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CHART LIBRARY POWERPOINT TOOL The best way to find out what information a particular CHART library can give you, is to take a look at the summary sheet. To do this, simply click on one of the libraries below. MYOCARDIAL INFARCTION AND ACUTE CORONARY SYNDROME SAFER PRESCRIBING GRASP AF (ATRIAL FIBRILLATION) HEROIN MISUSE MMR VACCINATION PNEUMOCOCCAL VACCINATION LOCAL DELIVERY PLAN (SMOKING & OBESITY) IM&T DES SPARE BUTTON AWAITING FOR ANY NEW LIBRARY CHART & MIQUEST OVERVIEW SUMMARY, CHARTS, DATASHEET EXAMPLE CHART ONLINE
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Page 1: Download this file (CHART_Library_PowerPoint_Tool.ppt)

CHART LIBRARY POWERPOINT TOOLThe best way to find out what information a particular CHART library can give you, is to take a look at the summary sheet. To

do this, simply click on one of the libraries below.

MYOCARDIAL INFARCTIONAND ACUTE CORONARY

SYNDROME

SAFERPRESCRIBING

GRASP AF(ATRIAL FIBRILLATION)

HEROIN MISUSE MMR VACCINATION PNEUMOCOCCALVACCINATION

LOCAL DELIVERY PLAN(SMOKING & OBESITY) IM&T DES SPARE BUTTON AWAITING

FOR ANY NEW LIBRARY

CHART & MIQUESTOVERVIEW

SUMMARY, CHARTS,DATASHEET EXAMPLE

CHARTONLINE

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HOW CHART & MIQUEST WORK

BACK TO MENU

Click the mouse to see the CHART process step by step

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CLINICAL SYSTEM

HOW CHART & MIQUEST WORK

CLINICALSYSTEM

DATABASE

PRIMIS+ WEBSITE

MIQUESTINTERPRETER

BACK TO MENU

MIACS Queries ondisk/pen

drive/network

MIACS Responses on

disk/pen drive/network

PRACTICE COMPUTER

CHART SOFTWARE

LIBRARIESSWINE FLU

MIACS

MIACS SUMMARY SHEETMIACS DATA SHEET

MIACS GRAPHS

CHART QUERY LIBRARIESSAFER PRESCRIBING, FLU, SWINE FLU, MIACS, MMR

HEROIN MISUSE, LDP

CHART SOFTWARE

Click the mouse to see the CHART process step by step

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CHART LIBRARIESThe best way to find out what information a particular CHART library can give you, is to take a look at the summary sheet. To

do this, simply click on one of the libraries below.

MYOCARDIAL INFARCTIONAND ACUTE CORONARY

SYNDROME

SAFERPRESCRIBING

GRASP AF(ATRIAL FIBRILLATION)

HEROIN MISUSE MMR VACCINATION PNEUMOCOCCALVACCINATION

LOCAL DELIVERY PLAN(SMOKING & OBESITY) IM&T DES SPARE BUTTON AWAITING

FOR ANY NEW LIBRARY

CHART & MIQUESTOVERVIEW

SUMMARY, CHARTS,DATASHEET EXAMPLE

CHARTONLINE

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1) Download CHART Software and CHART Query Libraries free from PRIMIS+ Website and install on Practice Computer – (One off process)

2) Create CHART MIQUEST Queries and load them into MIQUEST Interpreter on Clinical System

3) MIQUEST Interpreter interrogates Clinical System Database

4) Obtain CHART MIQUEST Responses from MIQUEST Interpreter on Clinical System

5) Load CHART MIQUEST RESPONSES into CHART Software and see SUMMARY SHEET, DATA SHEET and GRAPHS

HOW CHART & MIQUEST WORK

CLINICALSYSTEM

DATABASE

PRIMIS+ WEBSITE

CHART SOFTWARECHART QUERY LIBRARIES

PRACTICE COMPUTER

CHART SOFTWARECHART QUERY LIBRARIES

PRACTICE COMPUTERSUMMARY SHEET

DATA SHEETGRAPHS

MIQUESTINTERPRETER

BACK TO MENU

Queries on disk/pen

drive/network

Responses on disk/pen drive/network

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The NICE MIACS guidance covers such things as dietary advice, exercise advice,referral to cardiac rehabilitation, smoking advice and the use of specific drugs. One area that many PCTs may also have an interest in is the appropriate use of Clopidogrel, an expensive drug used for varying lengths of time after an infarct. The audit will enable practices to see that they are using it in accordance with the guidance. To take a look at a particular area, please click the appropriate button above.

