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Executive Manager Remote Services report 
Natasha Hegarty - Acting Executive Manager Remote Services

As I am sure you are all aware, Jenny Bedford is now moved into Chief Operation Officer of KAMS.
I am currently  in the position of Acting Executive Manager of Remote Services.
I have been visiting many of the remote clinics, but have not had the opportunity to meet all of the team members yet. Thank you to all the staff that I have met and that have made me feel very welcome in remote services.
My background is renal nursing, and I have been the Renal Service Manager of Broome Renal Health Centre for the last 6 years.
I am really excited to be working with remote services, and being part of a service that has the ability to improve health outcomes of Kimberley clients in our remote areas.   You all do an amazing job of caring for the members of our remote clinic communities.
Over the next 6 months NOUS consultants will be working with KAMS to review our Remote Services and work with us to optimise our model of care. This will be a positive and exciting process.
Please do not hesitate to contact me with any queries, I am always happy to assist in any way I can.

 
New Staff & Staff Profiles 

Tiffany Hames
My name is Tiffany Hames, I am the new Remote Services Program Support Coordinator. I recently moved to Broome and I have a background in Nursing, Pathology and Biomedical Science. I look forward to visiting all the clinics and meeting you all. 


tiffany.hames@kamsc.org.au  
9194 0303

Renee McKenzie 
Hi, my name is Renee Mckenzie from a local family name, born and raise in the Kimberley, move from BRAMS with 12 years clinical experience to KAMSC for 6 months, love the Kimberley life ect; fishing, camping and 4wd driving with my beautiful family but haven’t caught my 1meter Barra yet.

Feel free to contact me via email at renee.mckenzie@kamsc.org.au 

Corina Darkie 
 I am Corina Darkie I’m an Aboriginal Health Worker I had been working in Billiluna clinic for 6 months and during my time in Billiluna clinic I have learned few clinical skills and that’s when I had to decide to move to Balgo and worked there to learn more and to upgrade my clinical skills which I have learned a lot like Iv cannulation, IV medications, clinical assessment and working on calls and doing first on call at lunchtime gave me more confidence in assessing the situations.
I love my work and I like to have more experience in the clinical setting I work closely with the remote nurse I want to learn from them I’m so happy that remote nurses are giving me support and the chance to do my job as a AHW in return I help them translate in language and help them understand our culture.
I’m a local woman regionally from Balgo my first home a place where I grew up and that where half of my families lived I speak two language
I’m very proud of myself someday in the future that I may think of studying Nursing and become an RN.

 

Erica Cox 

Erica Cox has been a vital part of Beagle Bay clinic and community. she has worked in the clinic as AHW since 1998.
Her passion is to make a positive change in the health of all the residents of Beagle Bay. She also helps inspire the next generation of health workers. 
She is not only is an asset to Beagle Bay but helps in other communities when they are short staffed. KAMS is lucky to have such a dedicated, passionate and skill worker. Thank you Erica for all your hard work. 

COVID-19
COVID Update!!
KAMS update 17th November 2021
Since the start of the pandemic >
7,645 +  Aboriginal and Torres Strait Islander people have been diagnosed (confirmed) with COVID-19. 
16 Deaths
Aboriginal and Torres Strait Islander People account for
4% of all cases.
Infection rate in Aboriginal people is highest for those ages less than 40years

0.2% of Aboriginal people infected have died, 1.1% of cases required ICU and a further 9.6% of people required hospitalisation
  
Rate of infection per 100,000:
Year Aboriginal Non-Aboriginal
2020 23.6 113.0
2021 845.2 483.1
 
Global update
Total cases: >
254million                       Deaths: >5.1 million
  
National data
National active cases:
17,254
Hospitalised: 632      ICU: 107      Deaths: 1882
Median age of all cases is 31years old (range: 0-106)
Median age of death is 84 years old (range:15-106)
Fully vaccinated all Australia:
83.5% 
National vaccination, Aboriginal people dose 1:  
67%
 National Aboriginal people fully vaccinated: 
55.3%
 
Western Australia
WA active Cases:
4
Hospitalised: 0      ICU: 0
WA Aboriginal people fully vaccinated:  18,896 (26.22%)
 
