Getting Started |
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Installation |
Refer to the PCS Clinical Audit Tool® Quick Reference Guide for installation instructions and an overview of CAT features. |
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Clinical Data Self-Assessment (CDSA) Tool |
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Overview |
The CDSA Tool has been developed to report on the completeness of patient demographic and health summary data within the general practice clinical system. It provides the following reports:
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Data |
The data indicators are based on the data content outlined in the RACGP data recommendations +http://www.racgp.org.au/ehealth/summary+
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Data Quality Dashboard |
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Data Quality |
The Data Quality Dashboard provides a report indicating the overall status of data quality based on the data indicators. It displays each data content section with a 'Traffic Light' status icon calculated from the % completeness of each data indicator within the section. Each indicator contributes equal weight to the overall status Indicators that are not available for a clinical system do not contribute to the overall status. |
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Data Completeness Reports |
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Data Quality |
The Completeness Report provides a % of completeness for each data indicator. |
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Data Quality |
The Completeness graph provides a graphical view of the data indicators by patient and allows re-identification of patients where data is missing. |
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Data |
Patient data can be exported from the Data Completeness Graph using the 'Worksheet' button. |
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Duplicate Patients Report |
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Data Quality > |
The Duplicate Patients Report is a list of patient records within the clinical system where duplication is suspected.
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Appendix A: Data Indicators |
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Indicator |
Numerator |
Denominator |
1. Allergies and Adverse Reactions |
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Allergy status recorded |
Number of patients with an allergy status recorded |
Active patients |
Allergy recorded – coded format |
Number of allergies recorded that are not NKA from a coded table of available allergens |
Number of allergies for active patients recorded that are not NKA |
Allergy recorded – reaction completed |
Number of allergies recorded that are not NKA that have content in the reaction field |
Number of allergies for active patients recorded that are not NKA |
2. Medicines |
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Medications – coded reason for prescribing |
Number of prescriptions for current medications in active patients where the reason for prescribing is recorded from a coded pick list |
Number of prescriptions for current medications recorded for active patients |
3. Medical History |
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Diagnosis recorded – coded format in past history |
Number of diagnoses entered in the past history which have been entered in a coded format |
Number of diagnoses recorded in the past history for active patients |
4. Health Risk Factors |
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Smoking status recorded |
Number of active patients 10 years and over for whom smoking status is recorded |
Active patients 10 years and over |
Smoker – Cigarettes per day recorded |
Number of active patients 10 years and over recorded as smokers for whom the number of cigarettes has been recorded |
Active patients 10 years and over recorded as smokers |
Ex-smoker – Date ceased |
Number of active patients 10 years and over recorded as ex-smokers for whom a cease date is recorded |
Active patients 10 years and over recorded as ex-smokers |
Waist circumference recorded in overweight/underweight patients |
Number of active patients for whom a waist circumference is recorded within the last 2 years |
Active patients who are overweight (BMI ≥ 25) or underweight (BMI < 18.5) |
Alcohol Status – quantity recorded |
Number of active patients 14 years and over who have alcohol quantity recorded |
Active patients 14 years and over |
Alcohol Status – frequency recorded |
Number of active patients 14 years and over who have alcohol frequency recorded |
Active patients 14 years and over |
5. Immunisations |
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Immunisations recorded Active patients with immunisations recorded in the system |
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Active patients |
6. Relevant Family History |
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Family history recorded |
Active patients with family history recorded in the system |
Active patients |
7. Relevant Social History |
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Living arrangement recorded |
Active patients with living arrangements recorded |
Active patients |
Ethnicity recorded |
Active patients with ethnicity recorded |
Active patients |
Is a carer recorded |
Active patients with 'Is carer' recorded |
Active patients |
Has a carer recorded |
Active patients with 'has a carer' field recorded |
Active patients |
Occupation and employment status recorded |
Active patients with occupation and employment status field recorded |
Active patients 15 years and over |
Relationship status recorded |
Active patients with relationship status field recorded |
Active patients 15 years and over |
8. Duplicate Patients |
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Duplicate Patients |
Patients who have a match on any of the following: |
Total Population |
Appendix B: Indicator unavailability by Clinical System |
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Medical |
The following indicators are not available for collection from Medical Director: Allergy recorded – coded format Living arrangement recorded Is a carer recorded |
Best Practice |
All indicators are available |
Medinet |
The following indicators are not available for collection from Medinet: |