POPULATION ADVICE & PROCEDURES MEDICATION

HEART FAILURE CLOPIDOGREL USAGE MI BY CATEGORY ACS BY CATEGORY

CHOOSE ANOTHERLIBRARY

MI & ACS HOME

MI & ACS

Population

Advice & Procedures

Medication

Heart Failure

Clopidogrel

MI by Category

ACS by Category

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TOTAL PRACTICE POPULATION 10620

Population Latest MI in last 12 months

Latest MI over 12 months ago

TOTAL

No of patients who have had an MI 7 130 137

Percent of Practice Population 0.07% 1.22% 1.29%

POPULATION ADVICE & PROCEDURES MEDICATION

HEART FAILURE CLOPIDOGREL USAGE MI BY CATEGORY ACS BY CATEGORY

CHOOSE ANOTHERLIBRARY

MI & ACS HOME

MI & ACS

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NO OF PATIENTS PERCENTAGE OF PATIENTS

Advice and Procedures Post MI Latest MI in last 12 months

Latest MI over 12 months ago

TOTAL Latest MI in last 12 months

Latest MI over 12 months ago

TOTAL

No of patients offered exercise advice since last MI 1 37 38 14.3% 28.5% 28%

No of patients whose latest smoking status shows them as smokers 2 11 13 28.6% 8.5% 8%

No of patients given advice to quit smoking since MI 1 53 54 14.3% 40.8% 41%

No of patients referred to cessation service since MI 0 0 0 0.0% 0.0% 0%

No of patients offered dietary advice since last MI 1 33 34 14.3% 25.4% 25%

No of patients offered Cardiac Rehabilitation since last MI 1 1 2 14.3% 0.8% 1%

No of patients recorded as having Bypass Surgery since last MI 1 5 6 14.3% 3.8% 4%

No of patients recorded as having Angioplasty since last MI 1 8 9 14.3% 6.2% 6%

No of patients recorded as having a Stent inserted since last MI 3 16 19 42.9% 12.3% 12%

POPULATION ADVICE & PROCEDURES MEDICATION

HEART FAILURE CLOPIDOGREL USAGE MI BY CATEGORY ACS BY CATEGORY

CHOOSE ANOTHERLIBRARY

MI & ACS HOME

MI & ACS

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Medication Post MI ACEI Aspirin BETABLOCKER

STATIN

No of patients with issue for each drug in last three months 98 94 89 106

No of patients with contra-indication code for each drug 1 6 12

Percent on each drug out of all those post MI minus those with contra-indication

72% 72% 71% 79%

Overall Treatment 4 of above drugs

3 of above drugs

2 of above drugs

1 of above drugs

0 of above drugs

TOTAL

No of Post MI patients on or with conta-indication to the combination of drugs

47 53 26 9 2 137

POPULATION ADVICE & PROCEDURES MEDICATION

HEART FAILURE CLOPIDOGREL USAGE MI BY CATEGORY ACS BY CATEGORY

CHOOSE ANOTHERLIBRARY

MI & ACS HOME

MI & ACS

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Heart Failure Total Licensed Aldosterone Antagonist issued in last 3 months

Potassium checked in last 3 months

Patients who have had an MI and Left Ventricular Systolic Dysfunction 6 1 2

POPULATION ADVICE & PROCEDURES MEDICATION

HEART FAILURE CLOPIDOGREL USAGE MI BY CATEGORY ACS BY CATEGORY

CHOOSE ANOTHERLIBRARY

MI & ACS HOME

MI & ACS

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Diagnostic Categories v Current Clopidogrel Treatment Treatment Advised

