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Aged Care Templates

*RTF* DOCUMENT TEMPLATES - DOWLOADING AND IMPORTING RTF MEDICAL DIRECTOR (MD) TEMPLATES FROM THE WEBSITE

What to do with the "RTF"link: DO NOT DOUBLE CLICK ON THE *RTF* LINK TO OPEN IT - THIS WOULD OPEN THE TEMPLATE IN WORD. The end result of this is that you would lose the Medical Director fields that "populate" the template. Please note most of the "RTF" templates were developed using MD2 version. Importing these "RTF" templates onto MD3 may cause errors in the 'date' fields section of the document ie. MD3 automatically changes the 'date' field properties into 'character'. Therefore, once you have imported the RTF templates onto MD3 please change the 'date' (which have been converted to 'character') field properties to 'date' prior to using them or merging the template with the patient file.

MD Instruction Notes for download

Instruction Notes for RTF/PDF MD Templates     PDF (84KB) 

ENHANCED PRIMARY CARE (EPC) IN RESIDENTIAL AGED CARE FACILITIES

Summary of EPC in RACFs

Summary Page of EPC MBS Items in RACFs     PDF (51KB)

Comprehensive Medical Assessment (ITEM 712)


Comprehensive Medical Assessment (Item 712) - A CMA form is available in Medical Director however in many of the local RACFs they use a Common Admission form the GP only needs to complete page 4 to claim the CMA item.

Common Admission to RACF Form     PDF (51KB ) 
Medical Assessment of CMA (page 4) MD (Medical Director) Template        MD TEMPLATE RTF (18.3KB)

Residential Medication Management Reviews (ITEM 903)

RMMR GP Referral Form          PDF (36.4KB)      MD TEMPLATE RTF (28KB ) 

RMMR Management Template       

PDF (30.4KB) MD TEMPLATE RTF (19KB)

Contribution to Care Plan (ITEM 731)

It is NOT appropriate for allied health professionals to provide part-completed referral forms to GPs for signature, or pre-empt the GP's decision about the services required by the patient. 

It is expected that the GP’s contribution to the resident's multidisciplinary care plan would be through direct collaboration with the aged care facility at the request of the facility.  The contribution must be based on the GP’s knowledge of the resident and the health and care needs and may include a personal attendance by the GP with the patient.

It is up to the GP to determine that the resident has a clinical need to for allied health services and to determine the type and number of services required by the resident.

It would NOT be appropriate for a third party (i.e. allied health professionals) to either request the GP’s contribution on behalf of the aged care facility or to direct the GP on what the contribution should be. Consequently, it is not appropriate for allied health providers to provide part-completed referral forms to GPs for signature, particularly in a way that pre-empts the GP’s decision about the services required by the patient.

Care Plan Management Template                                                      PDF (30KB)          MD TEMPLATE RTF (19KB)
        

Referral to Allied and Dental Services  

   

Allied Health Form under Medicare (to be completed by the GP)       

PDF (89KB)     

MD TEMPLATE RTF (310KB)                    

Case Conference Items (734-738 and 775-779)      

Overview of Case Conference

PDF (KB)           

 
Case Conference Management Template                                           
PDF (32KB)     MD TEMPLATE RTF (27KB) 

 

TRANSFER OF MEDICAL CARE AND SOUTHCARE HOSPITAL FORMS

Transfer of Medical Care – GP to GP for Patients Entering RACFs

Transfer of Medical Care Form Template                                             PDF (38KB)        MD TEMPLATE RTF (37KB)

Hospital Interface

RACF Transfer to Hospital Form (Nursing) - this form was developed and piloted by local RACFs, Sutherland Hospital and the Division. Through collaboration with the SESIAHS the form has been further enhanced for use by RACFs and all hospitals in the SESIAHS. It is suggested that RACFs use this form when transferring a patient to hospital. This form is used by all the hospitals in the SESIAHS when discharging a patient to an RACF.

RACF Transfer to Hospital Form - Nursing   PDF (332KB) 
RACF & SESIAHS Aged Care Discharge Summary Form                   

 PDF (29KB)

Southcare Referral Forms

Common Referral Form for Sutherland, Calvary and St George Community Services     
Access and Referral Intake Form
    
 CLICK HERE