DVA InPHo (Information for Public Hospitals) Issue 4 April 2010 Australian Government – Department of Veterans’ Affairs Issue #4 April 2010 Introduction Welcome to Issue # 4 of DVA InPHo (Information for Public Hospitals) As the newly appointed National Manager of the Primary Health Group in DVA’s Services Division, I am delighted to introduce myself to you in this first issue of DVA InPHo for 2010. In my new role I have quickly become aware of the importance DVA places on its arrangements with public hospitals and on the care provided to veterans through those arrangements. I can assure you I will be continuing to seek opportunities to strengthen DVA’s relationships with public hospital staff, and to provide you with the latest news on DVA-funded health services and relevant initiatives through various avenues, including DVA InPHo. That brings me to Issue #4 which features a range of informative articles, one of which, I take particular pleasure in introducing to you. The article is about a Veteran Liaison Officer (VLO) who has excelled in this role and has been awarded a Meritorious Certificate by DVA . Also featured are articles on: Changes to DVA Cards – designed to increase veterans’ access to services, provider satisfaction and card security Procedures for DVA funded Convalescent Care Services to Veterans – obtaining prior financial approval from DVA Information for Medical Practitioners Package – an information package about the various DVA-funded health services available to veterans Hospital Discharge Planning Seminars for 2010 – advising about seminars planned for Adelaide in May and Perth in August DVA Exhibits at Health Provider Conferences – details of health provider conferences where DVA will feature exhibits Veterans’ Medicines Advice and Therapeutic Education Services (Veterans’ MATES) – introduces Module 22: Prochlorperazine: a new look at an old drug Home Front - DVA-subsidised falls and accident prevention program New Suppliers for Continence Products - Intouch and Independence Australia The Right Mix – revised and revamped I hope you will find Issue #4 informative and I encourage you to distribute it as widely as possible among staff at your facility, and to send any feedback or suggestions for future topics to: providerpartnering@dva.gov.au. I look forward to meeting you at a DVA or provider association event during 2010. Letitia Hope National Manager Primary Health April 2010 Letitia Hope (National Manager – Primary Health) Veteran Liaison Officer awarded Meritorious Certificate by DVA Stephen Hartle, VLO for Barwon Health at Geelong Hospital (front left in photograph), has been recently acknowledged for his exceptional service to the veteran community, with the presentation of a Meritorious Certificate by DVA’s Deputy Commissioner, Victoria, Mr Mike O’Meara (back right in photograph), and the Secretary of the Department, Mr Ian Campbell (front right in photograph). Stephen commenced as the VLO at Geelong Hospital in 2001 and, since then, his work has involved overseeing the coordination of veterans’ stays in the hospital; a particularly important aspect of the VLO role being to liaise with patients and/or their families to ensure effective discharge planning. From the start, Stephen has demonstrated a clear commitment to achieving the best outcome for members of the veteran community from admission through to discharge and sometimes on to post discharge care. He has actively promoted Barwon Health’s ‘Gold Card Total Care’ program designed to honour the sacrifices of veteran community members by providing priority health care to gold card holders. Through Stephen’s promotion of this program, Barwon Health staff have a greater understanding of the veteran community and their important contribution to this country. DVA would like to congratulate Stephen on this award and to thank him for his ongoing efforts to assist the veteran community. Stephen Hartle (front left), Ian Campbell (front right), Mike O’Meara (back right). Changes to DVA Cards All DVA Cards are due to expire during 2010 and from May 2010 DVA will begin reissuing all cards. As part of this reissue there will be some improvements made to DVA cards and all eligible veterans, war widows/widowers and dependants will be issued with a new card. Changes to DVA Cards will not reduce eligibility for current DVA card holders. The changes are being made to the cards to increase: veterans’ access to services; provider satisfaction; and security of the cards. Specialised descriptions on DVA Gold Cards will remain unchanged, these descriptions include but are not limited to: Totally and Permanently Incapacitated; War Widow/Widower; and PoW. Cards expiring between now and June 2010 Temporary DVA cards will be issued between now and June 2010 with a short expiry date. These cards will work in the same way as current DVA cards and offer DVA clients the same access to services. DVA clients who receive a temporary card will be issued a new look card before their card expires. Veteran Access to Services The magnetic strip on the cards will contain the following information: full name; file number; card