WA whole of population people fully vaccinated: 
69.8%
  
Kimberley
1st dose Aboriginal people =
7267 doses given (56%)
2nd dose Aboriginal people = 4710 (36%)
3rd dose Aboriginal people = 35
1st dose non-Aboriginal people = 12016
2nd dose non-Aboriginal people = 15277
COVID-19 PHEOC Bulletin
Point of Care testing 
COVID Point of Care Testing completed as of 15th of November 2021
It's still important to test patients even if they are fully vaccinated as people are most infectious when they first experience symptoms.
General population testing criteria
Any person may be tested if they have any one of the following clinical criteria: fever (≥37.50C) OR history of fever (e.g. night sweats, chills), without a known source OR acute respiratory symptoms (e.g. shortness of breath, cough, sore throat, runny nose) OR acute loss of smell or taste.
Vaccinations
COVID vaccinations administered as of 17th November 2021
Booster doses
Following recent advice from the Australian Technical Advisory Group on Immunisation (ATAGI), the State Government announced on 31 October 2021 that booster vaccines are now being rolled out in WA. Anyone aged 18 and over who is fully vaccinated with a primary course of the COVID-19 vaccines (dose one and two) and has received their second dose at least six months ago, is able to access the booster vaccine from a State-run vaccination clinic, with no appointment. The Spikevax (Moderna) and Vaxzevria (AstraZeneca) vaccines have not been recommended for booster doses at this stage. Although not preferred, AstraZeneca can be used as a booster in some circumstances - people are encouraged to talk to their GP about this option
CONGRATULATIONS

We would like to recognise and congratulate our Team member Patricia Bird (Patty) who was recently nominated by her colleagues for the Public Health Association of Australia– Aboriginal and Torres Strait Islander Public Health Award 2021

Patty has worked for KAMS for over seven years in several roles and has now found her true vocation as the Beagle Bay Health Centre Manager . Throughout the last 18 months of the COVID-19 pandemic, Patty has shown initiative and leadership skills in keeping her community safe and reassured - she managed point of care testing, isolation, transport and care of symptomatic patients in the community, provided information and education to those who needed it and worked in partnership with the community Elders to advocate for the community to stay closed to tourists. 

Congratulations Patty!
Rotavirus Alert Update 

Kimberley Population Health Unit (KPHU)
5th October 2021

Rotavirus cases continue to occur across most areas of the Kimberley region. To date 60 cases of rotavirus have been notified to the public health unit. Most cases (69%) are among babies and small children however adults have been affected. As shown in figure 1 below, cases appear to have stabilised over the past fortnight, however further notifications are likely due to longer test turnaround times from remote areas. Subsequent cases are expected to occur and testing remains encouraged.
Rotavirus is spread by the faecal-oral route, with possible contact spread. Rotavirus infection is characterised by vomiting, fever and watery diarrhoea in infants and young children and can be associated with severe dehydration and hospitalisation in these age groups. Onset usually occurs within 1-3 days of exposure and symptoms last for 4-6 days. Rotavirus is usually no longer detectable after the 8th day of infection. Secondary infection in adults can occur, though adults often have subclinical infection. Outbreaks are common in childcare centres and aged care facilities.
Management
  • Test: people presenting with symptoms of gastroenteritis should be encouraged to submit a stool sample for PCR/MC&S, including sensitivities.
  • Exclude: people with symptoms from childcare, school and work until 24 hours since diarrhea and vomiting have ceased.
  • Hydrate: take or give plenty of fluids. Oral rehydration solution is recommended for children with mild to moderate dehydration, made up according to the instructions on the packaging. Breastfeeding babies can continue to breastfeed.
  • Monitor: for signs of dehydration, including thirst, dehydration, lethargy, dry mucous membranes and dizziness. Have a low threshold for discussion with paediatrics for very young babies or children with electrolyte disturbance.
  • Assist: clients/carers with non-functioning health hardware by completing an environmental health referral form, with informed consent, and alerting local agencies.
Preventing further cases
  • Immunisations: primary health clinics should actively recall babies who are age eligible for their Rotarix vaccination as per WA Immunisation Schedule 10 March 2021
  • Provide information on attention to food hygiene during preparation, storage, transport, and serving, including proper temperature control
  • Promote regular hand washing with soap and water among children and the family, especially before eating and after toileting and nappy-changing
  • Encourage patients and carers to report to health care staff all episodes of diarrhoea and/or vomiting
  • Consider any patient with vomiting or diarrhoea of unknown cause as potentially infectious
Further information To speak with a public health nurse or to report a local cluster call the disease control team on (08) 9194 1630

Figure 1. Rotavirus cases by postcode, Kimberley region, 2021.
 
Minister Cook Visits Bidyadanga Clinic  
Minister Cook with the Bidyadanga clinic staff 
Hannah Wade getting her 1st COVID  vaccine at Bidyadanga Clinic by Erica Cox (Aboriginal Health Practicioner)
Who did you do it for? 

