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PROFILE YARRAM MEDICAL CENTRE - GHA Central

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<strong>PROFILE</strong><br />

<strong>YARRAM</strong> <strong>MEDICAL</strong> <strong>CENTRE</strong>


<strong>PROFILE</strong><br />

<strong>YARRAM</strong> <strong>MEDICAL</strong> <strong>CENTRE</strong><br />

<strong>YARRAM</strong> DISTRICT<br />

Practice Name:<br />

Location:<br />

Yarram Medical Centre<br />

Gippsland<br />

Address: 91 Commercial Road Yarram, Victoria, 3971<br />

Yarram Medical centre is adjacent to the<br />

Yarram and District Health Service (YDHS)<br />

Contact Phone Number: 03 5182 0333<br />

Fax Number: 03 5182 6136<br />

Practice Principals:<br />

Practice Manager:<br />

Email Address:<br />

Dr Llewellyn Testro<br />

Mrs Elaine Ripper<br />

medical.centre@ydhs.com.au<br />

Primary Contact: Ms Colleen Boag<br />

Executive Director, Yarram & District Health Service<br />

Phone: 03 5182 0222<br />

Email:<br />

yarram.health@ydhs.com.au<br />

Philosophy<br />

Our doctors and practice staff are committed to delivering high quality medical care to<br />

individuals and families of the Yarram and district community.<br />

Our aim is to assist our patients to attain and maintain the highest level of health by providing<br />

the best possible medical care.<br />

History<br />

Dr Llewellyn Testro and partner established Yarram Medical Centre in its current location in<br />

1989. In 1999 Dr Testro entered a joint venture with Yarram and District Health Service<br />

(YDHS). The primary objectives of the joint venture were to recruit General Practitioners to<br />

work within the practice, develop the physical features of the practice, meet Year 2k<br />

requirements and seek AGPAL Accreditation. All of these goals have been met in the interim<br />

years. More recently the Yarram Medical Centre has become a training practice for GP<br />

Registrars that has hosted Registrars since January 2003. The next GP Registrar hosting<br />

period commences August 2008.<br />

All GPs have admitting rights to Yarram & District Health Service.<br />

Yarram Medical Centre is eligible for Government assistance packages as it is within a District<br />

of Workforce Shortage.


Facilities<br />

Yarram Medical Centre was extensively remodelled, extended and refurbished in January<br />

2001; it features seven consulting rooms, two modern procedure areas with purpose built<br />

space for dentistry and optometry and a separate plaster room.<br />

A dental surgery on the Medical Centre premises is sub-leased and occupied by Dr Adel<br />

Abrahams who operates Yarram Family Dentist one day per week.<br />

A fully computerised practice including recall systems pathology/radiology downloads, Yarram<br />

Medical Centre strives to achieve a paperless system. Each office has computers, printers and<br />

internet access. Access to the practice based software is available from the Yarram and<br />

District Health Service Emergency Department. This facilitates electronic prescribing and<br />

access to the medical records of clinic patients by clinic medical officers, as well as the<br />

discharge prescribing for acute patients and residents of St Elmo’s Nursing Home.<br />

In 2005 a digital radiology system was implemented at YDHS. Gippsland Diagnostic Services<br />

are contracted to deliver radiology to patients in the Yarram community and this service is<br />

delivered through <strong>Central</strong> Gippsland Health Service Radiology Department. X ray and<br />

Ultrasound are available 5 half days per week. Pathology Services are also provided 5 days<br />

per week from 8.00am to 2.30pm, with two courier services to the laboratory per day.<br />

Yarram Medical Centre has access to ECG and point of care testing equipment, Spirometry,<br />

CTG and Doppler to aid in diagnosis. A Practice Nurse is rostered daily to manage infection<br />

control, patient education, ante-natal screenings, immunisations and the procedure rooms.<br />

A central waiting area with controlled access to the consulting suites is observable from<br />

reception. The clinic has excellent disabled access and a parent’s room. The practice has a<br />

kitchen area for staff use and access to a separate meeting room onsite.<br />

All consulting rooms have an office and separate examination room, with ample space to<br />

facilitate good practice.<br />

Yarram Medical Centre is accredited under the Australian General Practice Accreditation Ltd<br />

and as a training practice for GP Registrars.<br />

Consulting Hours<br />

The practice is open from 9.00 am until 5.30 pm Monday to Friday. After hours care is<br />

delivered from the YDHS Emergency Department. GPs participate in a 1:6 roster for after-hour<br />

care of patients of YMC, the general public and inpatients of YDHS.<br />

Personnel<br />

Doctors<br />

There are six (6) full-time and one part-time GP. Two full-time GP Registrars will commence in<br />

