Aged Care Templates
Comprehensive Medical Assessment
Comprehensive Medical Assessment - 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 (see manual pdf version below).
| Common Admission to RACF Form (Manual pdf version) |
PDF (51KB ) |
| Proforma - Comprehensive Medical Asssessment (CMA) for residents of aged care facilities |
(PDF 267 KB) |
| Proforma - Best Practice and MD Templates CMA for residents of aged care facilities |
(RTF 4094 KB) |
Residential Medication Management Reviews (ITEM 903)
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.
Case Conference Items (734-738 and 775-779)
| TRANSFER OF MEDICAL CARE AND SOUTHCARE HOSPITAL FORMS |
Transfer of Medical Care – GP to GP for Patients Entering RACFs
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
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| INSTRUCTION NOTES - DOWNLOADING & INSTALLATION OF TEMPLATES INTO TO YOUR CLINICAL SOFTWARE PROGRAMS |
| Download and install instructions from this website to your practice clinical software program: |
1. Right click on link and select Save Target As...
2. Select a location on hard drive (which you can find later, such as the desktop) and save
| Medical Director - import instructions |
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Best Practice - import instructions |
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- Open Medical Director and then LetterWriter
- File menu > Select Modify Template > Select Blank template
- File > Select Import - locate downloaded file and click on Open
- File > Select Save as template - type in appropriate name and
click on Save
- For detailed instructions click here (PDF 84KB)
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- Open a New Letter and from Templates menu select Import templates
- Locate downloaded file and open
- From File menu select Save as. Type in an appropriate Template name
and click on Save
- For detailed instructions click here (PDF 65KB)
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