Medicubes

From Excel Nightmares to Automated Success: The Power of Cubiko Calculate

Fri, 27 Mar 2026 03:30:00 +1100

In this episode of Medicubes, hosts Riwka and Kim are joined by Nick Adams, Chief Operating Officer, and Sean Fincham, Chief Financial Officer at Cubiko, to discuss Cubiko Calculate, a solution designed to streamline the calculation and distribution of service fees between practices and practitioners in general practice settings.

They explore how Cubiko Calculate addresses common challenges in service fee administration, including the reliance on complex, error-prone spreadsheets and manual processes.

Key Points:

Background: Cubiko Calculate is developed in response to feedback from over 2,500 practices using Cubiko Insights, identifying the need for efficient and accurate doctor fee run calculations.
Automation and Accuracy: Calculate automates service fee distribution, reducing errors and administrative time while increasing transparency.
Fee Rule Engine: The system allows configuration of differentiated service fees by item type, session time, date range, and other parameters, supporting fairer and more precise practitioner arrangements.
Integration Features: Connection with Best Practice enables automatic data pull, and seamless integration with Xero allows for quick and accurate reconciliation with financial records.
Fraud Detection and Controls: Automated and structured processes help uncover long-standing errors or misallocations, supporting better financial oversight.
Responding to Change: The Cubiko team discusses adaptability to future changes such as bundled payment models or new incentive schemes in general practice remuneration.
Implementation and Support: Onboarding practices are provided with tailored support to match service fee calculations with underlying practitioner agreements, ensuring the system aligns with contractual intentions.

Download Cubiko Calculate’s resource, The 4 checks every fee run should include

Learn more about Cubiko Calculate or book a demo with the Cubiko team

Medicubes is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

Nurse-Led Services: Focusing Nurse Strengths for Better Patient Outcomes

Fri, 06 Mar 2026 03:30:00 +1100

First episode back for 2026!

In this episode of Medicubes, hosts Kim and Riwka speak with Alison Miller, Practice Manager of McKid Medical, about strategies to optimise the nursing workforce and expand nurse-led services in primary care. Discussing practical innovations and lessons learned from implementing nurse-driven care models across multiple clinic sites.

Key Points:

Nurse Specialisation: Nurses are assigned to areas aligned with their interests and expertise, such as menopause, weight management, and physical health, enhancing job satisfaction and patient care.
Care Planning Technology: Adoption of AI tools (Lyrebird) has streamlined care planning and improved workflow, allowing nurses to take a more active role in assessments and care coordination.
Room Structure: Clinic rooms are organised by specific health checks and item numbers, making use of visual cues and branding to clarify service offerings and support targeted patient engagement.
Patient Engagement: Focused messaging (“This is how we can help you”) and personalised outreach have led to improved uptake of health assessments and nurse consultations.
Continuous Improvement: Weekly feedback and screening programmes have enabled early diagnoses and improved team collaboration.

Encouraging practice managers to tailor nurse-led services to their community’s needs and leverage resources such as the “Transforming Clinical Series” webinars developed with Healthy North Coast.

Registration and resources:

https://www.primarycareinnovation.com.au/transforming-clinical-care

Privacy Law Reforms: Protecting Patients and Practices with Sarah Bartholomeusz

Fri, 05 Dec 2025 03:30:00 +1100

In this episode of Medicubes, hosts Chris and Kim are joined by Sarah Bartholomeusz, founder and principal of You Legal, to discuss current privacy reforms and their impact on primary care practices in Australia.

Providing a clear overview of the recent changes to the Privacy Act, including the introduction of the Privacy Legislation Other Amendment Act (Polar), and why it is important for practices to update their policies and systems.

Key Topics:

New Privacy Reforms: Sarah explains the overhaul of the Privacy Act and the need for practices to modernise their privacy policies to address issues arising from cloud storage, artificial intelligence, and digital health records.
Accountability and Compliance: Placing greater emphasis on the responsibility of practices to safeguard patient information, including stricter requirements on their data protection policies.
Data Breaches and Consequences: Recent high-profile data breaches highlight that organisations, rather than individuals, are now held accountable. Practices risk significant reputational damage and fines of up to $50 million for serious contraventions.
Practical Steps for Practice Managers: Which includes reviewing and updating privacy policies, ensuring team training and awareness, and auditing systems and security measures.
Training and Leadership: Sarah emphasises the importance of ongoing staff education and a shared organisational approach to privacy compliance. Examples illustrate how human error in handling patient information can have serious consequences.
Insurance Considerations: Discussing the importance of cyber insurance and regularly reviewing policy requirements, such as two-factor authentication, to ensure coverage.
Civil Penalties: Under the new legislation, individuals can now take civil action against practices for privacy breaches, expanding the potential liability for business owners.

Links & Resources:

You Legal webinar on Privacy: https://www.youtube.com/watch?v=W55xlxEzwSE
You Legal most recent Privacy article: https://youlegal.com.au/you-legal-blogs/privacy-law-changes-medical-practices-australia
Office of the Australian Information Commissioner (OAIC): https://www.oaic.gov.au/
Hacking Health podcast:
https://www.youtube.com/watch?v=Vq9d4AWPjD8
https://podcasts.apple.com/au/podcast/episode-4-providing-actionable-insights-and-staying/id1713458574?i=1000632513496

Reinventing Patient Experience: Inside HealthEngine’s Growth with Dan Stinton

Fri, 21 Nov 2025 03:30:00 +1100

In this episode of Medicubes, hosts Chris and Riwka speak with Dan Stinton, CEO and Managing Director of HealthEngine, about recent developments in Australia’s largest healthcare provider marketplace and the evolving landscape of digital health technology for medical practices.

Key Points:

Health Engine’s Expansion: Now servicing general practice, dental, allied specialists, and pharmacy, with more than 10,000 practices and 40,000 practitioners listed on the platform.
Patient Engagement Technology: Investment in non-clinical SAS tools to support efficient front-office operations, including online bookings, automated recalls, payments, and custom forms.
AI Receptionist (‘Helen’): Automates 50-65% of inbound calls in practices, currently supports booking management, with future plans for recalls and reminders via voice.
Practice Adoption Challenges: Practices tend to adopt 10% of available functionality, highlighting the need for continued education and support for technology use.
Data Security & Compliance: Health Engine upholds strong governance standards, with comprehensive legal and privacy audits for every product release.
Australian Healthcare Index Insights: 74% of patients report cost-of-living pressures are impacting their healthcare decisions, with bulk billing access cited as a major concern.
Preparing for New Booking Channels: Practices should be mindful of the growing influence of large language models and personal assistants in patient engagement.

Links & Resources:

HealthEngine: https://healthengine.com.au/

Preparing Your Team for Bulk Billing Practice Incentive Program Changes

Fri, 07 Nov 2025 03:30:00 +1100

In this episode of Medicubes, hosts Chris and Riwka are joined by Louise Riley, Bianca McCulloch, Jacob Grooby, and Alexis Mohay from the Department of Health and Aged Care to discuss the latest changes to bulk billing and the launch of the Bulk Billing Practice Incentive Program (BBPIP).

The panel addresses common questions from registered practices, clarifying the practical and administrative impacts of the new incentive arrangements. Recorded live from a FAQ webinar session focused on supporting practice managers, owners, and clinical teams in understanding the changes necessary for successful implementation.

Key Points:

Two Key Bulk Billing Changes: Explaining the distinction between the expanded bulk billing incentives (with increased eligibility for patients) and the new Bulk Billing Practice Incentive Program (BBPIP), which provides an additional 12.5% incentive payment for eligible practices.
Eligibility and Registration: Practices can choose to participate in the BBPIP or continue with current billing arrangements. Registration for BBPIP is available via the MyMedicare portal from 1 November, with flexibility to join or withdraw later.
Bulk Billing Item Requirements: Participating practices must bulk bill all General Practitioner Non-Referred Attendance (GP NRA) services for eligible patients. Procedures and other service types are exempt. Non-BBPIP practices can still claim standard bulk billing incentives as the eligibility criteria have been expanded.
Triple Incentive Clarification: Not all incentive payments are tripled. Only those items previously eligible for the triple incentive will remain so; other items retain their current rate.
Practice Management Systems: Software vendors will update items automatically, practices are advised to check for updates and retain concession card information for differential billing on non-bulk billed services.
Administrative Arrangements and Errors: Minor administrative errors in billing will not result in the loss of the entire quarterly incentive payment. Corrections and adjustments can be made, and a small margin for error is allowed.
Payments and Indexation: The 12.5% incentive is calculated on eligible GP NRA items and paid quarterly. The amount increases in line with MBS indexation, but the percentage itself remains static.
Advertising and Signage: Participating practices must clearly advertise their bulk billing status, including updated signage (available to order via the Department’s website) and register details with Healthdirect.
Non-Medicare Services and Private Billing: Practices may still privately bill for procedures or non-NRA services and set appropriate fees for non-MBS services (e.g. iron infusions).
Compliance: The importance of using reliable, up-to-date resources and departmental FAQs to support team understanding and avoid misinformation.

Links & Resources:

Cubiko FAQ webinar session: https://www.cubiko.com.au/resources/bb-incentive-faq/
Cubiko’s Bulk Billing Incentive Resource Hub and Webinar Recordings: https://www.cubiko.com.au/blog/resource-group/bulk-billing-incentives/
RACGP Resource Hub https://www.racgp.org.au/advocacy/advocacy-resources/november-changes-to-medicare
DOHA Resource Hub: http://www.health.gov.au/BBPIP
The Services Australia Health Professional Education website: https://hpe.servicesaustralia.gov.au/
Government Resource: GP NRA Items: https://www.health.gov.au/resources/publications/bulk-billing-practice-incentive-program-eligible-services?language=en
RACGP Bulk Billing Incentive Fact Sheet: https://www.racgp.org.au/FSDEDEV/media/documents/Advocacy/Medicare/Appendix-A-Fact-sheet-Bulk-billing-incentives-since-1-Nov-2023.pdf

The Power of Social Prescribing: Healthy Aging with Jo Winwood

Fri, 31 Oct 2025 03:30:00 +1100

In this episode of Medicubes, hosts Chris, Riwka, and Kim continue their conversation with Jo Winwood, focusing on social prescribing, aged care, and early intervention in primary care.

Providing a clear explanation of social prescribing, its origins in the UK, and how it relates to the broader concept of holistic, person-centred care.

Key Points:

Social Prescribing Defined: Social prescribing involves structured conversations with patients to identify what matters to them, what may be missing from their lives, and addressing social determinants of health as part of a broader care plan.
Integration into Practice: The growing formalisation of social prescribing in Australian general practice, including references in care planning and including holistic, lifestyle-based factors in templates and patient reviews.
Person-Centred Approach: Highlighting patient-driven goal setting, with examples showing that patients’ concerns often lie outside of clinical conditions and may relate more to isolation, loneliness, or lack of purpose.
Practical Examples: Real-world examples of social prescriptions such as community gardening, cooking classes, and activities like Parkrun, which foster social connection and improve wellbeing.
Self-care for Health Professionals: Encouraging practice staff to reflect on their own social connections and wellbeing, and the value of walking the talk to better understand and promote social prescribing benefits.
Actionable Advice: Jo suggests individuals and practitioners undertake a personal stocktake to identify what matters most and what may be missing in their own lives, and to use this as a starting point.