Clopidogrel issued in last 3 months

Clopidogrel not issued

1 STEMI in last 1 month Yes 0 0

2 NSTEMI in last 12 months Yes 2 0

3 Stent in last 12 months Yes 3 4

4 Unspecified MI in last 12 months (Does not distinguish STEMI from NSTEMI Ambiguous 1 0

5 STEMI more than 1 month ago No 2 5

6 NSTEMI more than 12 months ago No 0 5

7 Stent more than 12 months ago No 3 25

8 Unspecified MI more than 12 months ago No 5 98

9 ACS Only No 3 10

POPULATION ADVICE & PROCEDURES MEDICATION

HEART FAILURE CLOPIDOGREL USAGE MI BY CATEGORY ACS BY CATEGORY

CHOOSE ANOTHERLIBRARY

MI & ACS HOME

MI & ACS

EXPLANATIONClopidogrel is an expensive drug. It is beneficial for patients in categories 1 to 3. It is not beneficial for patients in categories 5 to 9. Because the type of MI is unspecified, we do not know whether it will be beneficial for patients in category 4.

Therefore the patients represented by red numbers should be on clopidogrel and are not. The patients represented by blue numbers are on clopidogrel even though it is of no benefit to them. The patients represented by green numbers need investigating further before we know whether their clopidogrel status is correct.

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Recording of Latest Myocardial Infarction by Category No in last 12 months

No more than 12 months ago

Positional i.e. Antero-Lateral or Posterior 1 8

Q Wave 0 0

Non Q Wave 0 1

Sub-Endocardial 0 2

STEMI 1 3

NSTEMI 3 4

Micro-Infarction 0 0

MI Aborted 0 0

Unspecified 2 112

TOTAL 7 130

POPULATION ADVICE & PROCEDURES MEDICATION

HEART FAILURE CLOPIDOGREL USAGE MI BY CATEGORY ACS BY CATEGORY

CHOOSE ANOTHERLIBRARY

MI & ACS HOME

MI & ACS

EXPLANATIONTo treat an MI correctly, you need to know what type of MI it is. The patients represented by red numbers , particularly hose with an MI in the last 12 months, would need to have a more specific diagnosis put on their medical record.

