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Using your Practice Clinical Software Katrina Otto, Train IT Medical Objective: Record data in practice software to improve identification of patients at risk of cardiovascular disease. Improve health outcomes Improve revenue Improve


  1. Using your Practice Clinical Software Katrina Otto, Train IT Medical

  2. Objective: Record data in practice software to improve identification of patients at risk of cardiovascular disease.

  3. Improve health outcomes Improve revenue Improve relationships Improve data

  4. Identifying risk • S moking • N utrition • A lcohol • P hysical activity level • Blood pressure • Pathology / Serum lipids • Waist circumference and BMI • Family history of premature CVD • Social history & social determinants of health

  5. Data to identify risk

  6. Entering data

  7. Other risk factors Related conditions: • Diabetes • Chronic Kidney Disease • Familial hypercholesterolaemia • Evidence of atrial fibrillation

  8. Ken’s ‘Past History’ list Add important detail in Comment

  9. Coded diagnoses ONLY for Chronic conditions & significant active or inactive ‘events’ eg cabg BEST TIP!! Add detail/comment eg Care team involved

  10. Download the ‘Data Quality’ Checklist

  11. Ken’s medications

  12. Cardiovascular risk calculators

  13. Physical Activity Script

  14. Care Plans & Health Assessments

  15. ACCREDITATION Criterion Q1.1 – Quality Improvement Activities

  16. Analyse data within your software

  17. Data reports to drive improvements

  18. Pen CS Download PEN CS PIP QI booklet

  19. TopBar for continual improvements

  20. What is our GOAL (what are we trying to accomplish) Raise Awareness of Clinical Coding What measures will we use? (i.e. data) Data Extraction Tools eg. Pen CAT or POLAR What ideas can we use? List ideas here to work on in table below Start a Quality improvement folder (how are we going to achieve our goal) Team meeting Organise education eg. webinars / face to face sessions Post-education follow-up team discussion GP & RN team review of clinical documentation (opportunistic or planned) Pen CAT / Polar Data Quality Audit PLAN DO STUDY ACT IDEAS How will we do it – who, Did we do it What happened? What is our next step? what, where and when? 1. 2. 3. 4. 5.

  21. ‘Actions’ • Recheck BP • Ask about smoking • Record weight

  22. Actions

  23. Reminders & Recalls REMINDERS eg. health assessment RECALLS - clinically significant eg abnormal result

  24. A systematic approach! 1. Improve patient engagement. 2. Code and routinely update data. 3. Use software to help identify patients at risk. 4. Screen proactively. 5. Improve your recall and reminder system. 6. Improve efficiency of care plan & health assessment templates 7. Lead your team in continual quality improvements.

  25. Thanks for inviting me! KATRINA OTTO: katrina@trainitmedical.com.au Twitter: trainitmedical . Facebook: trainitmedical www.trainitmedical.com.au Access more free practice resources & blog posts Subscribe to my blog

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