Gold Coast Primary Health Network (GCPHN) has developed the Primary Sense™ clinical tool to address the needs of general practice. Primary Sense™ creates practical reporting to support:
- The practice in population health management
- GPs, nurses and practice managers to deliver evidence based, optimised care
GCPHN has worked closely with local GPs and researchers to develop Primary Sense™
to ensure reports are both high quality and practical in a general practice setting and align with RACGP Standards and clinical guidelines.
Complementing current medication warnings in prescribing software, Primary Sense generates evidence based medication safety alerts targeted to the clinical situation of an individual patient at the time of prescribing by integrating diagnosis, medications and pathology data.
Quality and Safety
ensures that the reports generated support actionable, evidence based care in general practice. Medication saftey alerts link to optimising care reports for patients. The system highlights potential quality and safety of care issues for your clinical consideration as well as linking to recommended interventions in a seamless way.
is fully automated and can be tailored by the individual user, with the ability to opt out patients at their request.
While general practice may know the health needs of patients who attend frequently, you may not know the status of those patients who are more infrequent attenders. This is especially important for those with increasing complexity. Primary Sense™
provides patient information delivered as timely, actionable reports. This allows clinicians to plan and coordinate care in an efficient and effective way.
Timely and Convenient
The pseudonymised data is collected from your practice by Primary Sense™
, analysed and the specific reports your practice has requested are produced on request. These reports identify patients that would benefit from specific action or interventions.
Incorporating the ACG® System
Characterised by excellence in both research and practice, the Johns Hopkins ACG®
System has been used in performing risk measurement and casemix categorisation for more than 30 years. Using data from your practice, the program provides a multi-morbidity framework for assessing patient complexity, providing estimates of costs, and predicting future health needs, including risk of hospitalisation.
has potential to link complex patients as they move around the health system, supporting you to arrange enhanced and integrated care, with appropriate consent.
General practices are busy and it's not always easy to predict which patients are most likely to become unwell. However, new technology is now helping our practice to identify our patients most at risk of poor health or disease.
We are using data extracted by the Primary Sense™
computer tool, to notify your GP when:
- you would benefit from a health check to keep you healthy
- treatments could be provided to reduce your risk of becoming sick
- new results show you have an increased risk of becoming unwell
To analyse this information, we share your de-identified health data, with local primary healthcare organisation, Gold Coast Primary Health Network (GCPHN).
GCPHN is government funded to provide general practices with resources and support to deliver quality healthcare to patients.
No identifiable information such as your name, date of birth or address is shared with (GCPHN).
An example of how this works
John thinks he is reasonably good health and doesn't visit his GP often. Primary Sense™ pulls together recent and older test results and calculates that John could actually be at risk of heart disease. Knowing this, John's GP invites him for a health check and plans with John how to reduce his risk factors.
Only data to help keep you well is shared with GCPHN and any information your GP has marked as confidential is not shared.
GCPHN also uses the information for planning, research and evaluation to improve the health care services available on the Gold Coast.
How you can help your GP
Patients often go to more than one general practice to see a GP. This means that the current GP that you are seeing, may not have your full medical history, which can make managing your care difficult.
If you see more than one GP at different practices, it is important to notify all of them when you have:
- a blood test or xray
- a change in medicines or a new medicine is ordered
- a new illness or problem