Recipe Name: | Identifying Home Medication Review candidates: Heart Failure patients who are not on ACE inhibitors |
Rationale: | ACE inhibitors reduce mortality and morbidity at any grade of systolic heart failure (NPS News 57), even in patients with asymptomatic disease. A search of electronic records can help identify high-risk patients who may benefit from a medication review. This initiative will assist GPs in improving the quality of their prescribing for heart failure. |
Target: | To identify patients who would benefit from a Home Medication Review (DMMR). |
CAT Starting Point: |
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Filter Steps
- Under the 'Conditions' tab, choose the 'Chronic' tab, and then select 'CHD' under the Cardiovascular section
- Under the 'Medications - Heart' tab, in the“ACE or ARB” category, tick “No”.
- Click 'Recalculate to apply the filter
Recipe Steps Reports
- Hide Filters
- Select the "Medications" tab
- Select the "Medications per Patient" tab
- Click the "with 8+ meds" slice of the graph
- Click on Export to show the list of patients
This list will display those patients diagnosed with Heart Failure who are not on ACE inhibitors, but are on more than 8 other medications.
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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