Mentioned in this episode:

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From Invisibility to Empowerment: Healthy Ageing with Jo Winwood

Fri, 10 Oct 2025 03:30:00 +1100

In this episode of Medicubes, hosts Riwka, Kim, and Chris are joined by Jo Winwood, Associate Director of Healthy Living and Ageing at Healthy North Coast. Discussing aged care in Australia, recent reforms driven by the Royal Commission, and the practical implications for general practice teams and their elderly patients.

Key Points:

Jo’s Background: Jo’s transition from the corporate sector into aged care and her belief in the importance of dignity, visibility, and purpose for older Australians.
Gaps in Aged Care: The traditional approach often left older people feeling like passive recipients of care, rather than active participants. Jo highlights the need for meaningful social connection to reduce feelings of invisibility and loneliness.
Role of Primary Care: Emphasis for GPs, nurses, and practice managers to initiate aged care discussions earlier, integrate aged care pathways into care planning, and use regular assessments as opportunities to identify and support older patients at risk.
Aged Care Changes: Outlining how the Royal Commission (started in 2018) led to 148 recommendations focused on consumer visibility, choice, and control and moving away from a provider-centric model to a rights-based system that emphasises dignity and independence.

Major System Changes:

Access: Improved access points, and new referral pathways for primary care providers.
Assessment: Shift to a single, unified assessment system for all consumers.
Support at Home: Replacement of four-tiered home care packages with an eight-level Support at Home program, allowing greater flexibility and more rapid escalation of support as needs change.
Special Pathways: Introduction of additional short-term support and end-of-life care packages, with roles for GPs and nurse practitioners in assessing and referring patients.

Links & Resources:

My Aged Care: https://www.myagedcare.gov.au/
New Aged Care Act: https://www.agedcarequality.gov.au/about-us/legislation-and-policies/new-aged-care-act

Mentioned in this episode:

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The Human Side of Lung Cancer: Reducing Stigma and Screening Program with Anne Fidler

Fri, 19 Sep 2025 03:30:00 +1100

In this episode of Medicubes, hosts Riwka and Kim are joined by guest Anne Fidler to discuss Australia’s new national lung cancer screening programme and its implications for general practice.

Discussing the programme’s eligibility criteria, key statistics regarding lung cancer incidence and mortality, and the stigma faced by people with a current or past history of smoking. Anne shares her personal experiences as a lung cancer patient and advocate, along with the need for supportive, non-judgemental conversations in primary care settings.

Key Points:

Programme Overview: Australia is set to launch a national lung cancer screening programme in July 2025. This is the first national cancer screening initiative introduced in nearly 20 years.
Eligibility Criteria: The programme targets individuals aged 50 to 70 with a history of tobacco use (current or past), who are asymptomatic. A key measure is a “30 pack year” smoking history, but for practical purposes, clinicians can simply ask if the patient has been smoking for around 30 years. Those who quit in the last ten years remain eligible.
Stigma in Healthcare: Stigma remains a major barrier to early detection. Many patients feel judged due to their smoking history, discouraging them from participating in screening or disclosing relevant behaviour.
Language and Approach: The importance of using sensitive, open-ended questions about tobacco use and normalising screening conversations as a routine aspect of care, rather than targeting individuals.
Community Engagement: On advocacy activities, including the Shine a Light Walk and community awareness events such as World Lung Cancer Day (1 August) and fundraising initiatives organised by the Lung Foundation.

For practice managers and general practice teams, they are encouraged to review internal language and processes to ensure patients feel supported and able to take part in life-saving screening without fear of stigma.

Links & Resources:

Mentioned in this episode:

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Healthy Aging Starts at 40: Muscle Health, Frailty, and Practical Tips from Bollen Health

Fri, 05 Sep 2025 03:30:00 +1100

In this episode of Medicubes, hosts Kim and Riwka are joined by Dr Chris Bollen (Adelaide GP and Director of Bollen Health) and Jane Bollen (Primary Health Care Nurse Consultant) to discuss healthy ageing, focusing on primary care strategies for supporting muscle health, preventing frailty, and promoting independence from age 40 onwards.

Exploring the importance of addressing muscle health proactively, the role of GPs and nurses in screening for pre-frailty, and practical approaches for embedding evidence-based practices in health assessments.

Key Points:

Frailty is not an inevitable part of ageing: Highlighting that frailty can be prevented and reversed with early intervention, and it should not be assumed as a normal consequence of ageing.
Importance of muscle health: Loss of muscle mass (sarcopenia) is a key factor in the development of frailty, and maintaining muscle strength is essential for prolonging independence and reducing complications.
Simple interventions: Encouraging patients to perform simple strength exercises, such as regular sit-to-stands, and increasing dietary protein intake is said to be actionable self-management strategies.
Patient-centred goals: Linking assessment and interventions to personal patient goals can improve engagement and drive meaningful behaviour change.
Nutrition advice: Providing practical pointers for supporting protein intake and dispels myths about dietary restrictions in ageing, emphasising food-based approaches before supplementation.
Reviewing current practice: Urges practices to focus on evidence-based assessments in health checks and care plans, instead of non-essential tests. Muscle health checks can be a valuable measure in nurse-led clinics and health assessments.

Providing primary care managers, nurses, and GPs with practical considerations for implementing muscle health initiatives and reframing healthy ageing as a core component of preventive care.

Link & Resources:

Nutrition Assessment

Dietitian Connection

Mentioned in this episode:

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Best Practice Summit 2025: Innovations, AI, and the Future of Primary Care

Fri, 22 Aug 2025 03:30:00 +1100

In this episode of Medicubes, Chris, Riwka, Kim are joined live at the Best Practice Summit 2025 by Craig Hodges (CEO, Best Practice), Janice Tan (GM of Clinical at Bupa), Steven Kaye (GP and RACGP committee member), Jaspreet Saini (GP and Chief Medical Officer, HotDoc), and Kylie Payne (CEO, Interconnect Healthcare). The panel explores the primary care landscape, with a focus on technology-enabled practice management, digital health, and the practical implications for practice managers working in Australian general practice.

Key Points:

Celebrating Progress: Recognising recent “bright spots” in primary care, including rapid digital transformation during COVID-19, especially the adoption of eScripts, and the increasing role of AI technology.
Integrating AI: Discussing practical examples of AI benefiting general practice, all while maintaining a patient-centred approach.
Challenges and Risks: Addressing barriers to digital adoption in primary care. The lack of comprehensive regulation and standards around AI in Australia is also noted as a current concern for clinical safety and governance.
Access and Continuity: They highlight rising wait times for appointments and shifting patterns of patient access. The tension between continuity and convenience is a central theme, with technology proposed as a bridge to close this gap.
Role of Education: Emphasising the need for ongoing education of all practice staff, across clinical and administrative roles, as essential to prevent practices and patients being left behind in the rapid digital transformation of primary care.
Collaborative Projects: Initiatives like the SPARK project are presented as examples of industry collaboration, aiming to align data collection across the healthcare sector to facilitate more integrated and patient-centred care.
Looking Forward: Discussing what’s possible in the next five years, advocating for digital solutions that maintain a balance between technological advancement, sustainability, and optimal patient outcomes.

Mentioned in this episode:

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Shining a Light on the Wound Consumables Scheme with Melissa Freeman

Fri, 25 Jul 2025 03:30:00 +1100

In this episode of Medicubes, hosts Kim, Chris, and Riwka are joined by Melissa Freeman, Managing Director and Lead Nurse at Port Macquarie's Wound Care Clinic, to discuss the new National Wound Consumables Scheme. Addressing eligibility, access, training requirements, and the anticipated patient and health system benefits associated with this programme.

Melissa outlines the historical context behind the scheme, highlighting the significant prevalence of chronic wounds in Australia and the considerable financial burden placed on patients and the health system. She explains the intent to fill a gap for patients who do not otherwise qualify for wound consumables under aged care, NDIS, or DVA funding.

Key Points:

Background: The Chronic Wound Consumables Scheme addresses the needs of the estimated 500,000 Australians living with chronic wounds, mitigating financial barriers to good wound care.
Eligibility: At present, the scheme is available to people with diabetes with a wound present for over 30 days, aged 65+ (or 50+ for First Nations), not receiving wound care funding via NDIS, aged care, or DVA.
Access & Training: Registered nurses in general practice must complete a free training module via Monash University, typically taking 1–2 hours. The course counts towards CPD hours.
Ordering: Consumable orders are placed via the PRODA system, with practice-based protocols suggested for managing supplies allocated to individual patients.
Impact: The scheme aims to prevent complications, hospitalisations, and downstream costs. Good wound care and prevention are expected to reduce system burden.
Privacy: Only essential patient identifiers (e.g., name, Medicare number) are required for registration; no additional clinical information is supplied to the system.
Future Expansion: There is hope for eligibility to expand to include people with other chronic diseases or those ages under 65 in the future.

Mentioned in this episode:

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Love Your Sister and Samuel Johnson on Bringing Precision Medicine to Every Patient

Fri, 11 Jul 2025 03:30:00 +1100

In this episode of Medicubes, hosts Riwka and Kim are joined by Samuel Johnson, Australian actor and founder of the charity “Love Your Sister”, to discuss the evolving landscape of precision medicine in cancer care and the importance of equitable access for all patients.

Samuel shares his personal motivation for advocating precision medicine, detailing his late sister’s experiences with cancer and her early efforts to secure access to breakthrough treatments. Talking about the science and practice of precision medicine – formerly termed personalised treatment and targeted therapy – focusing on genomics-led approaches that match cancer treatment to an individual's tumour profile.

Key Talking Points:

Personal Motivation: Samuel Johnson’s advocacy for precision medicine is shaped by his sister’s multiple cancer diagnoses, and her legacy in driving public and political attention towards cancer research and innovation.
Evolution of Precision Medicine: Precision medicine uses genomic testing to match patients with the most effective and targeted treatments, reducing reliance on trial-and-error approaches.
Impact for Patients: This approach reduces the delay from diagnosis to effective treatment, improves patient outcomes, and can lower overall health system costs by avoiding ineffective therapies.
Professional and Public Advocacy: Samuel emphasises the value of healthcare professionals raising awareness among patients and communities, the importance of patients advocating for themselves in clinical decision-making, and the need for ongoing education about advances in cancer care.
Future Outlook: Considers the possibility of making precision medicine standard of care within the next 15–20 years.
Community Support: How we can support “Love Your Sister” through awareness, community engagement, and advocacy, with a focus on education rather than direct financial appeals.

