NationalVisionUserGroupUG

=============== © NVUG 2012 =============== Unless explicitly authorised by NVUG this material is solely for the use of members of NVUG.  Unauthorised reproduction is forbidden.  If you copy any of this material without

permission you will commit a criminal offence under Section 107 Copyright, Designs and Patents Act 1988.

IMPORTANT: The files are untested contributions from users. Each Practice must ensure that the files are suitable for their own use and security arrangements. NVUG accepts no responsibility for any loss suffered as a result of use of these files. If you use them to alter any patient records you do so at your own risk. We strongly recommend that

you take a back up before doing so.

================= All rights reserved. =================

Vision Explained

Kathie Applebee

New users come in all shapes and sizes

Start by explaining the conceptual framework of Vision

User-defined

Display patient data in a wide range of different formatsDesign an infinite number of screensDevelop user-defined reports and printoutsSearch and audit on endless combinations of attributes

Vision: Windows-based system

Exploit Windows functionalityUse filtersCTRL + click to highlight different itemsCTRL + C to copy and CTRL + V to pasteDrag and drop onto the Windows clipboardClick column headings to sort data

Filters and CTRL & Click

Hold down CTRL and click on each item to highlight

Then drag and drop

Also used to copy prescriptions

1 Replicate

2 Referral

3 Recall

4 Guideline (if available)

5 Acute to repeat

6 Copy to clipboard

Drop target (floating toolbar)

Icons and colours

Vision uses icons to differentiate between different types of itemsColour is also used e.g. green for today’s entries

Data recording

Read codes

Read codes are the basis for storing data: every entry is linked to a code

Pop-up dialog means that you start typing in consultation view and a Read windows appears

Record in Structured Data Area means that Vision offers the best place to record this data

Automatically select the best SDA means that Vision selects it. Uncheck this and you are offered a choice

Pop-up dialog means that you start typing in consultation view and a Read windows appears

Record in Structured Data Area means that Vision offers the best place to record this data

Automatically select the best SDA means that Vision selects it. Uncheck this and you are offered a choice

Read Code Hierarchy

Circulatory disordersG….

Hypertensive diseaseG2...

Essential hypertension G20..Malignant essential

hypertension G200

Free text

Free text should be supplementary7L08 amputation of toe– Left foot

Read options

Find alternative Read codes by:– Using up and down arrows to check for

immediate alternatives– Using F3 to find options– Putting in parts of multiple words– Selecting from the Read code hierarchy– Putting in known codes with # first

SDAs (structured data areas)

Special places for special entriesSome codes prompt for SDAs to match different data types, e.g. for adding BPs

Common ways to add BPs

OEBP or BP in Read data entry boxUsing menus: Alt A, L Add Another drag onto the Drop TargetFrom a Guideline, a management plan or a filter pane

BP entered in History Add

BP entered in SDA - better

Management plans help structure data entry

Codes can open entire screens

An asthma code could:– Open the asthma

Guideline (active triggering)

– Remind about the asthma Guideline (passive triggering)

As a Windows system, Vision works from:- drop-down menus- clicking on icons- Alt + the first letter of the menuAdd is useful for new users

Use right mouse menus

Explore the icons

Screen displays can be personalised for every user, if required

Ideally, have a set-up for every type of user, e.g. GP; GP locum; practice nurse; receptionist; health visitor.

The big picture - PanesThe main or central pane displays selected data The top left hand pane summarises data, and enables sub-sections to be selectedThe bottom left hand pane shows due, overdue or outstanding itemsThe bottom pane shows the data items as they are addedThe optional right hand pane displays consultation entries as they are made

The central pane displays the current

requirement, whether medical history, therapy, blood

pressures or whatever you have selected

The big picture - PanesThe main or central pane displays selected data The top left hand pane summarises data, and enables sub-sections to be selectedThe bottom left hand pane shows due, overdue or outstanding itemsThe bottom pane shows the data items as they are addedThe optional right hand pane displays consultation entries as they are made

