45 Year Old Health Check MBS Item 717 Commencing 1st November 2006

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45 Year Old Health CheckMBS Item 717Commencing
1st November 2006

• Amanda Derbyshire
• Fremantle GP Network
• amandad_at_frdgp.com.au

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• The aim of this health check is to assist with
  the prevention of chronic disease and to enable
  early intervention strategies to be put in place
  where appropriate.

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Item 717

• Rebate 100
• Claimed once only for each eligible pt
• Claimed by a GP, but not for patients in hospital
• Bulk billing incentive can be claimed for
  Commonwealth concession card holders
• Cannot be claimed in conjunction with another GP
  attendance item on the same day, except where
  clinically required
• Should be undertaken by usual doctor
• PNs, AHWs and other health professionals may
  assist

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Who is eligible?

• Aged between 45-49 (inclusive)
• At risk of developing a chronic disease
• Specific risk factor must be identified, may be
• Lifestyle risk factor
• Biomedical risk factor high cholesterol, blood
  pressure, weight
• Family history

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What is involved?

• Information collection pt history, examinations
  investigations
• Overall assessment of the patients health
• Interventions as indicated referrals and
  follow-ups of any identified problems
• Provision of advice and information to the patient

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Patient History

• Patient medical history
• Family history
• Lifestyle risk factors
• Medication usage
• Immunisation status
• Psychosocial (depression)
• Sexual and reproductive health
• Family relationships
• Work, environment and living conditions
• Other history as necessary

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Examination

• Weight, height, BMI, waist circumference
• Blood pressure
• Skin check
• Urinalysis
• Sexual and reproductive health

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Tests

• Fasting lipids
• Fasting blood glucose
• Pap smear
• Testing for colorectal cancer and breast cancer
  for at risk patients

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Interventions as indicated

• These may include
• Education
• Patient self-management
• Initiation of treatment
• Referrals

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In your practice

• Opportunistically
• Information in waiting room
• As patients present to practice
• Or
• Systematically
• Patient search
• Recall letter/telephone call with/without
  pathology forms
• Birthday
• Alphabetical order 20/month etc.
• Target male patients
• Patient questionnaire
• Appt with GP /or nurse

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Resources

• www.frdgp.com.au
• Template computer or paper
• Allied Health database
• Healthy Lifestyle database
• Lifescripts resources
• www.racgp.org.au
• Checklist
• Recall letter
• Patient questionnaire
• Green book, Red book, SNAP guide

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Template
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Allied Health Database
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Healthy Lifestyle Database
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Lifescripts

• FREE RESOURCES
• Smoking, nutrition, alcohol, physical activity
  and weight management
• Assessment and prescription pads electronic
  paper-based
• Patient questionnaire
• Posters, flyers for the practice
• Evidence for each risk factor
• Practice manual

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Other considerations

• Financial
• Number of patients in age range ?
• Number of health checks per year ?
• Total annual income from health checks ?

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For further info..

• www.frdgp.com.au
• or
• 9319 0555