Links & Resources:

Love Your Sister: https://www.loveyoursister.org
Australian Story episode on Samuel Johnson: https://iview.abc.net.au/show/australian-story/series/2025/video/NC2502Q014S00
Recent precision medicine funding announcement: https://www.omico.com.au/news/5132/

Mentioned in this episode:

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The GPCCMP Era: What’s Staying, What’s Changing, and How Allied Health Can Adapt

Fri, 04 Jul 2025 15:30:00 +1100

In this episode of Medicubes, hosts Chris, Riwka, and Kim discuss the recent changes to chronic condition management plans in general practice, with a particular focus on implications for Allied Health professionals.

Outlining the transition from the previous GP Management Plan (GPMP) and Team Care Arrangement (TCA) system to the new, single GP Chronic Condition Management Plan (GPCCMP). These changes, effective from 1 July, are designed to simplify processes for general practice and allied health providers alike. They also address the practical consequences of these changes, referrals, compliance requirements, billing, and ongoing communication between GPs and Allied Health.

Key Talking Points:

Referral Process Simplified: The traditional TCA referral forms have been phased out. Referrals to allied health professionals are now via standard referral letters stating the allied discipline, rather than naming individual providers or specifying the exact number of visits.
Number of Visits: There is no longer a requirement for referrals to specify or limit the number of allied health sessions; patients have the flexibility to determine which providers and services they access, within their annual limit of five Medicare-funded allied health visits.
Patient Responsibility: Patients hold greater responsibility for tracking their five eligible allied health services per calendar year, regardless of discipline, similar to private health insurance claiming processes.
Transition Arrangements: Existing TCA referrals remain valid until 2027, and no immediate replacement is needed for allied health service delivery if patients already have valid arrangements in place prior to 1 July.
Reporting Requirements: Allied health providers must report outcomes back to the GP at the end of the referred service(s), utilising electronic communication where possible to ensure records are accurate and up to date.
Impact on Billing Practices: With increased patient autonomy over service usage, allied health providers may need to review their billing practices, particularly regarding bulk billing versus private billing, as providers will not be reimbursed by Medicare if the patient’s annual allocation has already been used.
Administrative Advice: Allied health providers and their teams should familiarise themselves with the new referral format, update their internal systems for tracking Medicare service usage, and ensure all staff communicate these changes effectively to patients.

For further details, including electronic referral compatibility and group item number specifics, please refer to the video episode on the GPCCMP Knowledge Hub here: https://www.cubiko.com.au/gpccmp/

Mentioned in this episode:

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CDM to GPCCMP: Breaking Down the Big Changes in Care Planning

Fri, 13 Jun 2025 03:30:00 +1100

In this episode of Medicubes, hosts Riwka, Kim, and Chris outline the upcoming changes to chronic disease management and care planning in general practice, focusing on the shift from the traditional CDM (Chronic Disease Management) items to the new GPCCMP (General Practice Chronic Condition Management Plan) items effective 1st July.

They target primary care Practice Managers and team members preparing for these changes, summarising implications for workflows, patient eligibility, and Medicare billing.

Key Points:

Transition to New Item Numbers:

From 1st July 2025, existing MBS CDM items (721, 723, 732) will be replaced by new GPCCMP items—965 (preparation of a new plan) and 967 (reviews). The new system removes the old team care arrangement structure.
The same Medicare rebate amount applies to both the care plan and reviews: $156.55 for VR GPs and $125.30 for non-VR GPs.

Bulk Billing Incentive Changes:

A single bulk billing incentive applies to eligible patients, with expanded eligibility from 1 November. Practices should be mindful of the distinction between single and triple incentives depending on the item billed.

Team Assisting with Care Planning:

Nurses, Aboriginal and Torres Strait Islander health practitioners, and Aboriginal health workers can assist in the development of care plans.
Ongoing involvement of nurses is encouraged, with structured check-ins possible between three-monthly reviews.

Patient Eligibility and MyMedicare Registration:

Eligibility for GPCCMP remains the same as for CDM—patients with a chronic or terminal medical condition (six months or longer).
A key change is restriction via MyMedicare registration: once a patient is registered to a practice, they can only access care plans from that practice.

Transition Considerations:

Existing CDM plans remain valid for allied health referrals for 12 months post transition.
Practices should be aware of co-claiming restrictions (consultation items cannot be claimed at the same time as care planning items).

If you’re after some tips or inspiration on managing change, we had some brilliant chats with Dr Maria Bolton (Episode 33) and Dr Jaspreet Saini (Episode 34) on the Medicubes podcast. Both episodes are well worth a listen!

Links & Resources:

https://www.cubiko.com.au/gpccmp/

The episode reinforces the importance of quality improvement, teamwork, and taking a flexible, patient-centred approach to the new system.

Mentioned in this episode:

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Digital Health Festival 2025: AI, Innovation, and the Future of Healthcare Workflows

Fri, 30 May 2025 03:30:00 +1100

In this episode of Medicubes, hosts Chris and Riwka bring listeners the latest developments from the Digital Health Festival 2025. Speaking with a range of industry representatives. Sharing current trends and practical considerations for practice managers navigating the evolving digital health environment.

They note the vast increase in vendors offering AI solutions. Practice managers are advised to stay informed, assess the fit for their own organisations, and engage with the wider community and industry forums to shape and benefit from digital health innovations.

Key Points:

AI Emergence and Cautious Adoption: Lachie Phelps (My Practice Services) highlights the increasing prominence of artificial intelligence (AI) in healthcare.

HealthEngine and Market Innovation: Darius Wey (Healthengine) outlines the rapid expansion of AI-focused companies in the sector and predicts continued innovation over the next 12 months.

Innovations in Patient Education: Tina Campbell (Healthily) discusses the progress in digital patient education, along with the use of conversational voice AI to bridge communication gaps for patients with varying digital literacy.

Reducing Administrative Burden: Kai Van Lieshout (Lyrebird Health) identifies automation of paperwork and inbound call management as immediate opportunities for digital solutions to free up staff time, allowing clinical teams to focus more on patient care.

Data Standards and Health Information Sharing: Ryan Mavin (Australian Digital Health Agency) addresses the importance of interoperability and standards in health information exchange.

Centre the Patient and Avoid Tech-for-Tech’s Sake: Dr Sean Stevens (RACGP) and others stress that digital transformation should keep the patient at the centre. Technology should serve patient outcomes rather than be implemented simply for novelty.

Practice Management and Workflow Simplification: Dan Wijeratne (Modern Innovations) outlines the benefits of digitising care plans, integrating AI for process improvements, and using automation for efficient report writing and communication within practices.

Links & Resources:

For more information and previous episodes, visit www.medicubes.com.au

Mentioned in this episode:

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Navigating the Cloud Technology in General Practice with Danielle Bancroft

Fri, 16 May 2025 03:30:00 +1100

In this episode of Medicubes, hosts Chris, Riwka, and Kim are joined by Danielle Bancroft, Chief Product Officer at Best Practice and practising pharmacist, to discuss the future of cloud technology in general practice software.

They explore what “cloud” means in a primary care context, how it differs from existing on-site servers, and the practical benefits and challenges for practices considering a transition. Focusing on the gradual, manageable introduction of new cloud-enabled features to support clinics in their day-to-day operation.

Key Points:

Defining “the Cloud”: Cloud technology means your practice software is securely accessed online rather than tied to a physical server at the clinic, allowing for greater flexibility and less maintenance burden on practice staff.
Benefits for Practice Workflow: Cloud features are being designed to simplify task management, reduce administrative time, and proactively deliver patient information to clinicians—improving efficiency and supporting better patient care.
Cloud vs AI: Distinguishes between cloud services (where your software is hosted and accessed) and artificial intelligence (using data to provide insights or automate tasks), highlighting how they complement but don’t replace each other.
Transition Considerations: Practices are encouraged to assess their unique needs when thinking about moving to cloud services, focusing on practical improvements.
Cybersecurity: Importance of strengthening data security, with cloud solutions offering built-in protections and supporting better compliance in light of recent high-profile data breaches.
Incremental Change: Best Practice’s approach to cloud involves stepwise introduction of new modules and features, such as mobile access and digital payments, to minimise disruption and help practices adapt at their own pace.

Links & Resources:

https://www.linkedin.com/in/daniellebancroft/
https://bpsoftware.net/
BP Support line and to register your interest to become a Beta testing site AU 1300 40 1111 | NZ 0800 40 1111 +61 7 3223 7700 (callers outside Australia and New Zealand)

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The Big GP Budget Debrief: What it means for General Practice

Fri, 28 Mar 2025 14:30:00 +1100

In this episode of Medicubes, join hosts Chris and Riwka for a comprehensive debrief on the Big GP Budget. They are joined by Kelly Chard, a chartered accountant specialising in medical practices, and Bruce Willett, a general practitioner and former RACGP vice president.

They delve into the implications of the recent budget announcement for general practices. They discuss major changes, including bulk billing incentives, adjustments to GP workforce training, women's health initiatives, urgent care clinics, and key non-health budget impacts on practices.

Key Points:

Bulk Billing Incentives: Expanded eligibility and the introduction of a new Bulk Billing Practice Incentive Program, which offers a loading for practices committed to universal bulk billing. They highlight the need to carefully consider this initiative, given the potential financial impact and long-term implications on practice models.
GP Workforce: Government investment in expanding GP training placements and introducing salary incentives to attract more practitioners.
Health Equality: Enhancements in women's health services, including new Medicare rebates for menopause health assessments and increased support for contraceptive methods. These were aimed to address existing health service gaps.
Access and Alternatives: Expansion of urgent care clinics and lack of clarity around the announced changes to CDM (Chronic Disease Management) to CCM (Comprehensive Care Management), with the panel urging practices to stay informed and prepare for potential reforms.
Non-Health Budget Impacts: Discussion on general tax changes, implications for small businesses, and challenges practices might face, including ATO compliance activities and the cessation of instant asset write-off measures.

Links & Resources:

Upcoming Changes to Bulk Billing Incentives in General Practice Fact Sheet and Resources: https://www.health.gov.au/our-work/upcoming-changes-to-bulk-billing-incentives-in-general-practice
Free 2025 Medicare Incentive Tool: https://www.cubiko.com.au/resources/proposed-2025-bulk-billing-changes/

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Exploring the Role of Nurses in Palliative Care with Dr Sarah Mollard

Fri, 07 Mar 2025 03:30:00 +1100

In this episode of Medicubes, hosts Riwka and Kim are joined by Dr Sarah Mollard, a GP from Five Star Medical Centre and clinical lead at Healthy North Coast. They delve into the topic of palliative care involvement in primary care, particularly the role of nurses.

Sharing her insights on shifting perspectives around palliative care, emphasising its importance in enhancing patients’ quality of life earlier in their journey rather than just in their final days.

