View Source

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:	CAT Open - CAT4 view (all reports) loaded Population Extract Loaded and Extract Pane “Hidden” Filter Pane open 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 = 604 and End Age = 888 months. 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.

Click "Recalculate"

Click ‘Hide Filters’

Report Steps

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.

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:

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.
Phone patients to update their record or to remind them to attend BreastScreen Australia for their free screening mammogram.
Go back through the individual patient records in the GP Clinical Desktop System (CDS) and update known records

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.

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:

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

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.