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POPULATION ADVICE & PROCEDURES MEDICATION

HEART FAILURE CLOPIDOGREL USAGE

Latest Acute Coronary Syndrome by Category No in last 12 months

No more than 12 months ago

Acute MI 3 109

STEMI 1 3

NSTEMI 3 4

MI Aborted 0 0

Unstable Angina 1 10

Angina Other 0 0

Preinfarction Syndrome 0 0

Microinfarction 0 0

ACS 1 2

Other 4 20

TOTAL 13 148

MI BY CATEGORY ACS BY CATEGORY

CHOOSE ANOTHERLIBRARY

MI & ACS HOME

MI & ACS

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MISUSE BY AGE THERAPY ENGAGEMENT HEPATITIS & HIV

OTHER INFORMATION

CHOOSE ANOTHERLIBRARY

HEROIN MISUSE HOME

HEROIN MISUSE

Please click on the Web Upload icon to send in your data

Heroin Misuse AuditPeople who have ever used heroin

Percent of practice population by relevant age group

Those in treatment in last eight weeks

Percent of heroin misusers seen in last eight weeks

Group/sub-group of heroin misusers TOTAL PERCENT TOTAL PERCENT

Number of heroin misusers 21 0 0 0.0

Number under 18 years 1 0 0 0.0

Number 18-30 years 11 2 0 0.0

Number 30+ years 9 0 0 0.0

People who have ever used heroin

Percent of all heroin misusers

Those in treatment in last eight weeks

Percent of heroin misusers seen in last eight weeks

TOTAL PERCENT TOTAL PERCENT

Evidence of engagement in therapy in past year 0 0.0 0 0.0

Number on prescribed therapy 0 0.0 0 0.0

Evidence of injecting drug misuse ever 0 0.0 0 0.0

Evidence of multiple drug use including alcohol 4 19.0 0 0.0

Evidence of testing for Hepatitis B status ever 1 4.8 0 0.0

No recorded Hepatitis B immunisation 19 90.5 0 0.0

Incomplete Hepatitis B immunisation course 1 4.8 0 0.0

Evidence of completing hepatitis B immunisation course 1 4.8 0 0.0

Evidence of hepatitis C status testing 1 4.8 0 0.0

Evidence of testing for HIV status 0 0.0 0 0.0

Evidence of adverse clinical outcome related to injecting drug misuse 2 9.5 0 0.0

Evidence of unemployment or sickness benefit 7 33.3 0 0.0

Evidence of successful outcome or naltrexone 0 0.0 0 0.0

Number with heroin misuse treatment code without morbidity code 0 0.0 0 0.0

The Heroin Misuse Summary sheet is a collection of tables showing useful information about patients who have misused heroin. To take a look at a table, please click the appropriate button above.

Misuse by Age

Therapy Engagement

Hepatitis & HIV

Other Information

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HEROIN MISUSE

People who have ever used heroin

Percent of practice population by relevant age group

Those in treatment in last eight weeks

Percent of heroin misusers seen in last eight weeks

Group/age sub-group of heroin misusers TOTAL PERCENT TOTAL PERCENT

Number of heroin misusers 21 0% 0 0%

Number under 18 years 1 0% 0 0%

Number 18-30 years 11 2% 0 0%

Number 30+ years 9 0% 0 0%

MISUSE BY AGE THERAPY ENGAGEMENT HEPATITIS & HIV

OTHER INFORMATION

CHOOSE ANOTHERLIBRARY

HEROIN MISUSE HOME

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HEROIN MISUSE

People who have ever used heroin

Percent of practice population by relevant age group

Those in treatment in last eight weeks

Percent of heroin misusers seen in last eight weeks

Therapy Engagement TOTAL PERCENT TOTAL PERCENT

Evidence of engagement in therapy in past year 0 0.0% 0 0.0%

Number on prescribed therapy 0 0.0% 0 0.0%

Evidence of injecting drug misuse ever 0 0.0% 0 0.0%

Evidence of multiple drug use including alcohol 4 19.0% 0 0.0%

MISUSE BY AGE THERAPY ENGAGEMENT HEPATITIS & HIV

OTHER INFORMATION

CHOOSE ANOTHERLIBRARY

HEROIN MISUSE HOME

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HEROIN MISUSE

People who have ever used heroin

Percent of practice population by relevant age group

Those in treatment in last eight weeks

Percent of heroin misusers seen in last eight weeks

Hepatitis & HIV TOTAL PERCENT TOTAL PERCENT

Evidence of testing for Hepatitis B status ever 1 4.8% 0 0.0%

No recorded Hepatitis B immunisation 19 90.5% 0 0.0%

Incomplete Hepatitis B immunisation course 1 4.8% 0 0.0%

Evidence of completing Hepatitis B immunisation course 1 4.8% 0 0.0%

Evidence of Hepatitis C status testing 1 4.8% 0 0.0%

Evidence of testing for HIV status 0 0.0% 0 0.0%

MISUSE BY AGE THERAPY ENGAGEMENT HEPATITIS & HIV

OTHER INFORMATION

CHOOSE ANOTHERLIBRARY

HEROIN MISUSE HOME

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HEROIN MISUSE

People who have ever used heroin

Percent of practice population by relevant age group

Those in treatment in last eight weeks

Percent of heroin misusers seen in last eight weeks

Other Information TOTAL PERCENT TOTAL PERCENT

Evidence of adverse clinical outcome related to injecting drug misuse

2 9.5% 0 0.0%

Evidence of unemployment or sickness benefit 7 33.3% 0 0.0%

Evidence of successful outcome or naltrexone 0 0.0% 0 0.0%

Number of heroin misuse treatment code without morbidity code 0 0.0% 0 0.0%

MISUSE BY AGE THERAPY ENGAGEMENT HEPATITIS & HIV

OTHER INFORMATION

CHOOSE ANOTHERLIBRARY

HEROIN MISUSE HOME

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LDP – LOCAL DELIVERY PLAN

The aim of the Local Delivery Plan analysis package for Smoking and Obesity is to enable practices to extract, process and send the required data specified by the Department of Health to your PCT.

