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Recipe Name:

Patients eligible for cervical screening aged 25 years and 4 months or older with no recorded Pap/CST or who are 4 months or more overdue for a CST

Rationale:

Rationale from Sara

Target:

The female patients aged 25 years and four months or older, with no recorded PAP/CST who are at least 4 months overdue for a CST

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:

  • In the “General” Tab, select the 'Mths' radio button and enter Start Age = 304 and End Age = 888 months. If required, select 'Active' to search for your active patients only

You can select the Gender/Female but the report will automatically show female patients as well as patients with no gender entered. This is the preferred approach, as it will include all patients potentially at risk including those without gender information entered
  • Click "Recalculate"
  • Click ‘Hide Filters’

 

Report Steps

  • Select the "Screening/Cervical Screening" tab

This report will show the selected patients and the patients without a CST or Pap Smear recorded. While the title of the report still shows (Ages 25 - 74) the age filter we applied will ensure that only patients who have turned 25 in the last three months are listed in the report. Select the following categories from the graph:

  • HPV>5yrs / Pap>2yrs (no HPV) - No HPV test in more than 5 years/ no Pap test in more than 2 years
  • Not Recorded

This report excludes patients with a number of conditions, including hysterectomy. Full details can be found here: https://help.pencs.com.au/display/CG/Diagnosis+Codes+Screening+Tests


To see the list of eligible patients, click the 'Export' button after selecting the categories listed above. The list of patients can then be sorted by the Cervical Screening Date to find those overdue by at least four months:

The report can also be exported to be sent to the national cancer register for bulk enquiries on patients cervical screening status.


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

Optional: Use Recall CAT SMS and voice messages for patient recall


Full details are here: Recall CAT

After you have applied one or more filters and/or cross tabulations and have selected the group of patients of interest, you will see the choices for SMS Recall and other options at the bottom of the patient re-identification report. This can be applied to all of our CAT Recipes or any custom search you want to perform.

CAT Starting Point:
The Patient Reidentification window displays your list of filtered patients


Customising Steps


You can refine the selection manually by clicking the 'Refine Selection' button.



If you click on "SMS Recall", the "SMS Recall" window will be displayed with the name of your clinic. Enter a message that relates to the purpose of the notification. There are a number of options under the inclusion criteria:

  • Patients who have opted out of receiving SMS from your clinic are removed by default
  • Linking your online booking system to the SMS recall
  • Include the opt-out message in the SMS for patient to "STOP" receiving SMS notifications sent through CAT4

Clicking on "Send" will send the message to all patients with a valid mobile phone number in their record. A confirmation message will prompt you with the number of messages to be sent and the required credits. Click yes to send the SMS recall.



After sending a SMS or Voice Message you will see a message like this one (for SMS)




For full details on the prompt history, click on 'Prompts' and select 'SMS and Voicemail'




Recall CAT - Message History: http://help.pencs.com.au/display/CG/Recall+CAT+-+Message+History

Optional: Create a prompt to display in Topbar


Remember you need to be in the CAT4 Daily View to be able to create prompts. Other pre-requisites are:

  • Topbar is installed
  • CAT4 is linked to Topbar via Edit/Preferences/Topbar - check here for details: Linking CAT to Topbar

 To start click on the 'Daily View' icon on the top of your CAT4 screen:



Once you have applied the filter(s) and displayed the patients of interest as described above, you can create a prompt that will be shown to all clinicians using Topbar if a patient meeting the prompt criteria is opened in their clinical system. The full guide is available at CAT PLUS PROMPTS and a short guide on how to create prompts in CAT4 can be found at  Creating a Prompt in CAT4

To start you have to use the drop-down menu at the bottom of the patient details report and select "Prompt at Consult - Topbar" then click on "Go" to give the new prompt a name.



The name you enter is the prompt text displayed in Topbar, so choose a simple but clear name that tells the clinician seeing the prompt what should be done.