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Recipe Name:

Identify patients not on Lipid lowering medication with HDL<1 and Cholesterol >6.5mmol/L

Rationale:

Biomedical risk factor modification – treat to target.

Target:

All patients currently on your system that are not on lipid lowering medication and have had a HDL<1 and cholesterol>6.5 result in the last 12 months. Further information can be found here: http://www.pbs.gov.au/info/healthpro/explanatory-notes/gs-lipid-lowering-drugs

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





In the Filters Pane:

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

  • Lipid M/Fying - No

 


In the "Date Range (Results )" tab select

  • <= 12 mths
     


In the Reports Pane:

  • On the Pathology/Lipids/Cholesterol tab select the ">6.5 and <= 7.5"  and ">7.5" ranges by either clicking on the graph or on the legend



  • On the Pathology/Lipids/HDL tab select the "<1" range by either clicking on the graph or on the legend



Click "Report"  to display only those patients who had both results in the selected ranges (for more information on cross tabulation click here: Cross Tabulation Report)



This will display a list of the patients with matching results with their details and the last result:



The patient re-identification report allows you to further refine the list of patients, to export and also to send a SMS or Voice message directly to the patient (For full details on Recall CAT see here: Recall CAT - SMS and Voice Messaging for CAT4. If you are using Topbar, you can create a prompt for the clinicians. For more details see below.

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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