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Recipe Name:

Patients eligible for the NBCSP aged 50 years and 4 months or older

Rationale:

Rationale from Sara

Target:

Active patients aged 50 years and 4 months or older with no recorded FOBT or no recorded FOBT in the past 28 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

 

RECIPE Steps Filters:

...

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

This report will show the selected patients and the proportion of patients with a FOBT recorded. To find patients with no FOBT recorded or no FOBT recorded in the last 28 months, select the following slices of the graph:

  • >2-3 years,
  • >3-4 years,
  • > 4 years,
  • No FOBT Recorded


This report excludes patients with a number of conditions under the 'ineligible category. Full details can be found here:https://help.pencs.com.au/display/CG/Diagnosis+Codes+Screening+Tests


  • 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 at least 28 months ago.

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  1. Produce a mail merge or bulk SMS to remind patients to book their free appointment with BreastScreen Australia online or by calling 13 20 50.
  2. Phone patients to update their record or to remind them to attend BreastScreen Australia for their free screening mammogram.
  3. Go back through the individual patient records in the GP Clinical Desktop System (CDS) and update known records



Excerpt

Optional : Combine patients from the above steps with eligibility for health assessments or GPMP

If a patient is eligible for cancer screening CAT4 can combine this eligibility with other recall, such as GPMP/TCA or related revies. This optional step can help you to make your recall more efficient and avoid multiple recalls for the same patient by combining eligibility criteria in the search. The example below shows how to add the MBS item related criteria to the search, you can also look at recipes for MBS items and combine with the steps above. A number of recipes are here: MBS related recipes

Report steps:

  • Go to the 'MBS Eligibility/GPMP/TCA Eligibility' tab. This report will list patients with at least one chronic conditions from the diabetes, CVD or CKD categories and their GPMP/TCA status.
  • Select the categories of the report you want to combine with the cancer screening search above.

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To find patients that are eligible for all screening tests you can do a cross-tabulation. Leave the relevant parts of each pie chart selected as shown above and you should see a dot next to each report where some or all of the graph has been selected:

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Then click on the 'Report' icon on top of your screen:

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This will show a list of all patient meeting the selected categories on all reports.In this example it will combine eligibility for cancer screening and will only show those patients who in are also eligible for a GPMP/TCA and never had the MBS item claimed at your practice.

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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

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