The data is broken down into tables that show the practice population, and the age/sex of all patients with a BMI and Smoking Status

SMOKING OBESITYCHOOSE ANOTHERLIBRARY

LDP HOME

Smoking

Obesity

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LDP – LOCAL DELIVERY PLAN

Age-Sex Breakdown of Patients aged 16 and over

16-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Grand Total

Females 134 84 74 85 150 158 185 191 192 180 169 148 245 1995

Males 131 104 86 87 125 181 175 170 198 196 143 137 205 1938

Totals 265 188 160 172 275 339 360 361 390 376 312 285 450 3933

Age-Sex Breakdown of Patients aged 16 and over with Latest Smoking Record in Last 15 Months or Never Smoked if aged 25 or over

16-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Grand Total

Females 108 73 66 80 129 145 167 168 173 164 161 144 237 1815

Males 86 66 61 67 99 150 132 139 159 172 132 121 196 1580

Totals 194 139 127 147 228 295 299 307 332 336 293 265 433 3395

Age-Sex Breakdown of Patients aged 16 and over where Latest Smoking Record in Last 15 Months Indicates Current Smoker

16-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Grand Total

Females 8 11 11 9 20 14 18 19 16 14 15 7 8 170

Males 8 10 17 11 13 18 23 14 16 21 13 10 15 189

Totals 16 21 28 20 33 32 41 33 32 35 28 17 23 359

SMOKING OBESITYCHOOSE ANOTHERLIBRARY

LDP HOME

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LDP – LOCAL DELIVERY PLANSMOKING OBESITYCHOOSE

ANOTHERLIBRARY

LDP HOME

Age-Sex Breakdown of Patients aged 16 and over

16-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Grand Total

Females 134 84 74 85 150 158 185 191 192 180 169 148 245 1995

Males 131 104 86 87 125 181 175 170 198 196 143 137 205 1938

Totals 265 188 160 172 275 339 360 361 390 376 312 285 450 3933

Age-Sex Breakdown of Patients aged 16 and over with BMI Record in Last 15 Months

16-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Grand Total

Females 24 34 34 31 33 38 41 49 45 71 54 59 75 588

Males 19 11 25 17 23 46 43 35 65 63 57 60 81 545

Totals 43 45 59 48 56 84 84 84 110 134 111 119 156 1133

Age-Sex Breakdown of Patients aged 16 and with BMI Record in Last 15 Months of 30 or More or Obesity Recorded

16-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Grand Total

Females 1 9 3 7 11 16 13 21 19 20 16 14 19 169

Males 0 2 4 4 4 21 10 15 25 27 19 16 19 166

Totals 1 11 7 11 15 37 23 36 44 47 35 30 38 335

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SAFER PRESCRIBINGPOSSIBLE INAPPROPRIATE

PRESCRIBINGPOSSIBLE INADEQUATE MONITORING – PART 1

POSSIBLE INADEQUATE MONITORING – PART 2

POSSIBLE INAPPROPRIATEDRUG FOR AGE

POSSIBLE OVERLOOKEDSAFETY INFORMATION

POSSIBLE OVERLOOKEDLABORATORY TESTS

CHOOSE ANOTHERLIBRARY

SAFER PRESCRIBING HOME

The Safer Prescribing Library allows practices to examine their current prescribing to identify issues or even systems which might need attention. To take a look at some of the summary sheets available, please click the appropriate button above.

