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Recipe Name:

Identify all Indigenous patients eligible for PBS Co-payment Measure

Rationale:

The Closing the Gap PBS Co-payment Programme is available to Aboriginal and/or Torres Strait Islander people of any age who present with an existing chronic disease or are at risk of chronic disease, and in the opinion of the prescriber:

  • would experience setbacks in the prevention or ongoing management of chronic disease if the person did not take the prescribed medicine; and
  • are unlikely to adhere to their medicines regimen without assistance through the programme.

Target:

All Aboriginal and Torres Strait Islander patients in the practice

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).
     



Filter Steps

  • Under the 'Ethnicity" tab, tick the box for Indigenous patients


  • Under the 'Conditions' tab, choose the 'Chronic' tab, then select one or more chronic diseases. In this example, diabetes has been chosen


  • Click the Recalculate button


This example uses diabetes as the chronic condition of interest. Other chronic conditions can be chosen from the available filters.

Additionally, chronic disease risk factors can be chosen e.g. hypertension, hyperlipidaemia, smoking, alcohol consumption. These can be selected using the appropriate report tab as shown later in this recipe.


Recipe Steps Reports

  • Click the 'View Population' button in the top row


This report will show all Indigenous patients who have diabetes who may be eligible for the MBS Co-payment Measure. 


TO SELECT PATIENTS WITH CHRONIC DISEASE RISK FACTORS:

  • Follow the filter steps above
  • Choose the 'Measures' report tab, then the 'BMI' tab. Select the Morbid and Obese sections of the graph.



  • Click the export button in the top right corner



The above example shows how to select patients who are obese. Additional chronic disease risk factors could be chosen, including, but not limited to:

  • Smoking - use the smoking report tab and choose daily and irregular smokers
  • Insufficient physical activity - use the physical activity report tab and choose insufficient and sedentary
  • Hypertension - use the BP report tab and choose >140/90




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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