Transcript Tayside SNUG Feb 2015

Scottish National User Group
April 2015
Margaret McCaul
Account Manager
Topics
SIS10380 changes/enhancements
Vision Anywhere
Vision + SMS Text Messaging
DLM480 – Vision Apps/ Enhancements
5k Challenge QOF Consultancy
Outcomes Manager
- CKD & DMARDs management
Helpline 101
www.inps.co.uk
SIS10380 Changes
SIS10380 – Vision+
Quarter 3 2014 Read codes now included - See the INPS website for
further details of the dictionary changes.
Patient Date of Birth Display - The patient's date of birth is displayed
throughout Vision+ patient mode.
Smoking Data Entry - The Read code data entry screen for smoking
has changed so that the Show More option is now a check button to
allow the removal of extra Read codes.
Automatic Download Web files - From SIS 10380 if a template has
been set by INPS to auto-download Vision+ checks Download Web Files
and if a newer version of the template is available it downloads it.
Contract Manager Graph Points Corrected - The Vision+ Contract
Manager graphs show points against aspiration.
Retired Indicators - Previously, retired indicators still displayed in
Templates even if you had not reactivated them in Vision+ Settings. This
has been resolved in SIS 10380.
www.inps.co.uk
SIS10380 - Calculators
CHA2DS2-VASc Score for AF Stroke Risk - now included
which calculates stroke risk for patients with AF
www.inps.co.uk
SIS10380 – Calculator Enhancements
Reset Button - The reset option enables you
to reset the calculator to original settings.
Red box - indicates that the data is invalid
and will stop the calculation.
Yellow box - means there is a warning, e.g.
Ethnicity is missing so a default value of
British is used on the QAdmissions Calculator.
Tooltip - If you hover your mouse over a red or
yellow box a tooltip appears detailing the warning.
www.inps.co.uk
SIS10380 – Vision+ Templates
Some Vision+ Templates contain Care Pathways
that provide extra guidance on how to manage the
patient's care. To view the Care Pathway you can
either choose the pathway icon or click the new
quick pathway icon on the toolbar.
www.inps.co.uk
Vision Anywhere
Vision Anywhere
Application now available on all platforms (Windows 8,
Android and Apple iPad)
Online and offline access to your patient information
Writes back to Vision when Vision online
Patients can be selected by name or from list of
appointments
www.inps.co.uk
Vision Anywhere
What CAN you do?
Download individual patient records
Download patient records from appointments lists
View most clinical data online and offline
Record selected data online and offline
What CAN’T you do?
View documents, attachments or reminders
Use Vision+ functionality (future version)
Issue or re-authorise repeat prescriptions
Use guidelines or reports
Book appointments
www.inps.co.uk
Vision Anywhere
Licensing
– Licensed per device
– Licensed per practice
– Devices can be shared among practice staff
– £200 per device per year
More information
http://www.inps4.co.uk/vision/products/visi
on-anywhere
Why not arrange a Demo?
www.inps.co.uk
Vision Anywhere
Minimum Requirements
- iPad: 16GB iPad 2 or 16GB iPad Mini
- Android: Android version 4.4. Vision Anywhere is
guaranteed to work on Nexus 5, Nexus 7, Nexus
10, Samsung Galaxy S4, Samsung Galaxy S5,
Samsung Galaxy Note, Samsung Galaxy Tab and
HTC One devices. Other Android devices may
work but have not been tested for use with Vision
Anywhere
- Windows: Any device running Windows 8.1 (not
phones, must be a tablet or larger)
- 300MB space for the app and patient records
- 3G, 4G or Wifi is required within the practice for
synchronisation with Vision
www.inps.co.uk
Vision+ SMS messaging
www.inps.co.uk
Vision+ SMS messaging
SIS10380 introduces SMS text messaging
facilities (although disabled)
– SMS messages for recalls
– SMS messages for appointments reminders
www.inps.co.uk
Vision+ SMS messaging
SMS software included within Vision+
No additional software install required just simple
activation
Only charged for successful texts
– Report to show invalid numbers or patients Read coded
as Declined
Number of
texts (SMS)
Description
Bundle cost
Cost per
text
500
Weekly bundle or emergency top up
£50
10p
1250
Average monthly usage for a
practice
£100
8p
15000
Average practice for one year
£900
6p
25000
Average for a large practice for one
year
£1,250
5p
www.inps.co.uk
Vision+ SMS Messaging Prep
Must ensure that patients have accurate mobile
numbers
– Clinical audits available within latest INPS audits >
Administration > SMS validation
More Information: http://www.inps4.co.uk/myvision/news/remind-your-patients-text
www.inps.co.uk
DLM480 – Vision Apps/
Enhancements
Vision Apps
www.inps.co.uk
Apps in DLM480
Patient Diary – Week View
www.inps.co.uk
Patient Diary
Patient Diary – Month View
www.inps.co.uk
Patient Diary
Patient Diary – List view
www.inps.co.uk
DLM480 - Apps Delivery & Pilot
From DLM480, apps to be delivered via Centrastage
Setup static pilot group to test app releases
– Practices notified of app release including details
of what app does and what requires testing
– 3 working day pilot unless app more complex
– Feedback logged to pilot forum
– After 3 day pilot complete, app on general release
www.inps.co.uk
Appointment Analysis App
www.inps.co.uk
User Enhancements
Viewing Lab Results in Journal
www.inps.co.uk
5K Challenge
5K Challenge – What is it?