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SAFER PRESCRIBING

POTENTIALLY INAPPROPRIATE PRESCRIBINGCondition and Prescribed Drug Total

Patients with history of Peptic Ulcer prescribed NSAID in Last 4 Months 3

Patients with history of Peptic Ulcer prescribed NSAID in Last 4 Months Without Gastroprotection 1

Active Asthma patient prescribed Beta Blocker in Last 12 Months 2

Women with Venous Thrombosis prescribed Oestrogen in Last 6 Months 1

Patient with history of Gout prescribed Diuretic in Last 4 Months 0

Patients with Aortic Stenosis prescribed Nitrate in Last 12 Months 2

POSSIBLE INAPPROPRIATE PRESCRIBING

POSSIBLE INADEQUATE MONITORING – PART 1

POSSIBLE INADEQUATE MONITORING – PART 2

POSSIBLE INAPPROPRIATEDRUG FOR AGE

POSSIBLE OVERLOOKEDSAFETY INFORMATION

POSSIBLE OVERLOOKEDLABORATORY TESTS

CHOOSE ANOTHERLIBRARY

SAFER PRESCRIBING HOME

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SAFER PRESCRIBING

POTENTIALLY INADEQUATE MONITORING – PART 1

Methotrexate Total FBC LFT U&E

Patients prescribed Methotrexate in Last 6 Months 12

Patients with test in Last 3 Months 5 4 6

Patients without test in Last 3 Months 7 8 6

Warfarin Total INR L2M No INR L2M

19 5 14

Lithium Total Serum Lith L3M No Serum Lith L3M

1 0 1

Amiodarone Total TFT LFT

Patients prescribed Amiodarone in Last 6 Months 0

Patients with test in Last 12 Months 0 0

Patients without test in Last 12 Months 0 0

POSSIBLE INAPPROPRIATE PRESCRIBING

POSSIBLE INADEQUATE MONITORING – PART 1

POSSIBLE INADEQUATE MONITORING – PART 2

POSSIBLE INAPPROPRIATEDRUG FOR AGE

POSSIBLE OVERLOOKEDSAFETY INFORMATION

POSSIBLE OVERLOOKEDLABORATORY TESTS

CHOOSE ANOTHERLIBRARY

SAFER PRESCRIBING HOME

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SAFER PRESCRIBING

POTENTIALLY INADEQUATE MONITORING – PART 2

ACEI & ACEII Total U&E L12M No U&E L12M

Patients prescribed ACEI/ACEII in Last 6 Months 0 0 0

Azathioprine Total FBC L3M No FBC L3M

Patients prescribed Azathrioprine in Last 6 Months 0 0 0

Penicillamine Total FBC L1M No FBC L1M

Patients prescribed Pencillamine in Last 6 Months 0 0 0

Gold Total FBC L1M No FBC L1M

Patients prescribed Gold in Last 6 Months 0 0 0

Statin Total LFT L12M No LFT L12M

Patients prescribed Statin in Last 6 Months 1 1 0

POSSIBLE INAPPROPRIATE PRESCRIBING

POSSIBLE INADEQUATE MONITORING – PART 1

POSSIBLE INADEQUATE MONITORING – PART 2

POSSIBLE INAPPROPRIATEDRUG FOR AGE

POSSIBLE OVERLOOKEDSAFETY INFORMATION

POSSIBLE OVERLOOKEDLABORATORY TESTS

CHOOSE ANOTHERLIBRARY

SAFER PRESCRIBING HOME

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SAFER PRESCRIBING

INAPPROPRIATE DRUG FOR AGEDrugs Prescribed Total

Patients (<16 yrs old) prescribed Aspirin 9

Patients (<12 yrs old) prescribed Tetracycline 4

Patients (<18 yrs old) prescribed SSRI 8

Patients (<18 yrs old) prescribed Phosphodiesterase Inhibitor (without evidence of Pulmonary Hypertension)

3

Patients (>=75 yrs old) prescribed NSAID in Last 3 Months with Gastroprotection in Last 12 Months 6

Patients (>=75 yrs old) prescribed NSAID in Last 3 Months without Gastroprotection in Last 12 Months

