Gidday! My name is Chris Mitchell.
I am going to be walking through a hypertension workflow [taskflow]
that we have set up in Doctors Control Panel.
High blood pressure is a really important and treatable risk factor
for a range of Cardiovascular Disease and Chronic Kidney Disease issues.
In my practice - like probably your practice - there are a reasonable
number of people with hypertension that have not really been coded
or identified in a Clinical Information System, which means that we
really cannot provide the systematic care that they probably deserve.
What we have run is a taskflow, which I will just walk you through.
Here we have a range of taskflows that you can look through.
This one is my taskflow: Uncoded Hypertension.
[Uncoded Hypertension – CM]
What I have done here is, I have chosen to do a search
for people with last systolic readings over 160.
Here I could have chosen 140 but I just wanted to start with a small group first.
Doctors Control Panel is running through
the Clinical Information System database and pulling out those people
that do not have a coded diagnosis of hypertension,
but do have a last blood pressure reading over 160.
That then gives me a list that we can work through a patient list,
that we can work through and make sure that those matters are being addressed.
Doctors Control Panel already has some really neat
functionality where just in a normal clinical screen,
where you can identify patients whose last systolic blood
pressure was over 140, it has a little red flag.
It also has a function identifying patients with
uncoded diagnosis of Chronic Kidney Disease.
Both of these are really useful in our next step.
What we can do now is that these are the lists of patients [where] you
can read down here what their most recent blood pressure actually was.
We can certainly see that a number of the patients in the practice have
really got quite high blood pressures that are not adequately controlled.
We can just work through each of these patients systematically,
identify them, and open up their file, so let us do that.
We can just have a look at what the last readings were.
We can look at the past history.
As you know as we all know, a high blood pressure
should not be diagnosed on the basis of one reading.
But whether it is multiple readings, it is perfectly
reasonable for us now code this patient
with hypertension and then start and appropriate
strategy in terms of managing her risk.
Now if we go back to the taskflow, the other opportunity
we have got through this taskflow is an SMS functionality.
What we have chosen to do at the practice is where we have identified
people who we really want to confirm their hypertension we are sending them
out a little link to a video via SMS - with their consent – which is done
the front desk for all their patients in relation to using SMS messaging.
That video will run them through the process of home monitoring
and then the patients can return with the copy of that home monitor.
Again, the doctor to go through, identify other
risks, and in conjunction with the patient's
personal values, set appropriate
blood pressure targets for their ongoing management.
Establish recalls in the Clinical Information System on appropriate
times to check that blood pressure is that those appropriate targets.
Where appropriate if the patient has other chronic or complex health conditions
and a care plan, we can include those targets into their care plan.
So that is a brief rundown of how the taskflow process
works in Doctors Control Panel and how you can use it.
I guess with the new RACGP triennium coming on, we are all aware
that clinical audits are a really important part of what we are doing.
I think it is important for us all to understand
that those audits can be really done
pretty easily using Doctors Control Panel
where we have got adequate coded diagnosis.
Thanks, I hope you enjoy playing around with some taskflows.
Cheers!
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