Identifying Home Medication Review candidates: Heart Failure patients who are not on ACE inhibitors
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.
To identify patients who would benefit from a Home Medication Review (DMMR).
CAT Starting Point:
- Under the 'Conditions' tab, choose the 'Chronic' tab, and then select 'Heart Failure' 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.
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