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Putting Prevention Into Practice Guidelines for the Implementation of Prevention in the General Practice Setting Putting prevention into practice Guidelines for the implementation of prevention in the general practice setting Third edition Over 20 years of improving preventive health activities racgp.org.au Healthy Profession. Healthy Australia. Putting prevention into practice: Guidelines for the implementation of prevention in the general practice setting. Third edition Disclaimer The information set out in this publication is current at the date of first publication and is intended for use as a guide of a general nature only and may or may not be relevant to particular patients or circumstances. Nor is this publication exhaustive of the subject matter. Persons implementing any recommendations contained in this publication must exercise their own independent skill or judgement or seek appropriate professional advice relevant to their own particular circumstances when so doing. Compliance with any recommendations cannot of itself guarantee discharge of the duty of care owed to patients and others coming into contact with the health professional and the premises from which the health professional operates. Accordingly, The Royal Australian College of General Practitioners Ltd (RACGP) and its employees and agents shall have no liability (including without limitation liability by reason of negligence) to any users of the information contained in this publication for any loss or damage (consequential or otherwise), cost or expense incurred or arising by reason of any person using or relying on the information contained in this publication and whether caused by reason of any error, negligent act, omission or misrepresentation in the information. Recommended citation The Royal Australian College of General Practitioners. Putting prevention into practice: Guidelines for the implementation of prevention in the general practice setting. 3rd edn. East Melbourne, Vic: RACGP, 2018. The Royal Australian College of General Practitioners Ltd 100 Wellington Parade East Melbourne, Victoria 3002 Tel 03 8699 0414 Fax 03 8699 0400 www.racgp.org.au ABN: 34 000 223 807 ISBN: 978-0-86906-493-1 (Print) ISBN: 978-0-86906-494-8 (Web) Published May 2018 © The Royal Australian College of General Practitioners 2018 This resource is provided under licence by the RACGP. Full terms are available at www.racgp.org.au/ usage/licence. In summary, you must not edit or adapt it or use it for any commercial purposes. You must acknowledge the RACGP as the owner. We acknowledge the Traditional Custodians of the lands and seas on which we work and live, and pay our respects to Elders, past, present and future. Over 20 years of improving preventive health activities Putting prevention into practice Guidelines for the implementation of prevention in the general practice setting Third edition Putting prevention into practice Guidelines for the implementation of prevention in the general practice setting. Third edition i Acknowledgements The Royal Australian College of General Practitioners (RACGP) gratefully acknowledges the generous contribution of the following authors, contributors and reviewers of Putting prevention into practice: Guidelines for the implementation of prevention in the general practice setting (Green Book), third edition. Green Book Editorial Committee Professor Danielle Mazza Associate Professor Charlotte Hespe Chair, Green Book Editorial Committee; Head, Department Head, General Practice and Primary Care Research, of General Practice, Monash University; Conjoint Professor, School of Medicine, University of Notre Dame; General School of Medicine and Public Health, University of Practitioner, Glebe Family Medical Practice, NSW; Vice- Newcastle, NSW; Fellow, Society of Family Planning, USA; President, RACGP; Chair, RACGP NSW&ACT RACGP Expert Committee – Quality Care Dr Cory Lei Ms Karen Booth General practice registrar, Currambine Family Practice, WA President, Australian Primary Health Care Nurses Associate Professor John Litt Association Deputy Chair, RACGP Expert Committee – Quality Care Ms Jan Chaffey Ms Genevieve Nolan Chief Executive Officer, Camp Hill Healthcare, Qld; Programs Manager, MOVE muscle, bone & joint health RACGP Expert Committee – eHealth and Practice Systems Ltd, Vic Scientia Professor Mark Harris Dr Raquel Newman Centre for Primary Health Care and Equity, UNSW Medical Writer and Information Designer, Serum Sydney; Centre for Obesity Management and Communications, Vic Prevention Research Excellence in Primary Health Care (COMPaRE-PHC), NSW; RACGP Expert Committee – Quality Care Contributors Dr Christine Boyce Dr Robert Hosking General Practitioner, Hobart, Tas General Practitioner, The Elms Family Medical Centre, Vic; RACGP Expert Committee – eHealth and Ms Alice Creelman