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Recipe Name:

Patients eligible for the NBCSP, with a FOBT recorded in the previous 27 months and an even numbered birthday in the next 3 months

Rationale:

This recipe identifies patients who have screened and are will soon be due to re-attend screening.

General Practice plays an important role in encouraging patients to continue to screen, practices can use this recipe to remind patients to continue to screen.

Target:

Patients 52 – 74 who are eligible for the NBCSP, have had an iFOBT recorded in the previous 27 months and  have an even numbered birthday from age 52-74 in the next 3 months

Recipe Limitations:

This report excludes patients with a number of conditions under the 'ineligible’ category.

Practices should be aware of the diagnosis codes that PEN uses to assign patients to ‘ineligible’. 

Practices should undertake periodic clinical review of patients in the ‘ineligible’ category to assess if any of these patients should return to screening.

Your practice may have patients that you consider clinically ineligible for screening that are not captured by these diagnosis codes.  These patients should be manually opted out of screening.

CAT Starting Point:

  1. CAT Open - CAT4 view (all reports) loaded
  2. Population Extract Loaded and Extract Pane “Hidden”
    1. Filter Pane open
    2. OPTIONAL under the ‘General’ tab ‘Active Patients’ (3x <2 years) selected

CAT4 starting point

 

In the Filters Pane:

  • In the "General" tab select the "Mths" radio button and set the "Start Age" = 600 and "End Age" = 603

This is to capture anyone who has turned 50 in the last three months from the date of your extract. The rule for the adjustment is 600 (50 years in months) is the start age, 603  is the end age. As this question is about multiple age groups you will have to run the filter several times to get all patients in the right age groups.

Practices should decide if they want to send screening reminders to active patients only. Population based screening programs target asymptomatic patients. You may have some patients who consider your practice their medical home who do not fit the criteria for being an ‘active’ patient. If required, select 'Active' to search for your active patients only.

Here are the start and end ages for the all ages from 52 - 74 to find patients with an even birthday coming up in the next 3 months:

Age in yearsstart age in monthsend age in months
52597600
54645648
56669672
58693696
60717720
62741744
64765768
66789792
68813816
70837840
72861864
74885888


  • Click "Recalculate"
  • Click ‘Hide Filters’

 

Report Steps

  • Select the "Screening/FOBT/FOBT Last Recorded" tab

This report will show the selected patients and the patients with a FOBT recorded. To find patients with no FOBT recorded in the last 27 months, select the following slices of the graph:

  • >2-3 years,



  • Click on the 'Export' button to see a list of eligible patients. This report will have patients with their last FOBT at least 24 months ago, but it can be sorted by the 'FOBT last recorded' column to find those patients with a last result 27 months ago. The column can be sorted by clicking on the up/down triangle above the column.

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. Produce a mail merge or bulk SMS to remind patients to attend cancer screening.
  2. Phone patients to update their record or to remind them to attend cancer screening.
  3. Go back through the individual patient records in the GP Clinical Desktop System (CDS) and update known records


Optional Steps

There are a number of optional steps you can add. In the interest of keeping these recipes short, the optional steps are available in separate guides. You can combine the steps above with one, two or all three of the optional steps depending on your target group of patients.

Using Topbar Prompts in Recipes - create reminders for your clinicians based on the recipe searches

Using Recall CAT in Recipes - SMS and Voicemail directly from CAT4

Combine Screening Searches with MBS item eligibility - recall patients who are also eligible for MBS items related to chronic disease care or prevention