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Recipe Name:

Find patients with high blood pressure eligible for My Health For Life

Rationale:

My health for life will help people at high risk of developing chronic conditions such as heart disease, stroke and type 2 diabetes make healthy lifestyle changes.

The steps in this recipe show how to identify patients meeting all or most of the eligibility criteria. Further information and resources are available here: https://www.myhealthforlife.com.au/

Target:

To identify all patients with no current diagnosis of diabetes, Heart Failure, CVD or chronic kidney disease with high BP who are eligible to be referred to the ‘My Health For Life’ program.

CAT Starting Point:

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

 

We provide other recipes showing how to find patients based on a single eligibility criteria on our My Health For Life recipe page here: My Health For Life Recipes


CAT Start screen


 

 RECIPE Steps Filters:

  • In the Start Age box type 18 to only show patients older than 18.
  • OPTIONAL: In the "General" filter tab click on 'Active (3x in 2yrs)' - as this will only show those patients with at least 3 visits in the last 2 years


image2017-9-13_10-10-34.png


  • Click on "Conditions" tab under Diabetes select “No”
  • Select "No" for Heart Failure
  • Select “No” for all conditions listed under the CVD group
  • Select “No” for “Chronic Renal Failure”




  • Click on the 'Date Range (Results) filter to only show results that have been recorded in a specified date range, in this case in the last 24 months. This will move all patients with results older than 24 months to the 'not recorded' part of the reports and avoids listing patients with old results.



We have now created a filter to find patients older than 18, with no diagnosis of diabetes, Heart Failure, CVD or chronic renal disease and results from the last two years. To apply the filter, click “Recalculate”



High BP


  • click on the "Measures/BP" tab and then on the '>140/90' part of the graph to select it



You can now click on 'Export' in the top right of the report to see a list of all patients with a BP results above 140/90 in the last two years.



Patients on this list will need to be reviewed in your clinical system as we can't report on multiple measures in CAT4.


Create a prompt to display in Topbar

 

Remember you need to be in the CAT4 Daily View to be able to create prompts. Other pre-requisites are:

  • Topbar is installed
  • CAT4 is linked to Topbar via Edit/Preferences/Topbar - check here for details: Linking CAT4 to Topbar

 To start CAT4 in the Daily View, click on the 'Daily View' icon in the dashboard:



Once you have applied the filter(s) and displayed the patients of interest as described above, you can create a prompt that will be shown to all clinicians using Topbar if a patient meeting the prompt criteria is opened in their clinical system. The full guide is available at CAT PLUS PROMPTS and a short guide on how to create prompts in CAT4 can be found at  Creating a Prompt in CAT4

To start you have to use the drop-down menu at the bottom of the patient details report and select "Prompt at Consult - Topbar" then click on "Go" to give the new prompt a name.

 


The name you enter is the prompt text displayed in Topbar, so choose a simple but clear name that tells the clinician seeing the prompt what should be done.