Key Points:

Palliative Care Perspective: Palliative care should not be limited to end-of-life scenarios but be part of early patient management to improve quality of life.
Role of Nurses: Nurses play a critical role in palliative care through chronic disease management, psychosocial support, and care planning activities.
Advanced Care Planning: Addressing hesitancies, Dr Mollard discusses the importance of initiating advanced care planning conversations early to align with patient wishes.
Proactive Planning: Early identification of patients benefiting from palliative care supports proactive care, better planning, and fulfilling patient and family wishes.
Holistic Approach: A holistic understanding of palliative care involves examining broader patient needs beyond disease management, involving psychosocial care, and planning for supportive resources.

Links & Resources:

https://www.advancecareplanning.org.au
https://www.eldac.com.au/Our-Toolkits/Primary-Care

Everyone is encouraged to think creatively and engage in team discussions to optimise patient palliative care pathways and use available resources for training and effective care delivery.

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From Ice Rinks to Rural Clinics: Dr. Cheryl Wilson's Diverse Medical Career

Mon, 13 Jan 2025 03:30:00 +1100

In this episode of Medicubes, hosts Kim, Riwka, and Chris are joined by Dr Cheryl Wilson. Originally from Canada, Dr Wilson has built a remarkable career in sports therapy and medicine, being the first woman in Canada to work as a sports therapist with a professional ice hockey team.

Dr Wilson later moved to Australia where she studied at Flinders University and pursued rural general practice and lifestyle medicine. She has extensive expertise in athletic therapy, sports medicine, rural practice, and lifestyle medicine.

Key Points:

Career Path: Dr Wilson’s journey from sports therapy in Canada to rural general practice in Australia.
Solo GP Benefits: The flexibility of managing her own schedule, attending conferences, and taking necessary time off.
Healthcare Worker Support: Emphasising on systemic changes to better support healthcare providers and prevent burnout.
Lifestyle Medicine: Advocacy for lifestyle medicine as "core medicine," highlighting diet, physical activity, and mental well-being.
Shared Medical Appointments: The practicalities and patient community benefits of hosting shared medical sessions.
Financial Challenges: Discussing Medicare’s billing system impacts and the necessity for systemic changes for thorough patient care.
Patient Interaction: She advises against "hexing" patients with negative expectations or diagnoses, emphasising a positive approach to care.

Resource and Links:

Dr Cheryl Wilson’s website: www.doctorwilson.com.au
ASLM website: www.lifestylemedicine.org.au

Make sure you're subscribed to the podcast so you don't miss an episode, and leave a review on Apple Podcasts or Spotify if you found value in it. Visit www.medicubes.com.au for previous episodes and more information.

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Transitioning to Cloud-Based Practice Management: Insights from Michele Blanshard

Fri, 13 Dec 2024 03:30:00 +1100

In this episode of Medicubes, hosts Chris, Riwka, and Kim are joined by Michele Blanshard from Magentus Practice Management.

Discussing the evolution of practice management software, they focused on Magentus' Genie and Gen2 platforms. Michele shares her insights on the shift from desktop-based systems to cloud-based solutions, highlighting the benefits and challenges associated with this transition.

Key Points:

Michele's Career Journey: Michele shares her career journey from nursing in intensive care to her current role in practice management software.
Genie and Gen2: An overview of the Genie and Gen2 practice management solutions, focusing on their history and development.
Cloud Transition: Benefits of moving to cloud-based systems, including accessibility, reduced IT infrastructure costs, improved security, and user-friendly interfaces.
Practice Efficiency: The importance of practice efficiency and how cloud-based solutions can alleviate the administrative burden on healthcare staff and improve patient care.
Gen2 Marketplace: Introduction to the Gen2 Marketplace, a curated platform offering integrated solutions for patient forms, online bookings, telehealth, and more.
E-Requests and E-Bookings: Innovations in digital referrals and theatre bookings, aimed at improving workflow and patient outcomes through interoperability and real-time data sharing.

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Balancing Leadership and Advocacy in Medical Practice: Dr Maria Boulton's Journey

Fri, 29 Nov 2024 03:30:00 +1100

In this episode of Medicubes, hosts Chris, Riwka, and Kim are joined by Dr Maria Boulton, a GP, business owner, and advocate for the medical sector. Dr Boulton shares insights from her extensive experience in managing medical practices and her role in the advocacy for general practice.

Discussing the importance of happiness and shared values in her co-owned practice, Family Doctors Plus. Dr Boulton elaborates on the distinctions between her role, which includes marketing and crisis management, and her colleague Fiona's focus on clinical protocols and procedures.

She also touched on the requirements needed to expand her practice from two to three locations, the imperative need for continuous learning and adaptability, and the significance of external support from accountants and advisory board members.

Key Points:

Networking: Active networking with other practice owners across Australia allows for collaborative learning and the sharing of best practices.
Management Balance: Effective division of roles between Dr Boulton and her colleague, Fiona, ensures comprehensive management.
Governance: Building governance structures that allow flexibility and cater to the specific needs of each practice location is emphasised over a one-size-fits-all approach.
Advocacy: Dr Boulton's advocacy efforts focus on critical issues such as Medicare rebates, GP workforce conditions, and healthcare funding.
Community Involvement: Dr Boulton's commitment extends beyond her practice to community support.
Inspirational Journey: Dr Boulton shares her inspiration behind becoming a practice owner. This ambition led to the founding and expansion of Family Doctors Plus, driven by a desire to create an ideal work environment.

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Personal Branding for Healthcare Professionals: Building Trust and Influence in Healthcare with Dr. Jaspreet Saini

Mon, 04 Nov 2024 03:30:00 +1100

In this episode of Medicubes, hosts Chris, Riwka, and Kim are joined by Dr Jaspreet Saini, Principal GP at Rosedale Medical Practice and Clinic Director at Healthicare.

They delve into the topic of personal branding for healthcare professionals, discussing its significance, benefits, and practical implementation in the healthcare industry. Dr Saini shares his insights on how personal branding can help healthcare providers establish trust, build a narrative, and connect with patients and colleagues.

Key Points:

Personal Branding Definition: Personal branding is as telling your story your way to your audience and its importance for healthcare practitioners.
Patient Connection: Personal branding aids in establishing authority and connecting with patients beyond the consult room.
Healthcare System Influence: Dr Saini discusses his role in driving health equity and reform, highlighting how personal branding has fueled his influence.
Practical Tips: Guidance on choosing platforms, engaging safely, and finding one's voice through storytelling and listening to peers.
Outsourcing: They discuss the aspects of personal branding that can be outsourced and the importance of maintaining authenticity and vulnerability.
Resource Management: Considerations for clinicians managing workload and personal energy levels when engaging in personal branding activities.

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Proactive Healthcare and Cybersecurity: Danielle Bancroft on Secure, Innovative Solutions for Improving Healthcare

Fri, 18 Oct 2024 03:30:00 +1100

In this episode of Medicubes, hosts Chris and Riwka are joined by Danielle Bancroft, Chief Product Officer at Best Practice Software and a practising pharmacist. Her role in Best Practice involves strategic leadership, understanding customer needs, and balancing these with regulatory requirements. They explore the innovations in healthcare technology, data security, and the evolving role of technology in patient care.

Key Points:

Cloud Investment and Cybersecurity: Danielle highlights the importance of robust cloud capabilities and cybersecurity to protect patient data in light of recent data breaches in Australia.
Proactive Healthcare: The shift towards proactive healthcare, facilitated by biometric data and wearables, enables preventive care and active patient health management.
Future of GP Interactions: The need for an omnichannel approach and data analytics to meet diverse patient needs and prevent other industries from filling the gap.
Telehealth and Technology Enablers: The expanded role of telehealth and the convenience of tools like Best Practice Mobile, which enhances clinician efficiency.
Government Regulations and Change Management: Danielle discusses adapting to legislative changes, maintaining government communication, and educating users about software updates.
Cybersecurity and AI in Healthcare: Ongoing cybersecurity training and evaluating software vendors are crucial. They also discussed AI advancements in automating tasks like clinical notes.

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From CDM to CCM: What the CCM Delay Means for Your Practice

Fri, 04 Oct 2024 03:30:00 +1100

In this episode of Medicubes, join hosts Chris and Riwka as they delve into the latest updates on Chronic Disease Management (CDM), which is transitioning to Chronic Care Management (CCM).

Chris and Riwka reviewed the delayed implementation of new CDM/CCM protocols, originally slated for 1 November 2024, now extended to 1 July 2025. Discussing the Department of Health and Aging's rationale behind the delay, aiming to give practices and providers additional time to prepare for the significant changes.

Key Points:

Current CDM Importance: Practices are encouraged to continue their present CDM activities and utilise existing systems and protocols. This period is a good opportunity to fine-tune existing practices and systems.
Speculative Funding and Modelling: Concerns around the still-undecided rebate and the financial implications for various practices. Delaying the changes aims to refine these aspects better.
Team Care Arrangement Compliance: The expected relaxation of team care arrangement compliance is seen as a positive change that hasn't been fully actualised yet.
MyMedicare Registration: Ensuring patients are registered with MyMedicare, as future reforms will likely depend on this. It's vital for practices to proactively enrol patients now to avoid last-minute rushes.
10997 Item Numbers: A strong recommendation to utilise the 10997 health assessments for eligible patients before potential changes in funding in the next fiscal year.
Takeaway Advice: To vent frustrations, regroup and take advantage of the delay to refine practices, ensure patient and staff preparedness, and avoid misinformation by relying on trusted sources.

Make sure you're subscribed to the podcast so you don't miss an episode, and leave a review on Apple Podcasts or Spotify if you found the discussion valuable. Visit www.medicubes.com.au for previous episodes and more information.

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Simplifying Payroll Tax: Tax Complexities in Medical Practices with Kelly Chard

Fri, 13 Sep 2024 14:00:00 +1100

In this episode of Medicubes, hosts Chris and Kim invite Kelly Chard, founder of GrowthMD, to discuss the complexities of payroll tax for medical practices in Australia. Exploring the challenges practice managers face, provide insights into recent changes, and offer practical advice for navigating this intricate landscape.

Key Points:

Impact of Payroll Tax: Payroll tax management is a complex issue affecting the longevity of medical practices. They highlight the significance and challenges it poses.
Importance of Expert Advice: Business owners are encouraged to seek out professional advice to navigate payroll tax intricacies and ensure compliance.
Payroll Tax Updates: Delving into the specifics of recent payroll tax updates, particularly in New South Wales, including the 12-month pause on audit activity and new bulk billing rebate thresholds.
Bulk Billing Definition: How bulk billing percentages are calculated and the exemptions applicable before and after September 4th.
Surcharging Practices: The relevance and challenges of payroll tax surcharging, including different state approaches and software solutions to streamline the process.
Flow of Funds: Comparison of traditional and new payment approaches to reduce payroll tax exposure, with a focus on the favourable guidelines in Queensland.

Blog link for Showcase:

https://www.growth-md.com/post/nsw-payroll-tax-relief-for-medical-centres-what-you-need-to-know

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New Developments in Chronic Disease Care and Aged Care Incentives: A Deep Dive

Fri, 30 Aug 2024 03:30:00 +1100

In this new season of the Medicubes podcast, join hosts Chris, Riwka, and Kim as they delve into the latest changes in chronic disease management and the GP aged care incentives.