August 2008.<br />

Nurses<br />

Three Practice Nurses job share at Yarram Medical Centre to provide 1.2 Effective Full Time<br />

cover. The nurses have midwifery, intensive care, pap test and immunisation accreditation.<br />

They co-ordinate patient care, procedures and the recall systems on instruction from the GPs<br />

and procedures. They are responsible for overseeing the implementation of the infection<br />

control procedures and work to maximise the efficiency of medical staff.


Administrative Staff<br />

Yarram Medical Centre has a Practice Manager and three reception staff. On any given day,<br />

there are three reception staff on duty in the morning and two in the afternoon. The Practice<br />

Manager is located at the Medical Centre.<br />

Range of Practice Services<br />

Yarram Medical Centre provides for the care needs of the Yarram community and as such is a<br />

responsive family medicine practice. Procedures include (but not exclusive to): small surgical<br />

procedures (lumps and bumps), pap smears, patient education, health promotion, lung clinic,<br />

plasters and ECG.<br />

Hospital Affiliations<br />

Yarram Medical Centre has shared location with the Yarram and District Health Service<br />

(YDHS) www.yarramhealth.org.au an innovative rural Health Service providing three streams<br />

of care. YDHS has undergone extensive expansion and refurbishment (most recent 2004)<br />

which accommodates a 50 bed facility consisting of 20 Acute beds, 15 high and 15 low Aged<br />

Care beds. A new accident and emergency area provides a well-appointed, safe and pleasant<br />

work environment.<br />

In addition to bed-based services, Yarram & District Health Service provides a comprehensive<br />

range of primary care services, many of which are located alongside the medical practice.<br />

Yarram and District Health Service was awarded a four year Accreditation during 2006 under<br />

the Evaluation and Quality Improvement Program (EQuIP) of the Australian Council on<br />

Healthcare Standards. St. Elmo’s Nursing Home, the 30 bed residential facility, was awarded<br />

a four-year accreditation in 2006 by the Aged Care Standards Agency. The Health Service<br />

also manages an adjacent 30 bed low care aged care facility – Crossley House Hostel.<br />

Referral patterns within Gippsland are to the Latrobe Regional Hospital, Traralgon West<br />

www.lrh.com.au as the regional referral hospital and <strong>Central</strong> Gippsland Health Service, Sale.<br />

www.gha.net.au/cghs<br />

VMO Rights<br />

VMO rights are awarded following recommendations from the credentialing committee.<br />

Visiting Services<br />

At the Medical Centre there is a visiting: surgeon, physician, paediatrician, psychologist,<br />

female GP (Royal Flying Doctors, Commonwealth program of female GPs for women). The<br />

surgeon, physician, psychologist, visit fortnightly, the optometrists monthly and the remainder<br />

on a three month roster.<br />

Many other services are delivered on site at YDHS.<br />

YDHS has an Allied Health department with physio and occupational therapy and speech<br />

pathology services and visiting dietician. Welfare, counselling, district nursing and maternal<br />

and child care services are on site.<br />

YDHS participates in a regional consortium of five Health Services across Gippsland that<br />

employs a Director of Medical Services (DMS). The DMS meets with GPs on scheduled visits<br />

to Yarram and delivers a program on emergency medicine, or areas of interest as determined<br />

by the medical staff.


Nursing Home Affiliations<br />

60 beds are on site with:<br />

St Elmo’s nursing home - 15 high care and 15 low care dementia specific unit and the Crossley<br />

House Hostel, adjacent to the Health Service main campus is a 30 bed low care facility.<br />

Home Visits<br />

Yarram Medical Centre provides home visits to patients.<br />

After Hours<br />

After hours care is provided through a 1:6 on call roster.<br />

On Call<br />

Yarram Medical Centre GPs provide after hours care to patients, the general community and<br />

for the inpatient needs of YDHS. This is a 1:6 roster. Essentially this means (given leave<br />

requirements etc) that each GP works one night per week and one weekend every 5-6 weeks.<br />

The GPs cooperate with each other to enable the best opportunity for lifestyle within the<br />

requirements of the roster.

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