13

POSSIBLE INAPPROPRIATE PRESCRIBING

POSSIBLE INADEQUATE MONITORING – PART 1

POSSIBLE INADEQUATE MONITORING – PART 2

POSSIBLE INAPPROPRIATEDRUG FOR AGE

POSSIBLE OVERLOOKEDSAFETY INFORMATION

POSSIBLE OVERLOOKEDLABORATORY TESTS

CHOOSE ANOTHERLIBRARY

SAFER PRESCRIBING HOME

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SAFER PRESCRIBING

POTENTIALLY OVERLOOKED SAFETY INFORMATIONDrugs Prescribed Total

Prescription of Verapamil in Last 12 Months within 56 days of prescription of Beta Blocker 3

Prescription of NSAID in Last 12 Months within 56 days of prescription of Warfarin 1

Prescription of cipro/norfloxacin in Last 12 Months within 56 days of prescription of Theophylline 2

Prescription of Phosphodiesterase in Last 12 Months within 56 days of prescription of Nitrate 1

Prescription of Quinine in Last 12 Months within 56 days of prescription of Cardiac Glycoside 2

Prescription of Penicillin after allergy read coded 0

Prescription of Penicillin after adverse reacion read coded 2

POSSIBLE INAPPROPRIATE PRESCRIBING

POSSIBLE INADEQUATE MONITORING – PART 1

POSSIBLE INADEQUATE MONITORING – PART 2

POSSIBLE INAPPROPRIATEDRUG FOR AGE

POSSIBLE OVERLOOKEDSAFETY INFORMATION

POSSIBLE OVERLOOKEDLABORATORY TESTS

CHOOSE ANOTHERLIBRARY

SAFER PRESCRIBING HOME

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SAFER PRESCRIBING

POTENTIALLY OVERLOOKED LABORATORY TEST RESULTSHypothyroid Recording Total

TSH level over 10 ever with no diagnosis of Hypothyroidism 5

Patients with Duplicated GFR Test Entries from Lablinks 0

Possible Retest Required

One eGFR <30 ml/min in Last 12 Months 0

One eGFR 30 – 59 ml/min in Last 12 Months 28

Possible CKD Diagnosis Required

2 GFR Tests in Last 12 Months Latest <30ml/min and no CKD4/5 diagnosis code 0

2 GFR Tests in Last 12 Months Latest 30 - 59/min and no CKD3 diagnosis code 9

Diabetes Recording

Glucose over 11 ever with no diagnosis of Diabetes 4

POSSIBLE INAPPROPRIATE PRESCRIBING

POSSIBLE INADEQUATE MONITORING – PART 1

POSSIBLE INADEQUATE MONITORING – PART 2

POSSIBLE INAPPROPRIATEDRUG FOR AGE

POSSIBLE OVERLOOKEDSAFETY INFORMATION

POSSIBLE OVERLOOKEDLABORATORY TESTS

CHOOSE ANOTHERLIBRARY

SAFER PRESCRIBING HOME

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GRASP AF – (ATRIAL FIBRILLATION)ATRIAL FIBRILLATION

& CHADS SCORE WARFARINCHOOSE ANOTHERLIBRARY

ATRIAL FIBRILLATION HOME

What does GRASP-AF do?Provides a set of MIQUEST queries to identify, for your practice, patients with a diagnosis of AF who are not on warfarin

The GRASP - AF tool will calculate their stroke risk using the validated CHADS2 scoring system.

The tool will highlight patients with a CHADS2 score of 2 or more not receiving warfarin who would benefit from review to assess the issue of anti-coagulation.

The tool does not assess contraindications to warfarin, the decision whether or not to start warfarin remains a clinical one.

Click on the buttons above to see the information that is available on the CHART summary sheets.