Focusing on how the new Medicare Benefits Schedule (MBS) updates will impact practice management, primary care, and specialists across Australia. Discussing the easing of the administrative burden associated with chronic disease management, the introduction of MyMedicare registration for chronic care patients, and the anticipated changes to aged care incentives. Giving insights into the upcoming MBS item numbers and how practices should prepare for these significant changes.

Read the Medicare Benefits Schedule updates here: https://www.mbsonline.gov.au/internet/mbsonline/publishing.nsf/Content/51DB00BFCAE778D9CA258B7F007C1FB8/$File/PDF%20Version%20-%20Upcoming%20Changes%20to%20Chronic%20Disease%20Management%20MBS%20Items%20%E2%80%93%20Overview.PDF

Key Talking Points:

MBS Updates: New item numbers for chronic disease management will come into effect on 1st November 2024, aiming to simplify the process and improve patient care.
Chronic Disease Management: Administrative burdens around team care arrangements and the Enhanced Primary Care (EPC) allocation will be reduced, focusing more on outcomes and patient reviews.
MyMedicare Registration: Registration becomes crucial for practices to ensure they can provide and claim for chronic disease management plans for their patients.
Aged Care Incentives: The new structure requires annual service plans, regular care planning, and quarterly service delivery, with compliance checks on the quality and spread of the care provided.
Data and Modelling: Practices are encouraged to use data tools and modelling to understand financial impacts and ensure sustainability.
Fee Structures: Discussed the potential for practices to introduce gap fees or private billing for care planning services.

Medicubes is a proud member of the Talking HealthTech Podcast Network – the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network.

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Unlocking Nurses' Potential in Primary Healthcare: Insights from Ken Griffin

Fri, 14 Jun 2024 03:30:00 +1100

In this episode of Medicubes, hosts Kim, Chris, and Riwka welcome Ken Griffin from the Australian Primary Health Care Nurses Association. Although Ken does not have a nursing or healthcare professional qualification, he is passionate about nursing and is actively raising funds for cancer through the Shitbox Rally.

Key Talking Points:

APNA Workforce Survey: Revealing the existence of 96,000 nurses in primary healthcare and a notable underutilisation of the workforce, with 31% of nurses rarely or occasionally working to their full scope of practice.

Impact of COVID-19: Pandemic has led to some improvement in workforce utilisation, though further changes are needed.

Nurse Practitioners: Highlighting the role and potential of nurse practitioners, who face policy constraints in fully executing their roles.

Quintuple Aim: Emphasising healthcare professionals' experience and fostering an environment of respectful dialogue for policy changes.

Collaborative Approach: Importance of shifting focus towards teamwork in the healthcare system to improve patient care and healthcare workforce sustainability.

Resources:

www.apna.asn.au: To find out more about primary health care nurses and APNA.

Slow Learners (shitboxrally.com.au): To support the Cancer Research, support Ken and his brother, in the Shitbox Rally

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Dissecting the 2024 Federal Budget: What It Means for Health Practices

Wed, 22 May 2024 03:30:00 +1100

In this special budget edition of Medicubes, hosts Chris and Riwka delve into the healthcare highlights of the May 2024 federal budget. Chris and Riwka unpack the key updates relevant to primary care practice managers, exploring financial allocations, policy changes, and their implications for general practice and broader healthcare settings.

Key Talking Points:

Discussion on the new timeframe for claiming bulk-billed services and its impact on practice workflows. Practices will need to adjust as the claim period reduces from two years to 12 months after the date of service, effective 2025-2026.

Overview of the funding to strengthen Medicare, including compliance and infrastructure improvements, alongside the ongoing independent review of Medicare integrity.

Extension of the Practice Incentives Program Quality Improvement (QI PIP) funding for an additional year, ensuring continued support for general practices.

Allocation of $90 million over three years to grow and support the health workforce, with a focus on First Nations medical practitioners and the extension of the single employer model trials.

Significant investment of $227 million over three years to establish an additional 29 urgent care clinics, aiming to bolster primary care options, especially in regional and rural areas.

Increases in rebates for pathology tests, permanent addition of COVID-19 tests to Medicare, and expansion of MRI services with new licensing agreements.

Chris and Riwka provide a comprehensive breakdown of these budget changes, helping practice managers understand the potential impacts and prepare for the implementation of new policies and funding awards.

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The Shift in Bulk Billing: Healthcare Data Analysis With Robert Dickson

Fri, 19 Apr 2024 03:30:00 +1100

In this episode of Medicubes, hosts Chris, Riwka, and Kim are joined by guest Robert Dickson to delve into the latest findings from the Touchstone report, a comprehensive analysis of primary care billing trends and practices in Australia.

Robert, the Chief Operating Officer at Cubiko, brings both his passion for healthcare technology and personal interests into the conversation.

The ebook is available at: https://www.cubiko.com.au/resources/general-practice-benchmarks-2024/

Key Talking Points:

Private fees range from $81.14 to $137 on average but have not escalated at the pace of inflation or Medicare Benefits Schedule (MBS) rebate amounts. The moderation in fees reflects practices' cautious approach to adjusting prices amidst their patients' financial strains.
Despite economic pressures, the report demonstrates a commitment by practices to chronic disease management with an uptick in the percentage of billings dedicated to this crucial area over the past two years.
Discussing the financial repercussions and sustainability concerns faced by healthcare providers. As the bulk billing rate dipped from 81% to 65% in early 2022, and practices primarily bulk billing reducing from 60% to a mere 25% by the end of 2023.
Examining the varied landscapes of regional and metropolitan primary care, noting the disparities in telehealth services, online appointments, and nurse-led interventions.
The effectiveness of recent incentives, such as the government’s triple bulk bill incentive for concession patients and children under 16, which has witnessed a small yet positive shift in billing rates for these groups.

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The Role of Nurse Practitioners in Improving Health Equity

Fri, 05 Apr 2024 03:30:00 +1100

In this episode of Medicubes, hosts Riwka and Kim speak with special guest Denise Lyons, an experienced Nurse Practitioner in Newcastle. Denise provides insights into the role and evolution of nurse practitioners in Australia, shedding light on their qualifications, scope of practice, financial viability, and future prospects within the healthcare sector.

Key Talking Points:

The expansion of nurse practitioners into various clinical settings and their role in increasing access to care for marginalised and vulnerable populations.
Qualifications and education pathways for aspiring nurse practitioners, and the rigorous process involved in obtaining endorsement and the commitment required for nursing professionals pursuing this advanced role.
Exploring the scope of practice for nurse practitioners, highlighting their ability to assess, diagnose health problems, order and interpret tests, formulate treatment plans, prescribe medicines, and collaborate with other healthcare professionals within their areas of expertise.
The financial sustainability of nurse practitioner services within health practices, addressing the challenges and potential models for making nurse practitioner services financially sustainable, with a focus on collaborative care and proposed changes to legislation that impact their practice.
The transformative role of nurse practitioners and the need for seamless collaboration with other healthcare providers, reflecting on the positive impact on patient care and access to services.

Check out this episode for valuable insights into the evolving role of nurse practitioners and their integral contribution to primary care, and understand how the future of nurse practitioners could shape the delivery of healthcare in Australia.

Medicubes is a proud member of the Talking HealthTech Podcast Network, the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

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Communication Pathways: Creating Trust and Safety within GP Teams

Fri, 15 Mar 2024 03:00:00 +1100

In this episode of the Medicubes podcast, hosts Kim, Riwka, and Chris delve into the critical topic of effective communication within primary care practices.

Key Talking Points:

The significant impact of verbal, non-verbal, and written communication on team dynamics and overall perception within a primary care practice.
Showcasing real-life examples of how swift adaptation to varied communication methods was pivotal in navigating the challenges faced by general practices during the COVID-19 period.
Emphasising the importance of understanding and acknowledging individual communication preferences within a team to ensure effective messaging delivery.
The discussion comes full circle to underscore how communication strategies need to evolve with the changing dynamics of a practice, and the need for consistent feedback and recalibration to ensure effective communication is maintained.

Make sure you subscribe to the Medicubes podcast and visit www.medicubes.com.au for more episodes and additional information.

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Nurturing GP Registrars: Insights from Leonie Chamberlain

Fri, 01 Mar 2024 15:30:00 +1100

First episode back for 2024!

In this episode, Chris and Riwka welcome practice management professional Leonie Chamberlain to the show. With more than two decades of experience within general practice, Leonie provides insights into the different aspects of general practice supervision and management.

Key Talking Points:

The impact of recent changes to the NTCER, especially regarding the administrative time allocated to registrars and how these modifications should be reflected in practice diaries.
The significance of constructive supervision in healthcare to foster a young and diverse demographic of doctors, ensuring excellence in patient care.
Practical tips for creating a supportive and inclusive environment for registrars, from their orientation to daily practice operations.
The significance of managing schedules to maintain efficient appointment timings, and the delicate balance when negotiating remuneration beyond the NTCER, and the value of being upfront about responsibilities regarding income.

Make sure you subscribe to the Medicubes podcast and visit www.medicubes.com.au for more episodes and additional information.

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Quality Improvement in Healthcare: A Conversation with Dr. Tony Lembke

Fri, 08 Dec 2023 03:30:00 +1100

In this episode of the Medicubes Podcast, hosts Riwka and Kim are joined by Dr Tony Lembke, an experienced GP and former clinical director of the Australian Primary Care Collaborative. The episode focuses on the topic of quality improvement in general practice and its impact on patient care, practice sustainability, and provider experience. Dr Lemke shares his insights and experiences from working with numerous general practices, providing practical examples of quality improvements and discussing the importance of a culture of continuous improvement.

Key Talking Points:

Dr Lembke explains the concept of quality improvement and its significance in achieving better care, health outcomes, and practice sustainability.

He shares practical examples, such as proactive chronic disease management, reducing interruptions for doctors, and implementing new processes for workflow efficiency.

The discussion delves into building a culture of quality improvement, fostering psychological safety within teams, and the importance of collaborative learning and sharing innovative practices.

The Model for Improvement is explored, including the thinking and doing parts, with an emphasis on small iterative steps and measurement to drive continuous improvement.

The episode also addresses the challenges and opportunities for practices in innovating and sharing new initiatives, with real-life examples of successful collaborative learning.

Dr Lembke's final message focuses on the culture of kaizen (continuous improvement), encouraging practices to adopt a joyous and easy approach to quality improvement, with a focus on patient-centred care.

Make sure you subscribe to the Medicubes podcast and visit www.medicubes.com.au for more episodes and additional information.

Resource Links;

RACGP Standards for General Practices QI Standard 1 Criteria and Indicators

Institute of Healthcare Improvement: Model for Improvement

Australian Safety and Quality Framework for Healthcare

W. Edward Deming’s 14 Points for Total Quality Management

Medical Business Services | Membership options for access to monthly online Q & A networking meetings

News on Payroll Tax in QLD - Dr Bruce Willett

Fri, 22 Sep 2023 09:00:00 +1100

In this episode of the Medicubes podcast, join Chris, Riwka and Kim as they unpack the latest news on payroll tax in Queensland with Dr. Bruce Willett, a returning guest to the show.

