GP 3+ Education Program - The Asthma 3+ Visit Plan

GP 3+ Education Program

The Asthma 3+ Visit Plan

CONTINUING PROFESSIONAL DEVELOPMENT

Pre-survey in html form

Name

Division Name

QA Number

Today's Date

Date of Workshop

To ensure the upcoming asthma presentation is directly relevant to your needs, please complete this survey.

To be eligible for 5 CPD points per hour, each GP is required to:
(1) complete THIS questionnaire and return it to____________(local division)_______ by __(4-6 weeks before event)_____;
(2) complete a workshop evaluation form (provided at the workshop); and
(3) complete a post workshop questionnaire 4 weeks after the presentation.

GPs who do NOT complete all three forms will only be eligible for 2 CPD points per hour when they attend the presentation.

1. What percentage of your patients have asthma?

0-25

26-50

51-75

2. Of these, what percentage have moderate - severe asthma?

0-25

26-50

51-75

76-100

3. Has your practice "signed-on" for the Practice Incentive Payment?

Yes

4. Estimate the number of patients you have initiated an Asthma 3+ Visit Plan with over the last 3 months?

Less than 5

6-10

More than 10

5. According to the MBS what are the six (6) key requirements to claim the Asthma 3+ Visit Plan SIP?

1.

2.

3.

4.

5.

6.

6. In respect of your patients who suffer from asthma, do you

Never Sometimes Mostly Always

a. Complete a written Asthma Action Plan

b. Review asthma-related medication regularly

c. Provide patients with self-management educational material

d. Demonstrate how to use medication dispensing instruments

e. Conduct spirometry tests

f. Conduct or refer for skin prick testing

7. What triggers you to do the above?

8. What are the main barriers you face in implementing the Asthma 3+ Visit Plan?
a.

b.

c.

d.

e.

9. The upcoming asthma workshop can cover the following topics. What are the three (3) topics you would most want to cover?

Assessing severity Spirometry Medication Review/back titration Written Asthma Action Plans Patient Self-Management Education Addressing Barriers (to the third visit) Helpful Resources MBS claiming (PIP and SIP) Practice systems (recall/reminder) Information by visit (1-3+)

Priority 1

Priority 2

Priority 3

Thank you for participating in this survey.

(Thank you to the Monash and Knox Divisions of General Practice and GPDV for contributing to the development of this survey.)

Name
Division Name
QA Number
Today's Date
*Date of Workshop*

	Never	Sometimes	Mostly	Always
a. Complete a written Asthma Action Plan
b. Review asthma-related medication regularly
c. Provide patients with self-management educational material
d. Demonstrate how to use medication dispensing instruments
e. Conduct spirometry tests
f. Conduct or refer for skin prick testing

	Assessing severity	Spirometry	Medication Review/back titration	Written Asthma Action Plans	Patient Self-Management Education	Addressing Barriers (to the third visit)	Helpful Resources	MBS claiming (PIP and SIP)	Practice systems (recall/reminder)	Information by visit (1-3+)
Priority 1
Priority 2
Priority 3