Medicare Update 

HOW TO ACCESS AIR AS A MEMBER OF AN ORGANISATION WITH AN AIR PROVIDER NUMBER
  • Firstly, you’ll need to register for an individual PRODA account to access AIR
https://proda.humanservices.gov.au/pia/pages/public/registration/account/createAccount.jsf
  • Secondly, once you’ve set up your PRODA account and send your Registration Authority (RA) number to the KAMS Medicare Clerk
 MEDICARE ENROLMENTS
It is important that patients are registered and can billed for Medicare services at our clinics for Incentive Programs, pathology services, PATS, Immunisations etc and not to forget linking identifiers for the My Health Record should patients wish to access My Health Record.
Indigenous Medicare Enrolment forms can be found;

https://www.servicesaustralia.gov.au/individuals/forms/ms018
And they can be scanned and emailed to MES@servicesaustralia.gov.au
 
The COVID-19 Vaccine General Practice Incentive
PIP eligible practices will receive $10 for each patient who has received both a first-dose and second-dose assessment service at the same practice.
A maximum of one incentive payment is payable per patient.
Your practice will be eligible for payment on successful processing by Services Australia of the second-dose assessment service for a patient.
General Practitioners claiming assessment services must be linked to the main or additional PIP practice location.
 
REMINDER******PIP IHI REGISTRATIONS FOR 2022
From the 1st November 2021 each practice can start re-registering patients with a Chronic Disease for the Calendar year 2022.
It is also a great opportunity to register patients that have not been registered for the 2021 Calendar year.  Your practice will receive a registration payment for both 2021 & will be registered for 2022 with an additional registration payment for 2022.
Please ensure that you use the current form of the PIP IHI Registration form available from your Clinic Manager/Clinic Coordinator.
The PIP Indigenous Health Incentive has 3 payment types:
  1. sign-on payment
  2. patient registration payment, and
  3. outcomes payment.
Payment type and amount Payment description
1. Sign-on
payment
$1,000 per practice One-off payment to practices that register for the Indigenous Health Incentive and agree to undertake specified activities to improve the provision of care to their Aboriginal and/or Torres Strait Islander patients with a chronic disease.
2. Patient registration payment $250 per eligible patient per calendar year A payment to practices for each Aboriginal and/or Torres Strait Islander patient aged 15 years and over who is registered with the practice for chronic disease management.
3. Outcomes payment—up to $250 Tier 1: $100 per eligible patient per calendar year A payment to practices for each registered patient where a target level of care is provided by the practice in a calendar year.
Tier 2: $150 per eligible patient per calendar year A payment to practices for providing the majority of care for a registered patient in a calendar year.
VisionFlex is being rolled out on our Remote Communities 
The rollout of Vision Flex equipment continues and all clinics should have by now seen it in one form or another. Bidyadanga and Balgo Clinics have the ProEx and attachments in their own cabinets in the emergency treatment areas as well as a mobile (backpack style) unit which can be used throughout the clinics and on home visits if needed as well. Beagle Bay, Mulan and Billiluna Clinics have their own units on a mobile stand which can be used throughout the clinic.
 
We are awaiting the final setup of software so the system is integrated with MMEx. We are aiming at education of all staff involved in the use of these units as soon as the procedures and connections are finalised.
 
The addition of Vision Flex to our tools in enhancing patient care and communicating via telehealth is very exciting. The work in getting this process as smooth as possible is greatly appreciated.
COO, Jenny Bedford receiving her 2nd COVID Vax at the Bidyadanga Clinic from AHW Ami Clarke 
GREAT NEWS: Changes to PATS funding to allow escorts for any woman travelling 100km or more for birth

This funding provides for:

- An increase in the rate of the commercial accommodation subsidy (see below)
- Automatic approval for an escort to accompany women travelling more than 100km to give birth
- Increased access to escorts for people from vulnerable and disadvantaged client groups
 
The increased subsidy rates are as follows:
  Current rate New rate
Commercial accommodation rate for patients $60/night $100/night
Commercial accommodation rate for patients travelling with an approved escort $75/night $115/night
 
The increased subsidy rate will be applied to any PATS payments processed after 13 September, 2021, and the amended escort eligibility considered for trips commencing after 13 September, 2021. PATS applications will continue to be managed via current processes, and all other eligibility criteria remain

 
For more info, please clink link below.
WACHS PATS webpage WACHS PATS webpage
Tjurabalan Woman's Football Carnival 
KAMS TV Advert 
For compliments and feedback, please click the link below.
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