4.2.5 recall for significantly
  abnormal tests and imaging results
  recommendation
• Update policy on patient recall

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Safety and Quality

• 3.1.1 Quality improvement activities
• Describe aspects of the practice that have been
  improved
• Former standard no specific requirements to
  show improvements in the practice
• Improvements can relate to almost any aspect of
  the practice

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Safety and Quality

• 3.1.2 Clinical risk management system
• Identifying and reporting errors in clinical care
• Improvements made to prevent reoccurrence
• Former standard none
• Reporting process (register)

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Access to Care

• 1.1.1 Scheduling care and opening hours
• Flexible system to accommodate patients
• patients informed of availability of longer
  consultations (feedback)
• urgent matters identified and attended to
  (feedback) policy
• Former standard 1.1.2 consultation available
  with a doctor within 2 days
• No major changes required

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Collaborating with Patients

• 2.1.2 Patient feedback
• Process for receiving and responding
  appropriately to feedback
• Contact information for health complaints
  agencies available on request
• Former standard 2.1.7 procedure for receiving
  and responding to complaints
• Make relevant and appropriate changes

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Content of Patient Health Records

• 1.7.1 Patient health records
• Legible and contain relevant clinical data and
  demographic and contact details
• Recording self-identified cultural background
  details
• Former standard no requirement to include
  patient cultural background information
• Raising awareness of health related aspects of
  care

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Content of Patient Health Records

• 1.7.2 Health summaries
• Active patient records contain details of
  allergies (90) and a health summary (50)
• Updated to reflect recent important events
• Former standard 1.4.2 significant proportion of
  active patient records contained a current and
  accurate health summary
• Start collecting relevant info from patients

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Practice Systems

• 4.1.1 Human resource system
• Staff can describe their roles Feedback
  complaints mechanism
• Clinical improvements mechanism Admin matters
  discussed when necessary Induction program
• Former standard 3.1.4 admin matters discussed
  when necessary staff meetings recommended
• Documented induction program

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Questions

• Maintenance of standards
• Is it regular / ongoing or is it aligned with
  your accreditation cycle?
• Areas of need / concern
• What area(s) of the standards cause you most
  concern?
• Ongoing support requirements
• What ongoing / additional support do you need
  from the Division?