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Recipe Name:

Identify pregnant patients without Pertussis immunisation

Rationale:

The Centers for Disease Control and Prevention (CDC) recommends that pregnant women receive the whooping cough vaccine for adolescents and adults (called Tdap vaccine)
during the third trimester of each pregnancy. The recommended time to get the shot is during your 27th through 36th week of pregnancy, preferably during the earlier part of
this time period. This replaces the original recommendation that pregnant women get the vaccine only if they had not previously received it.

Target:

 

All patients currently listed as pregnant on your system who don't have a pertussis vaccination recorded in the last 6 months

CAT Starting Point:

  1. CAT Open
  2. Population Extract Loaded and Extract Pane "Hidden"
  3. OPTIONAL ONLY{*}: Filter Pane Open and, under the General Tab, "Active Patients (3x < 2 years)" selected

*The decision to select either "Active" or "All" patients is left to the practice to make




In the Filters Pane:

1. In the "Risk Factors" tab select "Pregnancy" 

 

 

3. Click "Recalculate"  

 


In the Reports Pane:

Go to Immunisations/Adults/Pertussis and select the 'Nothing Recorded' and <5yrs segments of the graph:



Then click on 'Export'  to get a list of patients. The last column shows the date for the last pertussis immunisation. There will be patients with nothing recorded and others with an immunisation done within the last five years. You can sort the data to show the patients by date and find everyone who didn't receive the immunisation in the last six months. This is easier to do in Excel.

You can also create a SMS or Voicemail recall using SMS CAT - for full details see here: Recall CAT - SMS and Voice Messaging for CAT4




To Export Patient List to Microsoft Excel:

1.  Click on the “Export Icon”  at the top of the Patient Reidentification window.

2.  Click on “Excel”

3.   Choose a file name and a location to save to (eg. Create a folder C:/ClinicalAudit/CAT Patient FollowUp)

4.  Click “Save”

 

The steps above will produce a list of patients with contact details in MS Excel which can then be used to:

1.   Go back through the individual patient records in the GP Clinical Desktop System (CDS) and update known records

2.  Phone patients to update their record

3.  Produce a mail merge to recall patients for follow up