Fife User Group Jan Arthur Hanlon
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1 Fife User Group Jan 2015 Arthur Hanlon
2 Topics Helpline blog Helpline 101 DLM update Performance issues SIS10370 changes/enhancements Vision+ SMS text messaging Vision Apps in DLM480 Vision Anywhere 5k Challenge QOF consultancy
3 Helpline blog
4 Helpline blog January Gemscript on release CVD-PP Audits Scotland CVD-PP002 States hypertension diagnoses since 01/04/2009 are counted, the Register will only allow us to select patients who have a diagnosis since 01/04/2014 How the Business Rules were written Issue resolved in v30 rules. Updated audits will be published via SIS10380
5 Helpline 101
6 Contacting Helpline 3 options for contacting helpline Phone Option 1 if only wishing to report a minor issue and request a call back Phone Option 2 to speak to an Dundee analyst to log and work to resolve issue if you are seeking training assistance or a low priority call Web chat would you use?
7 Helping the Helpline Basic info before you call How many users affected? How many workstations? Error Messages? Affecting more than clinical system?
8 Helping the Helpline Why? Speeds up investigation/quicker resolution Will point to reason/cause How many users? If single user points to profile, if all users points to database How many workstations? If single user possibly profile, if all possibly network and/or database Error message Stops us having to ask again, screenshots help Not just clinical system Possibly network
9 Calls being resolved and not fixed Main reason for this is unavailability of users After three attempts to call/contact we will send an asking you to contact us If no contact within a defined period call is automatically closed and assumed resolved However, we are stopping this practice to try and assist
10 Mail Gateway Cause of most of issues Simple reboot resolves most of these Examples No lab results, Scripts not scanning, errors on Gateway If power cut and server reboots, ensure Gateway reboots after server
11 Re-indexing Stopping with move to Postgres If no system issue no reason to log a call Monitored internally by Centrastage Previously deemed as essential task
12 DLM Update
13 DLM Status USER NPC PRACTICE DRUG VER READ ICF SIS Park Road Surgery Q Dr Bisset& Partners Q Linburn Road Health Centre Q Lochgelly Health Centre Q F20998 Path House Medical Practice Q F20964 Kirkcaldy Health Centre Q F20983 St Brycedale Surgery Q F20856 Kennoway Medical Group Q F20659 Cos Lane Surgery Q F21026 Kirkcaldy Health Centre Q F20950 Nicol Street Surgery Q A Valleyfield Health Centre Q A North Glen Medical Practice Q A The Surgery Q A Cowdenbeath Medical Practice Q
14 Performance issues
15 SIS10370 changes
16 SIS10370 Seasonal Flu Audits There are new Read codes added to the Flu audits Prenatal Pertussis Audits New Read codes have been added to the Prenatal Pertussis audits Quarter Read codes Vision+ now includes the Quarter Read dictionary Patient Date of Birth Display The patient's date of birth is displayed throughout Vision+ patient mode
17 SIS10370 Vision+ Smoking Data Entry The Read code data entry screen for smoking has changed so that the Show More option is now a check button to allow the removal of extra Read codes.
18 SIS10370 Vision+ Automatic Download Web files Vision+ templates can now be set to automatically download. From, SIS if a template has been set by INPS to auto-download Vision+ checks Download Web Files and if a newer version of the template is available it downloads it Contract Manager Graph Points Corrected Since SIS 10350, some practices have reported that some graphs were incorrectly displaying the wrong aspiration points in contract manager. This has been resolved in SIS Retired Indicators still displayed in Templates even if you had not reactivated them in Vision+ Settings. This has been resolved in SIS
19 SIS Calculators CHA2DS2-VASc Score for AF Stroke Risk Vision+ now includes this which calculates stroke risk for patients with AF
20 SIS Calculators The Leicester Practice Diabetes Risk Score This helps identify those patients at risk of having undiagnosed diabetes or being at risk of diabetes in the future
21 SIS10370 Calculator enhancements Reset Button The reset option enables you to reset the calculator to original settings. Red box A red box indicates that the data is invalid and will stop the calculation. Yellow box A yellow box means there is a warning, for example, Ethnicity is missing so a default value of British is used on the QAdmissions Calculator. Tooltip If you hover your mouse over a red or yellow box a tooltip appears detailing the warning.
22 SIS Spirometry The Source of the calculation has been changed to ECCS (European Community for Coal and Steel) instead of ERS The Spirometry calculation has changed in the background and now uses an equation You no longer need to record both FEV1 and FVC You can now record VC (Vital Capacity)
23 SIS10370 Vision+ Templates Green ticks to the left of an indicator line show that a corresponding Alert Popup and requirement has been met
24 SIS10370 Vision+ Templates Some Vision+ Templates contain Care Pathways that provide extra guidance on how to manage the patient's care. To view the Care Pathway you can either choose the pathway icon or click the new quick pathway icon on the quick toolbar.
25 SIS10370 Vision+ Recall For practices in Scotland, when creating a mail merge template in Vision+ the NHS number merge field has been replaced with CHI number.
26 SIS10370 Vision+ Bulk tab New Bulk Insert tab when using the Merge Category or Merge Indicator option Note: The Bulk Insert tab is also available when using the Mail Merge option from the Alert Popup window in Consultation Manager The following options have been moved to the new tab Contract - bulk add Contract Read codes Exceptions bulk add Exception Read codes Read codes - bulk add Read codes. Training Tip - The icons are not available until you select a patient
27 SIS10370 Vision+ bulk calculator
28 Vision+ SMS messaging SIS10370 introduces SMS text messaging facilities SMS messages for recalls SMS messages for appointments reminders
29 Vision+ SMS messaging SMS software included within Vision+ delivered in SIS10370 No additional software install required just simple activation Only charged for successful texts Logic to detect invalid numbers or patients Read coded as Declined Number of texts (SMS) Description Bundle cost 500 Weekly bundle or emergency top up Average monthly usage for a practice Average practice for one year Average for a large practice for one year 1,250
30 Vision+ SMS messaging prep Must ensure that all patients have accurate mobile numbers Clinical audits available within latest INPS audits > Administration > SMS validation
31 Vision Apps
32 Vision Apps
33 Vision Apps in DLM480 Reception manager Patient demographics Patient diary Document viewer/printer
34 Vision Anywhere
35 Vision Anywhere Now available on all platforms (Windows 8, Android and Apple) Discussion to be had with NHS Fife on how to progress Vision Data Hub provides access to Practice Access modules allowing business continuity Enables patient summary within VOS
36 5k Challenge
37 5k Challenge What is it? Opportunity to find revenue that your practice should be claiming but isn t No need to check records - we do the work for you 100% satisfaction from practices like yours that have already made use of the service Improves data quality at the practice Helps clinicians understand the importance and impact of correct clinical coding Comes with a money back guarantee that if we don t cover the training fee, we won t charge this hasn t happened yet
38 5k Challenge How does it work? QOF specialist trainer to visit practice for 2 days Identify patients with no appropriate diagnostic Read code Add read code or provide lists of patients for work to be done by practice Summary of work and breakdown of increase to practice income Relevant even if achieving maximum points - increasing prevalence Additional benefits Advice to improved coding leading to better management of patients ensuring appropriate care
39 5k Challenge The plan Illustrate your current position, agree the concept with a GP (we are changing the data) and the areas to focus on (GPContract.co.uk) Catch up at lunchtime if possible go over some cases Reflect at the end of day 1, explain areas covered If one isn t already booked, establish the need for a second day? Push for a meeting with a wider clinical team so you can show them typical problems with their current approach.
40 Any questions?
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