Bruce shares important updates on the public ruling regarding payroll tax for general practices in Queensland. He highlights key changes, clarifies the determination of a relevant contract, and explains how the flow of funds plays a crucial role. Tune in for some valuable insights on how the updated public ruling provides clarity and a clear path forward for Queensland practices.

Make sure you're subscribed to the podcast so you don't miss an episode, and leave a nice review on Apple Podcasts or Spotify if you got some value from it. Visit www.medicubes.com.au for previous episodes and more information.

The Medicubes Podcast is part of the Talking HealthTech Podcast Network, Australia's leading audio destination for insights and thought leadership in healthcare delivery, innovation, and digital health. Learn more at www.talkinghealthtech.com/podcast/network.

Wrap Around Care: The Role of Social Work in General Practice

Fri, 15 Sep 2023 03:00:00 +1100

In this episode of Medicubes, hosts Chris, Riwka, and Kim are joined by guest Kylie Gibson, Business Manager at Fisher Family Practice, Holder Family Practice and Fisher Allied Health.

They discuss the important role of social workers in general practice, the benefits of integrating social workers into care teams, the various services they provide, and how they support vulnerable elderly individuals to remain in their homes.

Tune in for insights into the collaborative approach between social workers and GPs, the challenges faced, and the positive impact on patient care.

Key Points:

Social Worker Role: Referred patients get comprehensive support, covering information provision, ongoing aid, and tackling complex healthcare needs.
Teamwork and Patient Goals: Social workers collaborate with patients, focusing on goal-setting and consistent consultations.
Advocacy: They serve as advocates, guiding patients through the system to close any gaps in care.
Pilot Program: Funded by Capital Health Network, the Social Workers in General Practice Pilot Program is an Australian first, aiming to enhance care for those with complex social and health barriers.
Evaluation: University of Canberra is independently evaluating the program.
Financial Barriers: Although currently limited by funding and Medicare restrictions, the data collected in this pilot will hopefully demonstrate the ongoing need for Social Workers in General Practice, and propose pathways for future funding.

Additional Resources:

Vulnerable Elders Survey (VES-13): https://www.rand.org/health-care/projects/acove/survey.html
Medicubes Podcast: Website: www.medicubes.com.au

Payroll Tax Fundamentals - Kelly Chard & Ben Ryan Part 2 of 2

Fri, 11 Aug 2023 09:30:00 +1100

In this episode of Medicubes, join Ben Ryan and Kelly Chard as they discuss the intricacies of payroll tax for GP clinics.

They cover how payroll tax affects medical practices in Australia and the recent crackdown by revenue offices on non-compliant practices. Hear real-world cases highlighting the importance of properly classifying doctors to not run into payroll tax pain later down the line.

This is part 2 of this mini-series on payroll tax. Jump back to episode 17 on this podcast feed for part 1.

Key Takeaways:

Some medical practices have chosen to pay the payroll tax after the amnesty period based on their own interpretations.
The incorporation of practitioners into specialised clinics is becoming a common strategy for providing services.
The payroll tax discussion is prompting critical thinking and strategic planning for future business models.
Practitioners express little enthusiasm for paying payroll tax in the traditional model.
It is crucial to avoid a system where the practice manager or another individual retains control of funds.
Implementing separate bank accounts for different types of transactions, such as third-party payments, can aid in tracking.
A different mindset and reconciliation process are needed to effectively track payments and manage debtors.
Various approaches exist for reconciliation, from manual checks to automated systems like Surgical Partners.
Transferring funds from a central clearing account to individual practitioner accounts can lead to discrepancies.
Choices must be made regarding working with doctors to manage their own funds or leaving it as a free-for-all.
Checking service agreements for accuracy is a crucial task for accountants or bookkeepers.
Common issues in service agreements include incorrect practice or doctor names and incorrect service fees.
Poorly drafted agreements by inexperienced lawyers can have legal and commercial consequences.
Change is expected in the healthcare system, necessitating a reevaluation of business models and engagement methods.
The speaker highlights the negative impact of payroll tax and the need for focusing on business models and patient care.
The direct flow of funds to doctors aligns with their business model, but challenges with visibility and reconciliation remain.
Small practices can adapt to paying doctors directly, but larger practices may require new software solutions.
The evolving situation may lead to potential rulings and changes in payroll technology, affecting how practices operate.
Each practice needs to find its own path to maintain visibility for billing administration.

Remember this episode is not professional advice in any way. Please seek your own accounting and legal advice taking into account your own unique circumstances.

Payroll Tax Fundamentals - Kelly Chard & Ben Ryan Part 1 of 2

Fri, 28 Jul 2023 08:30:00 +1100

In this episode of Medicubes, join Ben Ryan and Kelly Chard as they discuss the intricacies of payroll tax for GP clinics.

Key Takeaways:

02:15 - Payroll tax is a state-based tax administered by each state's revenue office, not the ATO (Australian Taxation Office)
03:45 - Revenue offices are actively cracking down on medical practices that have been non-compliant with payroll tax regulations.
06:20 - Recent cases involving Optical Superstore and Thomas and Naaz have brought attention to the issue of properly classifying doctors and patients under the Payroll Tax Act.
10:30 - Medical practices need to consider payroll tax when dealing with doctors and patients and seek advice from experienced professionals.
14:10 - It is essential for medical practices to have conversations with knowledgeable professionals who specialise in both accounting and legal aspects of the medical industry.
17:45 - Updating bank accounts without considering the wider plan will not fix any existing payroll tax issues.
21:00 - Collaborating with legal advisors and experts is crucial to ensure operational changes align with legal advice.
24:15 - Understanding the business structure, evaluating day-to-day operations, and seeking professional advice are the first steps in managing payroll tax risks.

Remember this episode is not professional advice in any way. Please seek your own accounting and legal advice taking into account your own unique circumstances.

Understanding MyMedicare: A Deep Dive into the New Patient Registration Model For Practice Managers

Fri, 07 Jul 2023 09:30:00 +1100

In this episode of Medicubes, Riwka Hagen, Chris Smeed and Kim Poyner dive into the hot topic of the week - new patient registration, MyMedicare and its impact on healthcare practices in Australia.

The team answer your questions and share valuable insights and guidance on understanding the differences between enrolling and registering patients, the changes with patient registration, and the potential challenges practices may face.

Key Discussion Points:

Introduction to the new patient registration model, MyMedicare, and its voluntary nature.
The objectives of My Medicare in enhancing the patient-GP relationship and primary care services.
The significance of continuous patient care and how MyMedicare aims to achieve it.
Enhanced access to GPs through My Medicare: Telephone consultations for Level C and Level D.
The tripling of bulk billing incentives for telehealth consultations (Level C, D, and E) for pension card holders, healthcare card holders, and children under 16.
A deep dive into the telehealth consultations covered by MyMedicare.
The exclusion of registered patients from accessing chronic disease management services from other practices, ensuring continuity of care.
An exploration into the possible challenges that practices might face due to the patient lock-in feature of My Medicare.
Anticipations on the potential impact and benefits of My Medicare on healthcare service delivery.

Resources & Links:

MyMedicare practice registration – Frequently asked questions - https://www.health.gov.au/resources/publications/mymedicare-practice-registration-frequently-asked-questions?language=en

Solving Complex Problems in Healthcare Payments: Albert Naffah, CommBank Health

Fri, 09 Jun 2023 08:45:00 +1100

In this episode, Chris, Kim and Riwka are joined by special guest Albert Naffah, CEO of CommBank Health, who brings a wealth of expertise to the discussion as they explore the role of digital technology in the healthcare industry.

Albert discusses the challenges faced by healthcare businesses and how digital solutions can create efficiencies and enhance the patient experience. He also reveals how Smart Health, a payment and claims platform with integrated analytics, is helping medical practices get paid more efficiently while attracting patients and talent alike.

Key Takeaways:

(02:29) The increasing adoption of digital solutions in healthcare is driven by patient demand for modern solutions and healthcare businesses' need to create efficiencies and improve the patient experience.
(12:54) Healthcare practices can benefit from non-clinical skills such as finance, operations, and human resources, which are crucial for practice success but not commonly taught in medical school.
(21:10) Smart Health, a payment and claims platform with integrated analytics, helps medical practices get paid efficiently while attracting patients and talent.
(28:05) The GP Insights report shows that many medical businesses experience higher patient demand than in previous years, leading to challenges, but also greater adoption of digital solutions.

Resources & Links:

CommBank Health: https://www.commbank.com.au/business/corporate-industry/health.html
Smart Health: https://www.commbank.com.au/business/health/solutions/smart-health.html
GP Insights Report: https://www.commbank.com.au/content/dam/commbank/assets/business/corporate-industry/health/gp-insights-report-2023.pdf

How to transform culture in a GP clinic - Dr Sean Stevens, GP Owner, Principal, Supervisor - Grove Medical Victoria Park

Fri, 26 May 2023 09:00:00 +1100

In this episode of the Medicubes Podcast, hosts Chris Smeed, Riwka Hagen and Kim Poyner are joined by Dr Sean Stevens, co-owner of Grove Medical Victoria Park, to discuss the importance of building a positive culture in healthcare organisations.

Explore the insights and experiences that have shaped his views on the subject, as well as his tips for creating a workplace that fosters innovation and success.

Key Takeaways:

Human resources, time management, and self-care are essential areas for leadership development in healthcare
Practice management is similar to the role of a CEO in terms of running an organisation with authority and accountability
Successful practices depend on a clear division of roles and responsibilities between practice owners and managers
A positive workplace culture is critical for staff retention, patient satisfaction, and business growth
Emphasising values such as fun and innovation can help differentiate a practice from others in the field
Effective communication and trust-building are necessary for creating a culture that promotes success
A solid induction and touch-base process can improve the chances of new employees succeeding in their roles

Links & Resources:

The Good GP Podcast: https://www.racgp.org.au/racgp-digital-events-calendar/online-event-items/podcast/the-good-gp
AAPM: https://www.aapm.org.au/
"Seven Habits of Highly Effective People" by Stephen Covey: https://www.stephencovey.com/7habits/7habits.php
"Crucial Conversations" by Kerry Patterson, Joseph Grenny, Ron McMillan, and Al Switzler: https://www.crucialskills.com/products/crucial-conversations/

Unpacking the 2023 Federal Government's Budget Impact on General Practice in Australia. Featuring Bruce Willet, RACGP

Fri, 12 May 2023 17:00:00 +1100

Welcome to a special episode of the Medicubes Podcast hosted by Chris Smeed, Riwka Hagen and Kim Poyner.

This episode is a deep dive into the recent federal budget and its implications for General Practice.

Joining the team in the second half of this episode is Bruce Willett, the National Vice President of the RACGP.

