Recipe Name:

Patients turning 50 in the next three months eligible for bowel and/or breast screen

Rationale:

People can be less likely to respond to their first screening invitation than to subsequent invitations.[i] 

GPs play an important role in encouraging people turning 50 to respond to their first invitation to  BreastScreen NSW and the National Bowel Cancer Screening Program.

This recipe supports practices to identify patients who will be send an invitation letter from the National Bowel Cancer Screening Program and/or BreastScreen in the next three months so that the practice can reinforce to the patient the importance of responding to this invitation/s. 

[i] Australian Institute of Health and Welfare (AIHW): National Bowel Cancer Screening Program Monitoring Report 2019. Canberra: AIHW, 2019.

Target:

The number of active patients turning 50 in the next three months who are eligible for bowel and/or breast screening

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:



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.

Practices should review those patients for whom no gender is entered to ensure they are only sent appropriate cancer screening reminders.  Consideration should be given to keeping a register of transgender, gender diverse and intersex patients to support this process.



Report Steps

Breast Screening Only

This report will show the selected patients and the proportion of patients without a mammogram recorded. To find patients eligible for breast screening select all patients without a mammogram as well as those with a mammogram older than two years:




Bowel Cancer Screening Only



Patient eligible for both Breast AND Bowel Cancer Screening

To find patients that are eligible for both FOBT and mammogram 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:



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



This will show a list of all patient meeting the selected categories on both reports: