Clinically significant information may include the patient’s health and goals, preventive health activities, medical conditions and their preferences and cultural values. Having this information improves your ability to provide care that is tailored to the patient’s needs and circumstances. Identifying patients of Aboriginal and Torres Strait Island origin, or another cultural background Practices are encouraged to identify and record the Aboriginal and Torres Strait Islander status and cultural background of all patients, as this information can be an important indication of clinical risk factors and can help practitioners to provide relevant care. Practices must ask all patients the following question, regardless of the patient’s appearance, country of birth, or whether the practice team know of the patient or their family background: you of Aboriginal and/or Torres Strait Islander origin?’ ’Are Be mindful that some patients may indicate that they do not wish to answer the question. In this case the response would be stated / inadequately described’. A missing response on a returned form ‘Not should be followed up immediately and should not be automatically regarded as a refusal to respond. All patients have the right to respond to this question as they see fit. The patient’s response should be received without question or comment, and the response should be recorded without any amendments or annotations[]. Before asking this question, or any questions relating to a patient’s cultural background, explain that knowing such information helps the practice provide appropriate healthcare. Collecting this information before a consultation, such as from a new patient form assists you to provide the most appropriate care. Depending on where patients were born, where they grew up or where their parents are from, some patients may be at higher risk of certain health conditions. Information relating to the patient’s ethnicity, country of birth, and language spoken can help to identify patients who require specific care or targeted interventions. It is good practice to record this information in the patient health record if it is relevant to patient care. Retaining health records of active and inactive patients Your practice must keep and securely and dispose of health records of active and inactive patients in accordance with legal obligations imposed by the Privacy Act 1988 and the APPs. An inactive patient is generally defined as a patient who has not attended the practice/service more than twice in the past two years. It is recommended that you retain inactive patient health records as required by relevant national, state or territory legislation. You may want to consult your medical defence organisation when deciding on the practice’s policy on the retention of records of inactive patients. Lifestyle risk factors
Clinically significant information may include the patient’s health and goals, preventive health activities, medical conditions and their preferences and cultural values. Having this information improves your ability to provide care that is tailored to the patient’s needs and circumstances. Identifying patients of Aboriginal and Torres Strait Island origin, or another cultural background Practices are encouraged to identify and record the Aboriginal and Torres Strait Islander status and cultural background of all patients, as this information can be an important indication of clinical risk factors and can help practitioners to provide relevant care. Practices must ask all patients the following question, regardless of the patient’s appearance, country of birth, or whether the practice team know of the patient or their family background: ’Are you of Aboriginal and/or Torres Strait Islander origin?’ Be mindful that some patients may indicate that they do not wish to answer the question. In this case the response would be ‘Not stated / inadequately described’. A missing response on a returned form should be followed up immediately and should not be automatically regarded as a refusal to respond. All patients have the right to respond to this question as they see fit. The patient’s response should be received without question or comment, and the response should be recorded without any amendments or annotations[]. Before asking this question, or any questions relating to a patient’s cultural background, explain that knowing such information helps the practice provide appropriate healthcare. Collecting this information before a consultation, such as from a new patient form assists you to provide the most appropriate care. Depending on where patients were born, where they grew up or where their parents are from, some patients may be at higher risk of certain health conditions. Information relating to the patient’s ethnicity, country of birth, and language spoken can help to identify patients who require specific care or targeted interventions. It is good practice to record this information in the patient health record if it is relevant to patient care. Retaining health records of active and inactive patients Your practice must keep and securely and dispose of health records of active and inactive patients in accordance with legal obligations imposed by the Privacy Act 1988 and the APPs. An inactive patient is generally defined as a patient who has not attended the practice/service more than twice in the past two years. It is recommended that you retain inactive patient health records as required by relevant national, state or territory legislation. You may want to consult your medical defence organisation when deciding on the practice’s policy on the retention of records of inactive patients. Lifestyle risk factors
RACGP-Standards-for-after-hours-service-consultation-draft-August-2017.docx