About the Guest:

Bruce Willett is not just the National Vice President of RACGP, but also the Queensland RACGP chair and a practice owner of a large group practice south of Brisbane. His interests include medical education and practice quality improvement. With over a decade of experience as a medical educator and the supervisor liaison officer for GPTQ, Bruce firmly believes in the power of a supportive team in managing the challenges of GP work.

Join us in this episode as Bruce, Kim, Riwka and Chris shed light on the new opportunities and threats that the new government's budget brings to General Practice.

Key Takeaways:

Understanding the New Budget: The Medicubes team and Bruce give us an in-depth analysis of the new budget, clarifying the changes and how they will affect General Practice.

Unanswered Questions: Despite the detailed announcement, there are still some uncertainties. Let’s unpack the potential implications of what we don't know yet.

Impacts on Practice Managers: The new budget brings changes that directly affect Practice Managers. Listen in to understand what these are and how to navigate them.

Future of General Practice: With a new government and new budget, the landscape of General Practice is shifting. Hear first hand insights on where General Practice is headed.

Links / References:

For a detailed breakdown of the federal budget 2023-24:
https://www1.racgp.org.au/newsgp/professional/federal-budget-2023-24-the-detailed-breakdown-for

Creating A Medical Practice Environment For More Accessible Healthcare

Fri, 28 Apr 2023 08:12:00 +1100

Welcome to The Medicubes Podcast with your hosts Riwka Hagen, Chris Smeed, and Kim Poyner.

This episode features guest Deb Walter, a practice owner and manager of Sanctuary Medical Practice in Fletcher, New South Wales.

Deb has firsthand experience with the NDIS (National Disability Insurance Scheme) and is passionate about accessibility and inclusion in healthcare because of her son Charlie, who lives with spina bifida and intellectual disability.

In this episode, the hosts and Deb discuss the successes and challenges of NDIS and share insights into how healthcare organisations can improve their services to support individuals with disabilities.

Key Takeaways

- The NDIS is still in its infancy compared to Medicare, but it has made a dramatic impact on improving accessibility and affordability of healthcare for people with disabilities such as catheterisation, which used to cost thousands of dollars.

- The diverse range of coverage that NDIS offers makes it hard to navigate, and individuals need more help to determine what funding they should have.

- NDIS takes an individual approach to putting the client at the centre of funding, which dramatically changed Charlie's life.

- The guardianship and financial management process for people with disabilities can be confrontational for parents who have to ask the state for permission to care for their son/daughter.

- However, people with disabilities need to have a say in who makes decisions for them, even if they can't independently make all decisions.

- The staff in healthcare organisations should connect with patients on a more personal level and remember their preferences and interests.

- People with disabilities respond well to staff members who connect with them and become a part of their story, such as employing those who are neurodiverse and have intellectual disabilities.

- Standards for medical staff certification, such as CPR, may exclude people with disabilities, and we need to think more flexibly about these standards and not exclude carers and parents of people with disabilities from the healthcare workforce.

- Health professionals need templates to easily put together disability-related documents, and collaboration is needed to work towards creating and sharing templates as a resource.

- The paperwork in the disability service sector is huge, and staff turnover in group homes can cause difficulties for patients in continuity of care.

- Hospitals and healthcare facilities need to have staff who genuinely care and are willing to adapt to each individual's needs, including providing a parking spot and quiet space for individuals with disabilities.

Links & Resources

- Charlie's Facebook page: https://www.facebook.com/charliedidthis

- NDIS Quality and Safeguards Commission worker orientation module: https://www.ndiscommission.gov.au/workers/worker-training-modules-and-resources/worker-orientation-module

- Disability awareness training: https://disabilityawareness.com.au/elearning/disability-awareness/

- Useful links for intellectual disability: https://aci.health.nsw.gov.au/resources/intellectual-disability/id-essentials/resources/useful-links

The Evolving Role of Practice Managers and the Impact of AAPM. Miranda Grace, AAPM

Fri, 31 Mar 2023 09:00:00 +1100

In this episode, we explore the vital role of practice managers in healthcare and discuss the Australian Association of Practice Management (AAPM)'s importance in supporting them. We cover how the role of practice managers has changed during the Covid pandemic, the relentless advocacy for the profession, and the upcoming AAPM conference.

Join us in this exciting episode as we delve into the world of practice management and the crucial role it plays within the healthcare community. With our guest, Miranda Grace - CEO of the Australian Association of Practice Management's (AAPM), we discuss the impact of Covid on the responsibilities of practice managers, the AAPM’s role in providing support and advocating for the profession, and the upcoming AAPM conference in Adelaide.

Key Discussion Points

The significant impact of practice managers on their communities
The evolution of AAPM's role during the Covid pandemic
The importance of timely and digestible information distribution
Advocating for primary care and recognition of practice managers
The differences in support needed between metropolitan and rural areas
The importance of credentialing and recognition for practice managers
Focus areas for AAPM, including education and skills development
Upcoming AAPM Conference 2023 in Adelaide
The benefits of joining AAPM for new practice managers
The support and assistance provided by AAPM to its members

Resources and Links

Australian Association of Practice Management (AAPM): AAPM Website
Strengthening Medicare Task Force: Task Force Overview
PIP and WIP: Practice Incentives Program (PIP) and Workforce Incentive Program (WIP)
AAPM Conference 2023: Conference Information (Adelaide Convention Centre, 10th - 13th October)

The critical role of nursing in primary care. Karen Booth, APNA

Fri, 17 Mar 2023 09:00:00 +1100

In this episode, hosts Kim Poyner, Chris Smeed and Riwka Hagen interview Karen Booth, the President of the Australian Primary Health Care Nurses Association (APNA). They discuss the role of APNA in supporting primary health care nurses and the challenges faced by nurses in the industry, particularly in light of the COVID-19 pandemic. Karen also shares her insights on the importance of continuing professional development and the impact of technology on the future of primary health care nursing.

Key Takeaways:

The Australian Primary Health Care Nurses Association (APNA) plays a crucial role in supporting primary health care nurses in Australia.
Nurses in the primary health care industry face a number of challenges, including the need for ongoing professional development, managing increased patient demand, and ensuring their own health and wellbeing.
The COVID-19 pandemic has highlighted the importance of nurses in the primary health care industry and the need for additional resources and support.
APNA has developed a range of resources and training opportunities for primary health care nurses, including online courses and webinars.
Nurses can access additional support through the APNA membership program, which includes access to professional development opportunities, mentoring and networking.
Technology is increasingly playing a role in the future of primary health care nursing, including the use of telehealth and remote patient monitoring.
Nurses need to be equipped with the skills to use new technologies effectively in their practice.
There is a need for greater recognition of the value of primary health care nursing and the contribution it makes to the health care system.
Collaboration and communication between health care professionals is essential in ensuring the best outcomes for patients.
Primary health care nurses have a unique and important role in promoting health and preventing illness, particularly in the community setting.

Resources & Links:

Medicubes website: https://www.medicubes.com.au
Australian Primary Health Care Nurses Association (APNA) website: https://www.apna.asn.au/
APNA membership program: https://www.apna.asn.au/membership/
APNA COVID-19 resources: https://www.apna.asn.au/covid-19/
APNA online courses and webinars: https://www.apna.asn.au/education/online-learning/
Nursing and Midwifery Board of Australia: https://www.nursingmidwiferyboard.gov.au/
Australian Health Practitioner Regulation Agency: https://www.ahpra.gov.au/

Ensuring Continuity of Care: A Look at Voluntary Patient Enrolment in Primary Care [part 2 of 2]

Fri, 27 Jan 2023 09:00:00 +1100

In this episode of the Medicubes podcast, Riwka Hagen and Kim Poyner join Tracy Johnson, Dr Tony Lembke, Simon Matthews from Practice Coach Australia for the second half of a discussion on voluntary patient enrolment (sometimes known as voluntary patient registration - VPR) in the primary care space.

Jump back to the last episode of this show to hear the first part of this discussion.

In this episode, we delve deeper into the complexities and challenges of implementing this model in the current healthcare system. We have a panel of experts with diverse perspectives and experiences, including GPs, psychologists, and healthcare administrators, who share their insights and concerns about the potential impact of VPE on patient care, physician burnout, and healthcare delivery.

Key Discussion Points:

The concern that VPE may leave some patients behind, particularly those who are acutely unwell or have complex medical needs.
The potential impact of VPE on physician burnout, given the high workloads and financial pressures facing primary care practices.
The challenge of changing the current model of primary care, which is primarily based on independent practitioners working as micro-businesses.
The potential barriers to implementing VPE, including resistance from independent practitioners who may not be willing to give up control over their patient-practitioner relationship.
The need to rethink primary care delivery and create a new value proposition that is different from the current model.

Resources & Links:

The Australian Institute of Health and Welfare: https://www.aihw.gov.au/
Cubiko: https://www.cubiko.com.au/
The Winston Churchill Memorial Trust: https://www.churchilltrust.com.au/
The Australasian Healthcare Homes Program: https://www.ahha.asn.au/healthcarehomes
The Primary Care advisory: https://www.aihw.gov.au/reports/primary-care/primary-care-advisory-committee-annual-report-2019-20/contents/about-the-primary-care-advisory-committee

Ensuring Continuity of Care: A Look at Voluntary Patient Enrolment in Primary Care [part 1 of 2]

Fri, 23 Dec 2022 09:00:00 +1100

In this episode of the Medicubes podcast, Riwka Hagen and Kim Poyner join Tracy Johnson, Dr Tony Lembke, Simon Matthews from Practice Coach Australia for a discussion on voluntary patient enrolment in the primary care space. This is the first part of a two-part series. The conversation explores the concept of the medical home, in which patients have a continuing relationship with a particular general practitioner (GP) and are supported by a team of healthcare professionals. The goal of the medical home model is to provide comprehensive, coordinated, and accessible care to patients, with a focus on quality and safety.

Key Learnings:

Voluntary patient enrolment is relevant in the context of the medical home model of primary care. (4:00)
The medical home model has been extensively studied and shown to be an effective and efficient way to provide primary care that is preferred by patients and providers. (4:30)
The medical home model can lead to improved health outcomes, including better management of chronic conditions and reduced hospitalisation rates. (5:00)
The medical home model relies on strong communication and collaboration between healthcare providers, as well as engagement and involvement of patients in their own care. (7:00)
The medical home model can be implemented in various settings, including general practices and Aboriginal medical services. (9:00)
Voluntary patient enrolment is a way for patients to formally express their preference for a particular GP or medical practice to be their medical home. (13:00)
Voluntary patient enrolment is different from mandatory enrolment, which requires patients to be registered with a specific GP or practice. (14:00)
Voluntary patient enrolment can help to improve the continuity of care for patients, as well as the efficiency and effectiveness of the healthcare system. (17:00)
There are potential challenges to implementing voluntary patient enrolment, including issues related to funding, workload, and access to care. (20:00)
The importance of voluntary patient enrolment may vary depending on the specific needs and preferences of patients and communities. (22:00)

Resources & Links:

The Australian Institute of Health and Welfare: https://www.aihw.gov.au/
Cubiko: https://www.cubiko.com.au/
The Winston Churchill Memorial Trust: https://www.churchilltrust.com.au/
The Australasian Healthcare Homes Program: https://www.ahha.asn.au/healthcarehomes
The Primary Care advisory: https://www.aihw.gov.au/reports/primary-care/primary-care-advisory-committee-annual-report-2019-20/contents/about-the-primary-care-advisory-committee

7 - Technology trends & podcasting

Fri, 11 Nov 2022 09:00:00 +1100

In this episode, hear from Peter Birch - CEO & Founder of Talking HealthTech who work behind the scenes to power the Medicubes podcast.