Opportunity to find revenue that your practice
should be claiming but isn’t.
– Adding patients to registers will increase prevalence, which
in turn will increase the value of each QOF point within that
domain. Even if you are already achieving maximum
points, you could still increase your income.
If we can’t identify enough missed income to
cover the cost of the service - we won’t charge
you!
– No risk. Nothing to lose
– No need to check records - we do the work for you
– 100% satisfaction from practices like yours that have
already made use of the service
– Improves data quality at the practice
– Helps clinicians understand the importance and impact of
correct clinical coding
www.inps.co.uk
5K Challenge – How does it work?
QOF specialist trainer on-site for 2 days
– Identify patients with no appropriate diagnostic Read code
– Add read code or provide lists of patients for work to be
done by practice
– Summary of work and breakdown of increase to practice
income
Additional benefits
– Advice to improve coding leading to better management of
patients ensuring appropriate care is given
More information: http://www.inps4.co.uk/myvision/training/5k-challenge
www.inps.co.uk
Outcomes Manager
CKD & DMARDs Management
www.inps.co.uk
CKD Manager
Aims
– Patient Level
• Optimise treatment to reduce chance of further renal
decline
– Practice Level
• Improve Register Accuracy
• Case find to improve prevalence (Boost QOF Income)
• Manage cases appropriately
– When and what to test
– When and what to prescribe
– When to refer
www.inps.co.uk
DMARDs Manager
• Aims
– Patient Level
• Safe ongoing use of high risk prescriptions issued in
the community
– Practice Level
• Improve and maintain correct monitoring of high risk
prescription medications
• Identify abnormal results and suggest appropriate
actions
• Significantly improve reporting mechanism and postpayment verification evidence
www.inps.co.uk
DMARDs Manager
Acamprosate
Amiodarone
Apomorphine
Atomoxetine
Azathioprine
Ciclosporin
Denosumab
Dexamphetamine
Donepezil
Galantamine
Gold
Leflunomide
Lithium
Gold
Leflunomide
Lithium
Methlyphenidate
Methotrexate
Modafanil
Mycophenolate
Naltrexone
Octreotide
Penicillamine
Riluzole
Rivastigmine
Sulfasalazine
www.inps.co.uk
DMARDs Reporting
www.inps.co.uk
Current Projects
MacMillan Cancer – Risk Assessment Tool
Nearly ready.....
Early detection protocol covering 5 cancers
Looks at previous 6–12 months data in patient
record; displays risk of Low/ Med/ High into
Vision+ template (score is not recorded in the
record)
www.inps.co.uk
Diabetes UK
GPs can now monitor and manage people who do not
have their diabetes under control with personal
prevention plans
More information: http://www.diabetes.org.uk/Guideto-diabetes/Managing-your-diabetes/informationprescriptions/
www.inps.co.uk
Islay Federated Working
www.inps.co.uk
Sharing Appointments
www.inps.co.uk
Sharing Patient Records
www.inps.co.uk
Helpline 101
Contacting Helpline
3 options for contacting helpline
– Phone “Option 1” – if only wishing to report a minor
issue and request a call back
– Phone “Option 2” –to speak to an Dundee analyst to log
and work to resolve issue
– Email if you are seeking training assistance or a low
priority call
Web chat – would you use?
Basic info before you call
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–
–
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How many users affected?
How many workstations?
Error Messages?
Affecting more than clinical system?
www.inps.co.uk
Helping the Helpline – Why?
Speeds up investigation/Quicker resolution
Will point to reason/cause
How many users? If single user points to profile,
if all users points to database
How many workstations? If single user possibly
profile, if all possibly network and/or database
Error message – stops us having to ask again,
screenshots help
Not just clinical system – possibly network
www.inps.co.uk
Calls being resolved but not fixed?
Main reason is unavailability of users
After three attempts to call/contact we will
send an email asking you to contact us
If no contact within a defined period call is
automatically closed and assumed
resolved
However, we are stopping this practice to
try and assist
www.inps.co.uk
Mail Gateway (GPC Machine)
Cause of most of issues
Simple reboot resolves most of these
Examples – no lab results, scripts not
scanning, errors on Gateway
If power cut and server reboots, ensure
Gateway reboots after server
www.inps.co.uk
Any Questions?