type; and expiry date. This change is expected to improve provider satisfaction, as it will enable providers to swipe DVA cards in the same way as Medicare or Private Health Fund Cards are currently utilised. It is anticipated that improving the claiming experience for providers will increase the likelihood of providers accepting DVA cards. All eligible clients living overseas will, for the first time, be issued with a DVA card. This will remove the need for them to contact DVA to receive a “letter of authority” when receiving medical treatment within Australia. Entitlement to treatment overseas is limited to veterans who have an accepted disability/disabilities. DVA funds treatment of those accepted disabilities only - the process for receiving treatment while overseas will not change. Security Upgrade All DVA cards will have microprinting and a DVA registered hologram added as security features to ensure the card cannot be reproduced. Expected Arrival Date The reissue of all cards is due to commence in May 2010. This process is expected to take 10 - 15 weeks to complete. Where do I go for more information? Email: DVACARDS@dva.gov.au Web: http://www.dva.gov.au/benefitsAndServices/health/health_cards/Pages/changes_marc h_2010.aspx Procedures for DVA Funded Convalescent Care Services to Veterans The availability of convalescent care varies in each State and Territory. Where these services are available the following applies. DVA funded convalescent care is provided to eligible veterans for a period of recovery from an acute illness or operation and must be prescribed by their treating doctor. Convalescent care should relate to a hospital admission that has been funded by DVA. DVA will pay the total costs for up to a maximum of 21 days per financial year but the treating doctor or discharge planner must seek financial authorisation from DVA before arranging convalescent care anywhere other than in a public hospital. Prior financial approval can be obtained by contacting DVA on the Provider Enquiries numbers listed below. A DVA delegate may authorise convalescent care at one of the following facilities providing such care: nursing home convalescent or supported care home private hospital Treating hospital staff must arrange an assessment by an Aged Care Assessment Team prior to hostel or nursing home placement. Where do I go for more information? Tel: 1300 550 457 (metro) 1800 550 457 (regional) Information for Medical Practitioners Package DVA is constantly examining methods to improve communication with General Practitioners (GPs), specifically on how to raise their awareness of the various DVAfunded health services available to their veteran patients. To assist in addressing this, DVA has developed an Information for Medical Practitioners package, particularly aimed at newly graduating GPs, those practising in rural and regional areas, and GPs who are International Medical Graduates. Moreover, it can be utilised as a ‘refresher’ for any GP who treats members of the veteran community. The package consists of: an introduction; three information modules; a list of web links to information referred to in the modules; two useful DVA reference documents - the DVA Funded Health Services and DVA Treatment Entitlement Cards Charts; and a feedback form. The modules, which can be used either individually or sequentially, consist of: Module 1: Module 2: Module 3: Introduction to DVA DVA’s Health Programs – Hospital, Medical and Allied Health Services DVA’s Health Programs – Health and Related Services The package is designed to be downloaded from the DVA website and the modules used as training tools by GP educators/organisations. They can be used either as a PowerPoint presentation or in hard copy form, with the other components of the package, as a reference document for individuals/practices. The package will provide GPs (in any location) with a broad overview - a ‘snapshot’ of DVA and its health services, together with relevant links and contacts to gain further detailed information. Where do I go for more information? Web: http://www.dva.gov.au/service_providers/doctors/Pages/info.aspx Email: providerpartnering@dva.gov.au Hospital Discharge Planning Seminars for 2010 During 2010 DVA will continue its second national series of Hospital Discharge Planning Seminars. Following on from those held during 2009 in Melbourne, Brisbane and Sydney, seminars are planned for Adelaide in May, Perth in August and, possibly, Canberra and Hobart later in the year. These seminars have been designed specifically to inform private and public hospital staff involved in discharge planning for the veteran community, about the range of services they can access through DVA to assist with a veteran’s discharge following an acute hospital admission. A popular addition to the 2009 seminar programs was a presentation entitled Discharge Planning – the GP Perspective, delivered by a GP. Seminar participants were very enthusiastic about these presentations and rated them very highly in terms of usefulness in their evaluations of the seminar programs. All seminars to date have been very well attended by