Criterion 1.1.1 Scheduling care in opening hours (which covers requirements for Triage procedures or how the practice prioritises patients depending of urgency and need. The downloadable staff training sheets located in the resource guide, offer guidance for staff education in this area.
Criterion 1.1.3 Home and other visits (requires we have document evidence that doctors within the practice perform home and other visits such as hospital visits or aged care facility visits. It is a good idea to make a note of some of these patients close to the accreditation visit date as it will make it easier for the surveyor to sign evidence of how you meet this indicator based on progress note entries in some of these patient’s files.
Criterion 1.1.4 Care outside normal opening hours, looks at after hour arrangements. If you use an after hours locum service, make sure to get a statement letter from them to show as part of your accreditation visit.
Criterion 1.2.1 Practice information, refers to information you include in your practice sheet. You can also find a list of requirements in the explanation text for this indicator.
Criterion 1.2.2 Informed patient decisions, refers to information you make available to inform patients about services and to explain conditions. This is most easily addressed by providing relevant patient brochures and factsheets, which could be available in the waiting room. Also check you have information available in other languages.
Criterion 1.2.3 Interpreter and other communication services. All staff should be trained on the use of interpreter services and their contact details should be easily accessible. The staff training sheets resources provides some helpful information on this topic.)
Criterion 1.4.1 Consistent evidence based practice. This indicator is about making sure your providers have access to current clinical guidelines. These are most readily available in electronic format from the RACGP website.
Criterion 1.5.1 Continuity of comprehensive care and the therapeutic relationship. Your practice must make sure that patients can request to see their own GP. You must also demonstrate how you encourage patients to book with their usual GP.
Criterion 1.5.2 Clinical handover. Handover of patients can take place face-to-face, in writing, via telephone and also by electronic means. This covers instances where a GP may be covering for a fellow GP who is on leave or is unexpectedly absent, a GP covering for a part time colleague, a GP handing over care to another health professional such as a practice nurse, physiotherapist, podiatrist or psychologist, a GP referring a patient to a service outside the practice or a shared care arrangement
Criterion 1.5.3 System for follow up of tests and results. Your practice must demonstrate how all pathology results, imaging reports, investigation reports and clinical correspondence received by or performed in the practice have been: reviewed by a GP, signed or initialled or electronic equivalent, where appropriate, acted upon in a timely manner. You must also have a documented system to identify, follow up and recall patients with clinically significant results.
Criterion 1.6.2 Referral documents. All referral letters must be legible, they must contain at least three approved patient identifiers, they should state the purpose of the referral and where appropriate: be on practice stationery, include relevant history, examination findings and current management, include a list of known allergies, adverse drug reactions and current medicines. The practice must ensure that if the referral is transmitted electronically, that this is done in a secure manner and that a copy of referral documents is retained in the patient record.
Criterion 1.7.1 Patient health records. Your practice must demonstrate that you routinely record the person the patient wishes to be contacted in an emergency. Note that this is different from Next of Kin. So make sure your patient registration form is collecting emergency contact information.
Your practice must also demonstrate that you routinely record Aboriginal and Torres Strait Islander status in our active patient records.)
Criterion 1.7.2 Health summaries, dictates that at least 90% of your active patient health records have allergies recorded. And that at least 75% of your active patient records contain a current health summary. This summary should include, where appropriate: adverse drug reactions, current medicines list, current health problems, relevant past health history, health risk factors (such as smoking and alcohol intake), immunisations, relevant family history, relevant social history, including cultural background where clinically relevant.
Criterion 1.7.3 Consultation notes. This indicator catches many practices off guard ...
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