Managing Results for Clinicians Katrina Otto Best Practice - - PowerPoint PPT Presentation

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Best Practice Software Katrina Otto

Managing Results for Clinicians

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

Visit us online at www.bpsoftware.net

Minimise Risk

https://www.avant.org.au

“Implementing an effective recall and reminder system for the follow up of tests, test results, and referrals in the practice is essential for the provision of high quality care.”

Avant Mutual Group

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

Visit us online at www.bpsoftware.net

Manage your Inbox

Pathology Results Radiology Results Specialist Letters Discharge Summaries Scanned documents

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Results, Recalls & Referrals

Risk Minimisation

Avant ‘Referrals & Recalls’: http://www.avant.org.au/resources/start-a-practice/practice-

• perations/systems-and-procedures/referrals-and-recalls/

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Clinical Governance

“a framework through which clinicians and health service managers are jointly responsible and accountable for patient safety and quality care.”

RACGP Accreditation Standard 3.1 – Safety & Quality:

Education, Clinical Audit, Evidence based practice, Risk Management

http://www.racgp.org.au/standards/313 http://www.racgp.org.au/your-practice/guidelines/diabetes/2-clinical-governance-sustaining-and-improving-high-standards-of-care/

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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RACGP - http://www.racgp.org.au/standards/153

System for follow up of tests and results

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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An effective practice workflow is vital

CREATE YOUR OWN

Download a blank flowchart here: http://trainitmedical.com.au/manuals-free-downloads/bp-software-resources-free-templates

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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eCorrespondence Protocol

SAMPLE

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Action items from your Inbox systematically

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Reduce risk - add explanatory comments

• Medico-legal audit trail
• Clear direction for practice staff when

communicating with patients

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Maintain health summary currency

For recording chronic conditions or significant events

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Add Reminder for future follow-up

Design your practice ‘Recall & Reminder system’ to allow staff to easily differentiate between preventive health reminders & ‘clinically significant’ recalls ie where there is a probability of harm if patient is not followed up.

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Check off Outstanding Requests

Reduces the risk of an important test being missed.

Match & Tick returned results

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Check ‘unallocated’ eCorrespondence

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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How do you action results for other clinicians?

Clinical > Unchecked Reports (from the patient record)

• r

File > change Inbox (from the Inbox)

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Mark result as given

From: Patient record Follow Up Inbox List of Investigation Results

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Follow-up Results

Inbox

• Clinicians check regularly
• Action according to protocol

Follow Up Inbox

• Each action has an

associated list

• Document contact

attempts.

• Check ‘contacted’ versus

‘given’.

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Check for ‘contacted’ but not ‘given’

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Managing ‘clinically significant’ requests

Add an ‘action’ to help track/follow-up ‘clinically significant’ requests.

1 2

Follow-up ‘outstanding actions’ regularly. Main screen > Clinical > Actions

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Ordering tests – more advanced tips

• Repeat same screening test in ‘previous

requests’ or re-print ‘lost’ request form.

• View related ‘previous results’ from ordering

screen.

• Add custom tests in ‘Setup favourites’
• Add screening protocols in ‘Setup favourites’
• Manage ‘outstanding requests’ from patient

record or Inbox.

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Scan into the Inbox…the path to paperless

Label and store documents systematically for easy retrieval by clinicians when needed

Create your practice protocol for effective labelling

Learn more about the Bulk Document Import Utility: http://kb.bpsoftware.net/au/bppremier/lava/Content/Clinical/BDI/BulkDocumentImport.htm?Highlight=bulk document import

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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What’s New?

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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2

New – Pathology & DI in My Health Record

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Pathology & Radiology in My Health Record

If you are looking for information that you did not receive directly - think My Health Record

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Prepare for patients seeing their own results

RACGP - http://www.racgp.org.au/standards/153

• doctors will still receive results first. Detail your practice process for follow-up.
• just because a result is marked red/‘abnormal’/outside the value range doesn’t

mean the result is not normal for them.

• just because a result is marked ‘normal’ doesn’t mean further discussion or

investigations are not necessary.

• patients can let you know when you order the test if they do not want a specific

result uploaded to their My Health Record.

Now might be a good time to start to explain to your patients:

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Manage well for positive change

Create a sample dialogue to fit your own practice system. Example of GP dialogue (relevant to one specific practice system): “I receive your results directly. You may also see those results. If I am worried I will contact you. If you are worried please make an appointment and I will be happy to discuss them in detail with you”.

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Patient Education

http://www.labtestsonline.org.au http://www.imagingpathways.health.wa.gov.au/index.php/consumer-info

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Is it time to refresh your practice system?

RACGP - http://www.racgp.org.au/standards/153

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

Visit us online at www.bpsoftware.net

katrina@trainitmedical.com.au www.trainitmedical.com.au Facebook: trainitmedical www.trainitmedical.com.au/presentations For a digital version of this presentation Twitter: trainitmedical More free resources: www.trainitmedical.com.au

Thank you from Katrina Otto

Welcome to the Bp Premier Summit 2017, on Queensland’s Gold Coast

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Thank you.

Our Software Support team is available to answer any queries you may have on Bp Premier. Contact us on 1300 40 1111, or visit us online at www.bpsoftware.net.