hospital staff from both regional and metropolitan areas, and DVA encourages you to watch out for a seminar near you during 2010. Once arrangements have been finalised for this year’s events, DVA will send invitations to public hospitals and to DVA-contracted private hospitals, in the relevant States, for distribution to discharge-planning staff. Individual Invitations will also be sent to hospital staff who have registered their interest directly with DVA. If you would like to receive an invitation to a DVA Hospital Discharge Planning Seminar in your State, you can register your interest by email to the address below. Please include your name, position, name and address of hospital, email address and telephone number. The Provider Partnering team hopes to see you at the next DVA Hospital Discharge Planning Seminar in your State. Where do I go for more information? Email: providerpartnering@dva.gov.au Brisbane Discharge Planning 2009 DVA Exhibits at Health Provider Conferences DVA is committed to supporting providers of health services to the veteran community, and one way it does this is through sponsoring trade exhibits at various health provider association conferences. Health providers, particularly those from rural and remote locations, have limited opportunities for face-to-face access to DVA staff, and these events provide such opportunities. Conference delegates can also access a wide range of DVA resources and information about DVA-funded health services available to the veteran community. In the first half of 2010, DVA will feature trade exhibits at: Australian Podiatry Association SA Inc., SA Lower Limb Conference, Hilton Hotel, Adelaide, 4-5 March Rural Health West Annual Conference, Sheraton Perth Hotel, 27-28 March Exercise & Sports Science Australia Conference 2010, Conrad Jupiters Hotel, Gold Coast, 9-11 April Royal Australian College of General Practitioners 53rd Gold Coast Clinical Update Conference, Sea World Resort, 1-2 May Australian Practice Nurses Association 2010 National Conference, Royal Pines Resort, Gold Coast, 6-8 May Australian Association of Practice Managers’ Staff Development Day, Brisbane Convention and Exhibition Centre, 15 May Pharmaceutical Society of WA Pharmacy Conference, Burswood Convention Centre, Perth, 16 May General Practitioner Conference and Exhibition, The Dome, Sydney Showground, Sydney Olympic Park, Homebush Bay, 21-23 May Rural Doctors Association of Queensland Conference, Mackay Entertainment & Convention Centre, 11-13 June Royal Australian College of General Practitioners – 2010 International Medical Graduate Forum, Bardon Conference Centre, Brisbane, 26-27 June Provider Partnering will be coordinating DVA exhibits at more conferences in the second half of the year. Watch out for these in the next issue of DVA InPHo. Where do I go for more information? Email: providerpartnering@dva.gov.au Carol Tully, Manager Provider Partnering, Brisbane Office Veterans’ MATES Program The latest module in this program due to be released is Module 22: Prochlorperazine: a new look at an old drug. Module 22 focuses on this commonly prescribed medication used to treat dizziness and nausea and it’s potential to cause adverse drug reactions, particularly if the drug is used for long term treatment. The module explains the conditions, dizziness and nausea, in detail and includes ways of reducing their effects. The Veterans’ Affairs Pharmaceutical Advisory Centre (VAPAC) provides a Helpline for prescribers, pharmacists and veterans calling in response to the modules mailed out, and generally receives about 100 calls from doctors and about 300 calls from veterans, with the release of each module. Where do I go for more information? Tel: 1800 552 580 Web: https://www.veteransmates.net.au/VeteransMATES/VeteransMATESServlet?page=in dex HomeFront subsidy increases from January 2010 HomeFront is a falls and accident prevention program which assists veterans and war widows/widowers to identify falls hazards in and around their homes to help them maintain independent living. DVA Gold and White card holders are eligible for a free home assessment once in each 12 month period, to identify falls hazards in and around their homes. Following this assessment DVA will make a financial contribution of $203.00 – an increase from January 2010 - towards the cost of recommended items to assist in reducing the risk of falls and accidents. Eligible members of the veteran community can call the number below for a free HomeFront assessment. Where do I go for more information? Tel: 1800 80 1945 Veterans’ Home Maintenance Line The Veterans’ Home Maintenance Line is a toll free service which provides free advice to the veteran community on general property maintenance matters and referral to reliable and efficient local tradespeople. The cost of any work undertaken is not funded by DVA. This service also provides property maintenance and home inspection advice during the hours from 9.00 am to 5.00 pm, Monday to Friday. Should emergency property advice be required it is available 7 days a week, 24 hours a day. Where do I go for more information? Tel: 1800 80 1945 New