The top left hand pane enables you to pick the

items to display

The big picture - PanesThe main or central pane displays selected data The top left hand pane summarises data, and enables sub-sections to be selectedThe bottom left hand pane shows due, overdue or outstanding itemsThe bottom pane shows the data items as they are addedThe optional right hand pane displays consultation entries as they are made

The bottom left gives you reminders and outstanding actions

The big picture - PanesThe main or central pane displays selected data The top left hand pane summarises data, and enables sub-sections to be selectedThe bottom left hand pane shows due, overdue or outstanding itemsThe bottom pane shows the data items as they are addedThe optional right hand pane displays consultation entries as they are made

The bottom centre pane gives you the data entry

area automatically, according to the central

pane display

The data entry pane matches the central

pane display

The filtered tab is used to display (or filter)

data summarised in the left hand pane – and the bottom pane adjusts to

match it

This is known as an SDA (structured data entry)

National Vision User Group

Numeric data can be graphed…

BP in SDA

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And the graphs personalised

The big picture - PanesThe main or central pane displays selected data The top left hand pane summarises data, and enables sub-sections to be selectedThe bottom left hand pane shows due, overdue or outstanding itemsThe bottom pane shows the data items as they are addedThe optional right hand pane displays consultation entries as they are made

The right hand pane, which is optional,

enables you to divide your consultation into

different clinical TOPICS

Topics

Any item in thewrong topic can be dragged across to

another

National Vision User Group

Consultations can also be viewed by Read

codes types.The Consultation tab is useful for an overview

of patient activity.

The yellow post-its can be closed or moved, and

the entries can be crossed out (if

generated by Clinical Audit) or deleted if

manually entered (the latter should always

have a date and initials beside every entry)

Tabs are used to move between screen displays

Finding data

The Journal screen is simply a chronological listUse it selectively

Ways to sort and find data

Click on column headingsHighlight one item and double click to group similar itemsHighlight multiple items and copy elsewhereUse the text searchFilter items

Selective Guidelines are good

Consultation text searchType a word, or part word, and press returnAll entries containing that text (coded or free text) will display, e.g. history, prescription.

Different views

Views 5-8 have the right-hand topic

pane

Two consultation managers open simultaneously

Therapy

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The therapy tab gives 3 options:

Current: active repeats and acutes issued in a

user-defined time period

Scripts: all issued prescriptions

Repeats: all masters (actives displayed by

choice)

National Vision User Group

National Vision User Group

Repeats are selected by ticking boxes, and then

taking action e.g. reauthorising…

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Med. Review Due

+ Overdue

Screen design

GuidelinesExplain the concepts of – User-definable screens– User-definable reports– Centrally provided screens and reports

A Guideline is a screen for data entry and display, which can be printedA report is a Guideline that prints but does not display

Guideline for QOF data

Tabs named for Guidelines

Set up searches for individuals, such as

nurses, and show them how to access their own folder and run their own

searches only

Searches can be simple or complex: teach people to do common sense checks of results and not just accept the figures for new searches

Teach them to use search results and

printouts promptly: old groups risk containing

patients who have died, left, etc.

Show people how to access the QOF and other audits, and to

monitor their own areas

In summary

Tailor Vision to suit individuals usersTreat DLMs like QOF updates – check knowledge, understanding and usageEncourage the use of shortcuts to reduce mouse clicksChallenge users to come up with their own suggestions for working differently

NationalVisionUserGroupUG

=============== © NVUG 2012 =============== Unless explicitly authorised by NVUG this material is solely for the use of members of NVUG.  Unauthorised reproduction is forbidden.  If you copy any of this material without

permission you will commit a criminal offence under Section 107 Copyright, Designs and Patents Act 1988.

IMPORTANT: The files are untested contributions from users. Each Practice must ensure that the files are suitable for their own use and security arrangements. NVUG accepts no responsibility for any loss suffered as a result of use of these files. If you use them to alter any patient records you do so at your own risk. We strongly recommend that

you take a back up before doing so.

================= All rights reserved. =================