Learn about Pete’s background in healthcare management including his first job phoning GP clinics chasing up medical reports for life insurance applicants, his own experience running GP clinics across the country including the technical and people challenges he faced and how he overcame them, as well as the power of podcasting and what’s next for Talking HealthTech.

6- Achieving RACGP Accreditation Success. Stacy Kambouris - General Manager, Education & Innovation, AGPAL & QIP

Fri, 28 Oct 2022 09:00:00 +1100

Stacy Kambouris General Manager, Education and Innovation and QIP Consulting LinkedIn Profile

Accreditation tips:

Relax! This is not a pass/fail process.
Take your time - start preparing early (recommend 8 months from due date to start regularly working on accreditation preparation)
Use a team-based approach and share the workload
Use the resources available to you via your accreditation provider
Ensure the team understands their role & responsibilities
Tailor templates to practice-specific processes. Avoid [insert your details here] text in your Policy & Procedure Manual
Build a strong practice ‘quality’ culture - create buy-in to the process at all levels of the practice
Implement a Review/Audit/Train cycle.
Accreditation is an opportunity to identify improvements, even where no ‘non-compliances’ exist.
Surveyors are not ‘looking’ for non-compliances! Use the survey visit as a learning opportunity.
Understand the notion of ‘meeting the intent of the Standards’ to provide flexibility in how evidence is provided. For example - staff meeting notes or minutes structure

Why do practices undertake accreditation? To ensure patient safety & quality care measures are embedded in everyday actions and activities. It is a pathway to high performance primary care. It also provides funding access Practice Incentives Payment Program PIP, Workforce Incentives Payment Program WIP, and participation as teaching practices

RACGP 5th edition standards

The Australian Commission on Safety & Quality in Healthcare Advisory kit GP18/04 notification of sig risk. 1. Pt identification 2. Reusable instruments (inv proc) 3. Medicines storage 4. Management of temperature sensitive medicines 5. Follow up of significant tests.

NSQHS Standards Primary & Community Health Care Services

RACGP Accreditation Resources

For experienced practices - consider looking at other Standards for elevating performance such as the NSQHS Primary Health Care Standards.

5 - Team Based Care

Fri, 14 Oct 2022 09:00:00 +1100

Today’s podcast is brought to you from the Medicubes team, a panel discussion on tackling the primary care workforce challenges, optimising team based care and ensuring financial viability. We discuss the right person to provide the right role, scopes of practice and diversification of roles to enhance streamlined care and improve our patient experiences and outcomes.

Episode Details

Nurse Led Clinics APNA clinic budget tool
APNA Nurse led clinics
Case conferencing Allied Health MBS items
Women wellness cervical screening service
e-Learning Medical Business services - Nurse Led Clinics - Use coupon code aapm for 15% discount until 15 October 2022
Exercise is Medicine group example - Springs Medical
Exercise is Medicine group example - Mullumbimby
Huddles in Primary Care
MBS item 10997
Quality Improvement framework
Teen Clinics

Questions from the Audience

Jenny from SA asks :- How do we set up a wound care clinic in our practice?
David from NT asks:- How do we set up a Satellite site, putting a team or a clinic offsite due to infrastructure limitations?

4 - Not your typical location for a GP clinic - Pat Ryder and Dr Laura Zagorski; Mount Beauty Medical Centre & Falls Creek Medical Centre

Fri, 30 Sep 2022 09:00:00 +1100

Today’s podcast is bought to you from Mount Beauty Medical Centre/Falls Creek Medical Centre with Practice Manager Pat Ryder and Rural GP Laura Zagorski.

Pat obtained her Certificate of Health Economics, Monash University in 1998 followed by her Diploma in Practice Management, University of New England in 2002. Pat gained her Fellowship of the Australian Association of Practice Managers in 2014.

Pat commenced work at the Mount Beauty Medical Centre in 1986

Pat has expertly guided the accreditation of both practices with General Practice Accreditation. She has also completed Management, University of New England in 2002. Pat gained her Fellowship of the Australian Association of Practice Managers in 2014.

Pat commenced work at the Mount Beauty Medical Centre in 1986

Pat has expertly guided the accreditation of both practices with General Practice Accreditation. She has also completed accreditation of both practices with the HDAA as Radiology Service Providers.

Laura is a GP with 11 years experience working in Falls Creek and Mount Beauty. She completed MBBS at UWA in Perth, graduating in 2007. She received her fellowship of the RACGP in 2013 and has completed various other postgraduate studies.

She enjoys all aspects of rural GP particularly women’s health, mental health, lifestyle medicine and attending to sports injuries. She spends a large portion of each winter working at Falls Creek Medical Centre where she combines her interest in managing snowsports trauma with her love of downhill skiing.

Episode Details:

● An overview of the Falls Creek Medical Centre, location & services & relationship to MBMC

● A typical day in snow season look like

● Specialist equipment do you us and training do GPs and staff require

● Similarities & differences to traditional GP services (relationship to hospital services)

● Billing structure (& notion of 'unique' service development)

● Attracting staff to work in quite remote locations.

● The best/most challenging aspect of this work?

Key Messages:

Diversity in practice keeps doctors ‘interested’

General practice training can take you anywhere you want it to.

3 - How to establish strong employment foundations in private practice with special guest George Sotiris, Director, HIES - Health Industry Employment Services

Fri, 16 Sep 2022 18:30:00 +1100

George Sotiris has almost 15 years of health industry experience as a Workplace Relations Specialist helping thousands of private practices in Australia. As the Director of Health Industry Employment Services (HIES), he is passionate about working closely with medical practices, allied health practices and dentists across Australia to reduce employment risk.

We discuss:

Some of the HR trends you have seen in the past few years? (Stress, Burnout & Bullying claims, increase in difficult patients and pay/wage disputes)
Fair Work is talking a lot about salaried arrangements and the Better Off Overall Test (BOOT)
Practical tips that will assist practices with managing Award compliance and staff pays and tools that may help?
Recruitment and retention - What are the hot tips?

We answer Audience Questions:

Barb from Western Queensland had a HR Question - “Do you see anything different in HR between city practices and regional and remote practices - both from a legal and payroll sense but also practice culture”

Jamie from Sydney asked “Where do I go to find out what I need to do and how to stay up to date with everything HR?”

Links:

Free Staff Review Template

Better Off Overall Test (BOOT)

2 - Prevention Activities in Primary Care | Live from ASLM Conference Cairns

Thu, 18 Aug 2022 20:00:00 +1100

This episode was recorded life at the Australasian Society of Lifestyle Medicine conference in Cairns on the 30th July 2022.

The Australasian Society of Lifestyle Medicine (ASLM) is an interdisciplinary society working towards improved prevention, management, and treatment of chronic, complex and lifestyle-related conditions. ‘Lifestyle-related’ includes environmental, societal, behavioural and other factors. ASLM members include GPs and medical specialists, allied health practitioners, public health physicians, educators, scientists, researchers and healthcare executives.

Hear Chris, Riwka and Kim reflect on all things advocacy, policy and prevention in primary care.

Links:

1. Australasian Society of Lifestyle Medicine

2. RACGP Healthy Habits App

3. 10997

4. 10987

5. Behaviour change training Wellcoaches and research

6. APNA

7. Healthily

8. Weight & Lifestyle management – Murrumbidgee PHN program

9. CDM in Covid times

10. Workforce

11. Shared medical appointments & yarn ups

12. Aboriginal round table discussions | Waminda

13. Optimising workforce

14. MBS for shared medical appointments (Normal consultation items apply with existing item descriptors and requirements)

15. Case conferencing

16. Learn more about Case Conferencing – eLearning module

17. Heart health check (HHC) item 699

18. Heart foundation Heart Health Check Toolkit

19. Team roles

20. QCI & accreditation overlap with prevention activities

21. Attendances & Heart Health Check

22. Measuring outcomes for policy change

23. PDSAs (Plan-Do-Study-Act)

24. PREMS, PROMS, PAIS

25. Coop Wonca

26. Where lifestyle medicine fits in

27. Practice systems & processes

28. Effective systems for workforce attractions

29. Health coaching example Dr Cheryl Wilson

30. ‘Hand up, not hand out”

1 - Medicubes launch 🚀

Thu, 28 Jul 2022 20:00:00 +1100

Medicubes is a monthly podcast presented by:

Chris Smeed
Riwka Hagen
Kim Poyner

With their combined extensive experience in primary care, the team behind Medicubes aim to bring detailed content to the community. In today’s episode, we will connect you into our origin story. How we met, passions, debrief ad connections. What cultivated these host relationships with each other. We will also respond to two listener questions that they are grappling with at the moment. Mary from Sydney - What does MBS indexation mean to me and what do I need to do?

Recap of essentially no indexation. Ie - fees are not keeping up with CPI increases 20 year history, reducing practice viability etc.
Many practices - private billing
Start with your practice’s intention - how are you tracking
Software updates
Understand what this means for YOUR practice & plan accordingly

John from Perth - Why are practices moving to private/mixed billing? Any tips on how to manage this transition.

How will you manage still low Medicare rebates if not moving to private billing
Benchmarks
Reality pill of a business
Marketing to your clients - managing the transition

Key takeaways: With their combined extensive experience in primary care, the team behind Medicubes aim to bring detailed content to the community.The aim of the podcast is to provide robust panel discussion with industry experts. Engaging and empowering the audience to bring about paradigm change in the Australian healthcare landscape.The reach of the podcast will be amplified via the hosts of Medicubes. Through Cubiko’s diverse customer base, through the Facebook ‘Practice Managers Network’ and connections with PHNs across Australia. Listen to other episodes of Medicubes on: Apple: https://podcasts.apple.com/au/podcast/medicubes/id1635000183 Spotify: https://open.spotify.com/show/6H6hJ1lMo8Wt5OK2rzLFkZ Facebook : https://www.facebook.com/medicubespodcasts This show is produced in collaboration with Talking HealthTech. Visit https://www.talkinghealthtech.com for more information.

Medicubes - Coming Soon!

Sat, 16 Jul 2022 23:31:00 +1100

The Medicubes team bring you a monthly panel conversation of exciting and challenging topics in primary health care, answering listener questions and invited guests to the discussions.

Subscribe now and catch the first episode really soon!