Suppliers for Continence Products What has changed? From 1 January 2010, following the outcome of a recent tender process, continence products are being supplied nationally to DVA eligible persons through two suppliers only, Intouch and Independence Australia. There are no changes to the categories of continence items available or the product limits within each category. Provision is based on an assessed clinical need and prescribers are asked to prescribe/order the simplest and most effective products to meet this need. Product catalogues and samples are available from each of the suppliers. To order please contact: Intouch Independence Australia 1800 382 727 1300 788 855 What if veterans are already receiving continence products through DVA? If veterans are already receiving their products from either of these companies then there will be no change to the current arrangements and they can continue to ring for re-supply as long as they have a valid prescription. Supply arrangements for veterans in Western Australia who were receiving continence products through Surgical House will change during the period March – June 2010 and their products will eventually be delivered by either Intouch or Independence Australia. DVA will write to the affected veterans shortly advising them of how and when these changes will occur. For further information regarding provision of continence products, or other items under DVA’s Rehabilitation Appliances Program, health providers can call DVA on the Provider Enquiries numbers listed below. Where do I go for more information? Tel: 1300 550 457 (metro) 1800 550 457 (regional) Fax: 08 8290 0379 Continence Foundation of Australia The Continence Foundation of Australia has a team of continence nurse advisors who provide free, confidential advice about bladder and bowel control, plus local referrals and a range of leaflets and product information. This is a nationwide service for people of all ages with incontinence, their carers, parents and families, clinicians, pharmacists, allied health professionals and the wider community. Where do I go for more information? Tel: 1800 33 00 66 (Australia-wide free call) The Right Mix – revised and revamped Since 2001 members of the veteran community have had access to The Right Mix, a suite of information and resources developed by DVA to assist in making informed lifestyle choices about drinking. Alcohol use and abuse has emerged as a major social and health issue in Australia in that period. In fact, in the 10 years leading up to 2005, the availability of alcohol in Australia dramatically increased, according to the Perth-based National Drug Research Institute (NDRI). The NDRI estimates more than 100,000 Australians end up in hospital each year due to the long-term impacts of drinking. These impacts include cancers, other alcoholrelated diseases and the more immediate effects of falls, assaults and alcohol dependence. Furthermore, higher risk alcohol consumption caused the death of approximately 33,000 Australians aged 15 and older in the 10 years from 1996. In 2009, the National Health and Medical Research Council released the revised Australian Alcohol Guidelines to Reduce Health Risks from Drinking Alcohol. A key recommendation from the revised guidelines is that men and women consume no more than two standard drinks each day to reduce the likelihood of long term harm from disease or injury — and a maximum of four standard drinks on any one occasion to reduce the likelihood of alcohol-related injury from that bout of drinking. This is a significant reduction on the previous guidelines. In line with the new 2009 guidelines, DVA has reviewed and updated the content of The Right Mix- Your Health & Alcohol resources and has re-developed The Right Mix website. Veterans and members of the ex-service and Australian Defence Force (ADF) communities were consulted on this redevelopment with the aim of making the website more relevant and appealing to a wider audience. Included in the new website are interactive tools to help identify levels of drinking and assist with selfmanagement of alcohol consumption. While these resources are useful to members of the veteran and ADF communities, they are also useful to health care providers treating patients with alcohol-related conditions.. Most of The Right Mix information and promotional resources can be ordered free of charge by providers directly from the website itself. You may have seen The Right Mix: Your Health & Alcohol health promotion materials previously — now it’s time to re-visit them and see what’s new. Where do I go for more information? Web: www.therightmix.gov.au. Useful Contacts DVA Postal address: GPO Box 9998 in your capital city Provider enquiry numbers: 1300 550 457 (metro) 1800 550 457 (regional) Web: http://www.dva.gov.au/Pages/home.aspx Fact sheets: http://factsheets.dva.gov.au/factsheets/ DVA InPHo: http://www.dva.gov.au/service_providers/hospitals/Pages/index.aspx Feedback about DVA InPHo: providerpartnering@dva.gov.au Disclaimer: This circular provides general information only. For specific enquiries, contact DVA on a provider enquiry number.