Practice Systems Cancer and Palliative Care Branch, Population Health and Sport Division, Department of Health Ms Sally Jarrett Practice Manager, Stirling Central Health Clinic, SA Professor Christopher Del Mar Faculty of Health Science and Medicine, Bond Dr Caroline Johnson University, Qld Senior Lecturer, Melbourne Medical School, Vic; RACGP Expert Committee – Quality Care Dr Michael Fasher General Practitioner and Adjunct Associate Professor, Dr Andrew Knight University of Sydney Fairfield GP Unit, NSW Ms Anne Fritz Mr Alessandro Luongo Practice Manager, Kingston Family Practice, Clinical QI Coordinator, South Western Sydney Brighton, SA Primary Health Network, NSW Ms Kylie Gibson Ms Fiona Thompson Practice Manager, Fisher and Holder Family Clinical Services Manager, Pangula Mannamurna Practice, ACT Aboriginal Corporation, SA Dr Elizabeth Hindmarsh Ms Lauren Trask Co-author of the RACGP’s Abuse and violence: Working Accreditation Specialist, Queensland Aboriginal and with our patients in general practice (White Book) Islander Health Council Putting prevention into practice ii Guidelines for the implementation of prevention in the general practice setting. Third edition Conflicts of interest This publication has been produced in accordance with the rules and processes outlined in the RACGP Conflict of Interest (COI) Policy. The RACGP COI Policy is available at www.racgp.org.au/support/policies/organisational Reviewers We gratefully acknowledge the expert reviewers and representatives from the organisations who contributed scholarly feedback. Chris Ash Ms Beverley Korn Senior Project Officer, Gold Coas t Primary Health Primary Health Care, Gold Coast Primary Health Network, Qld Network, Qld Dr Donita Baird Dr Robbie Lloyd Clinical Psychologist, Vic Port Macquarie Community College, NSW Dr Melanie Dorrington Professor Finlay Macrae Bungendore Medical Centre, NSW Head, Colorectal Medicine and Genetics, Royal Melbourne Hospital; Professor, Department of Medicine, Dr Daniel Ewald University of Melbourne, Royal Melbourne Hospital Lennox Head Medical Centre, NSW Dr Scott McKeown Ms Felicia Fletcher General Practitioner and Public Health Physician Integrated Team Care Project Officer, Capital Health Aboriginal Health Service, Tas Network, ACT Associate Professor Mark Morgan Dr Oliver Frank Associate Professor, Faculty of Health Sciences Oakden Medical Centre, SA; RACGP Expert and Medicine, Bond University; RACGP Expert Committee – eHealth and Practice Systems Committee – Quality Care Dr Brendan Goodger Dr Jeremy Nunis Population Health and Chronic Disease Manager, Owen Terrace Medical Practice, SA Central and Eastern Sydney PHN, NSW Dr Rosalie Schultz Professor Moyez Jiwa Ngaanyatjarra Health Service, NT Wyndham Health Centre, Vic; RACGP Expert Committee – Standards for General Practices Dr Sunita Thavarajadeva Mawson Lakes Healthcare, SA Putting prevention into practice Guidelines for the implementation of prevention in the general practice setting. Third edition iii Acronyms and abbreviations 5As ask, assess, advise/agree, assist, arrange PRACTICE Principles, Receptivity, Ability and capacity, Coordination, Targeted, Iterative cycles, APNA Australian Primary Health Care Collaboration, Effectiveness and efficiency Nurses Association QI quality improvement AUSDRISK Australian Type 2 Diabetes Risk Assessment Tool QI&CPD Quality Improvement and Continuing Professional Development (Program) BMI body mass index RACGP The Royal Australian College of CALD culturally and linguistically diverse General Practitioners CCF congestive cardiac failure RE-AIM reach, effectiveness, adoption, CIS clinical information system implementation, maintenance CISS Computer and information security standards SIP Service Incentive Payment CME clinical medical education SMART Specific, Measurable, Assignable, Realistic, Time-related COM-B capability, opportunity, motivation and behaviour SNAP smoking, nutrition, alcohol, physical activity COPD chronic obstructive pulmonary disease TPB theory of planned behaviour CPD continuing professional development CVC Coordinated Veterans’ Care CVD cardiovascular disease DASS Depression, Anxiety and Stress Scale DMAIC define, measure, analyse, improve, control ED emergency department EPC extended primary care FAV family abuse and violence FOBT faecal occult blood test GASP GPs Assisting Smokers Program GP general practitioner HANDI Handbook of non-drug interventions HbA1c glycated haemoglobin HHS hyperosmotic hyperglycaemic syndrome IT information technology KTA knowledge-to-action MBS Medicare Benefits Schedule MI motivational interviewing NBCSP National Bowel Cancer Screening Program NHS National Health Service NPT normalisation process theory PDSA plan, do, study, act PHN Primary Health Network PLAN Planning learning and need PN practice nurse PPIP Putting
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