Asthma and COPD Alert

Reducing hospital admissions and promoting prevention for patients with Asthma and COPD

pencs.com.au

CAT4

For PHNs

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Table of Contents Asthma and COPD Alert ................................................................................................................ 2

Identify patients with Asthma .................................................................................................... 3

Filter Steps ...................................................................................................................................... 3

Report Steps .................................................................................................................................. 3

Export Patient List to Microsoft Excel ................................................................................... 3

Identify patients with COPD ........................................................................................................ 5

Filter Steps ...................................................................................................................................... 5

Report Steps .................................................................................................................................. 5

Export Patient List to Microsoft Excel ................................................................................... 6

Use Recall CAT SMS and Voice Messages for Patient Recall ......................................... 7

CAT4 Starting Point ..................................................................................................................... 7

Customising Steps ........................................................................................................................ 7

Recall CAT – Message History .................................................................................................. 9

PAT2CAT Custom Filters ............................................................................................................10

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Asthma and COPD Alert Reducing hospital admissions and promoting prevention for patients with Asthma and COPD

Pen CS technology equips you with powerful tools to better manage COPD and Asthma patients, who are currently at risk due to hazardous air quality from bush fire smoke. Follow these simple steps to manage your patients:

For General Practice (using clinical audit tool, CAT4):

• Identify Asthma and COPD patients • Recall for Asthma and COPD high risk patients

For PHNs using PAT2CAT filters:

• Find Asthma and COPD patients • Apply filters for PAT CAT and send to CAT4, using PAT2CAT filters • Implement standardised quality improvement across all practices in your

catchment area

Recipe Name: Identify all patients with Asthma or COPD

Target: To effectively and timely manage patients with asthma or COPD

CAT Starting Point:

CAT Open - CAT4 view (all reports) loaded Population Extract Loaded and Extract Pane ‘Hidden’ Filter Pane open and under the ‘General’ tab ‘Active Patients’ (3x <2 years) selected (this step can be omitted if you want to search all patients)

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Identify patients with Asthma

Filter Steps:

Under the ‘Conditions' tab, choose the ‘Chronic' tab, and then select 'Asthma' under the Respiratory section:

Under the ‘Date Range (Results)’ tab, choose <=12 months, then click ‘Recalculate’

Report Steps:

• Hide Filters • Select the ‘Demographics’ tab and ‘Select All’ Checkbox • Click the Export button in the top right hand corner to identify all the list of

patients This report will show all patients with a coded diagnosis of asthma

Note: If the patient list is huge, you can add Age as a factor for recall

To Export Patient List to Microsoft Excel:

• Click on the ‘Export Icon’ at the top of the Patient Reidentification window • Click on ‘Excel’ • Choose a file name and a location to save to (e.g. Create a folder

C:/ClinicalAudit/CAT Patient FollowUp) • Click ‘Save’

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The steps above will produce a list of patients with contact details in MS Excel which can then be used to:

1. Go back through the individual patient records in the GP Clinical Desktop System (CIS) and update known patient records

2. Phone patients to update their record 3. Produce a mail merge or use CAT4 Recall Functionality to recall patients

for follow up

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Identify patients with COPD

Filter Steps:

Under the ‘Conditions’ tab, choose the ‘Chronic’ tab, and then select ‘COPD’ under the Respiratory section:

Under the ‘Date Range (Results) tab, choose <=12 months, then click ‘Recalculate’:

Report Steps:

• Hide Filters • Select the ‘Demographics’ tab and ‘Select All’ Checkbox

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• Click the ‘Export’ button in the top right corner to identify all the list of patients

This report will show all patients with a coded diagnosis of COPD

To Export Patient List to Microsoft Excel:

• Click on the ‘Export’ Icon at the top of the Patient Reidentification window • Click on Excel • Choose a file name and a location to save to (eg. Create a folder

C:/ClinicalAudit/CAT Patient FollowUp) • Click ‘Save’

The steps above will produce a list of patients with contact details in MS Excel which can then be used to:

1. Go back through the individual patient records in the GP Clinical Desktop System (CIS) and update known records

2. Phone patients to update their record 3. Produce a mail merge or use CAT4 Recall Functionality to recall

patients for follow up

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Use Recall CAT SMS and Voice Messages for Patient Recall

After you have applied one or more filters and/or cross tabulations and have selected the group of patients of interest, you will see the choices for SMS Recall and other options at the bottom of the Patient Reidentification report. This can be applied to all our CAT4 Recipes or any custom search you want to perform.

CAT4 Starting Point:

The Patient Reidentification window displays your list of filtered patients

Customising:

You can refine the selection manually by clicking the ‘Refine Selection’ button

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If you click on ‘SMS Recall’, the ‘SMS Recall’ window will be displayed with the name of your clinic. Enter a message that relates to the purpose of the notification. There are a number of options under the inclusion criteria:

• Patients who have opted out of receiving SMS from your clinic are removed by default

• Linking your online booking system to the SMS recall • Include the opt-out message in the SMS for patient to ‘STOP’ receiving SMS

notifications sent through CAT4

Clicking on ‘Send’ will send the message to all patients with a valid mobile phone number in their record. A confirmation message will prompt you with the number of messages to be sent and the required credits. Click ‘Yes’ to send the SMS recall.

After sending a SMS or Voice Message you will see a message like this one (for SMS):

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For full details on the prompt history, click on 'Prompts' and select 'SMS and Voicemail'

Recall CAT – Message History:

User Guide:

https://help.pencs.com.au/display/CG/Recall+CAT+-+Message+History

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PAT2CAT Custom Filters

PHN’s with PAT2CAT custom filters can create this recipe at PHN level and can send the inclusion criteria to all practices across the catchment.

This latest addition to CAT Plus is designed to assist PHNs and other organisations using PAT CAT to work with primary health care staff. This new functionality enables custom filters based on the existing filters and reports in PAT CAT to be created and sent to selected practices. Population health findings in PAT CAT based on de-identified data are used to provide clinicians with lists of patients matching the criteria and thus enable ongoing quality improvement.

Link to User Guide on use of PAT2CAT Filters:

https://help.pencs.com.au/display/ds/PAT2CAT+Filters

Here is a short video describing how to create and manage PAT2CAT Filters:

https://vimeo.com/287184453