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Recipe Name:

Identifying Coronary Heart Disease (CHD) patients not on ACE/ARB medication

Rationale:

Biomedical risk factor modification – treat to target.  Reducing Risk in Heart Disease guidelines recommend that ACEIs be considered in all patients with CHD, especially in those at high risk, unless contraindicated.

Target:

All active patients currently on your system (active = 3 or more visits in the last 2 years) that have been diagnosed  with CHD are not on ACE or ARB medication. 

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

1 National Stroke Foundation. Clinical Guidelines for Stroke and TIA Management: A guide for general practice, pp4, 2008.



In the Filters Pane:

1. In the "Conditions" tab select "CHD"



2. In the "Medications" tab under "Medications – Heart" select

  1. ACE or ARB - No



3. Click "Recalculate"  



4. Click "View Pop"



This will list all active (if selected on the general filter tab) patients with CHD but not on ACE/ARB medications and their last visit and assigned provider.

 

 

  


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



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This CAT Recipe was developed with the