AF & CHADS Score

Warfarin

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GRASP AF – (ATRIAL FIBRILLATION)

NO PERCENT

Total No of Patients currently registered with Practice 5342

Total No of Patients with Atrial Fibrillation / Flutter 84 1.57%

% of practice population aged 65+ with Atrial Fibrillation / Flutter 6.12%

Risk Profile for Thromboembolism NO PERCENT

CHADS2 Score = 0 8 9.52%

CHADS2 Score = 1 23 27.38%

CHADS2 Score > 1 53 63.10%

TOTAL 84 100.00%

ATRIAL FIBRILLATION& CHADS SCORE WARFARINCHOOSE

ANOTHERLIBRARY

ATRIAL FIBRILLATION HOME

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GRASP AF – (ATRIAL FIBRILLATION)

Warfarin use in high risk patients (CHADS2 > 1) NO PERCENT

Patients on warfarin 9 16.98%

Patients not on warfarin 44 83.02%

% of practice population aged 65+ with Atrial Fibrillation / Flutter 6.12%

Patients on warfarin and anti-platelet agents in CHADS2 groups

None Anti-platelet Warfarin Both

CHADS2 Score = 0 8 0 0 0

CHADS2 Score = 1 17 2 4 0

CHADS2 Score > 1 39 5 4 5

ATRIAL FIBRILLATION& CHADS SCORE WARFARINCHOOSE

ANOTHERLIBRARY

ATRIAL FIBRILLATION HOME

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MMR CATCHUP CAMPAIGNMMR SUMMARY

SHEETCHOOSE

ANOTHERLIBRARY

MMR HOME

The MMR CHART library has been designed to enable practices to identify patients that fall into the first three priority age groups specified in the Chief Medical Officer MMR Catch-Up Programme letter dated 6th August 2008. The library identifies patients under the age of nineteen that have had zero, one, or two MMR vaccinations to enable practices to review patient details for recall.

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MMR CATCHUP CAMPAIGN

SUMMARY SHEET PLEASE ENSURE YOU READ THE ADVICE FILE BEFORE CONTINUINGAge Group Total no

registeredZero doses of MMR given

Percentage One dose of MMR given

Percentage Two doses of MMR given

Percentage

Age 2 years 43 6 13.95% 37 86.05% 0 0.00%

Age 3 years 38 1 2.63% 16 42.11% 21 55.26%

Age 4 years 40 4 10.00% 6 15.00% 30 75.00%

Age 5 years 35 0 0.00% 2 5.71% 33 94.29%

Age 6 years 45 5 11.11% 7 15.56% 33 73.33%

Age 7 years 16 0 0.00% 4 25.00% 12 75.00%

Age 8 years 22 1 4.55% 8 36.36% 13 59.09%

Age 9 years 20 1 5.00% 6 30.00% 13 65.00%

Age 10 years 25 1 4.00% 4 16.00% 20 80.00%

Age 11 years 19 3 15.79% 7 36.84% 9 47.37%

↓ ↓ ↓ ↓ ↓ ↓ ↓ ↓

Age 17 years 25 3 12.00% 6 24.00% 16 64.00%

Age 18 years 28 1 3.57% 11 39.29% 16 57.14%

TOTAL: Age 2 – 18 years 466 38 8.15% 143 30.69% 285 61.16%

MMR SUMMARYSHEET

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MMR HOME

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IM&T DESDRUGS TO DISEASE

AUDITSALLERGY

AUDITCHOLECYSTECTOMY

AUDITHYSTERECTOMY

AUDITWRONG SEX

AUDITREFERRALS, LOCATION,

SUMMARY AUDITTOP LEVEL CODES

AUDIT

CHOOSE ANOTHERLIBRARY

IM&T DES HOME

The PRIMIS+ IM&T DES CHART Library was designed to help practices to achieve accredited data quality standards so that their information is fit for sharing in the NHS Care Records Service. This is a key objective of the IM&T DES.

To see the summary sheets from some of the IM&T DES Queries, please click on the buttons above.

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IM&T DES – DRUGS TO DIAGNOSIS AUDITSDRUGS TO DIAGNOSIS

AUDIT 1DRUGS TO DIAGNOSIS

AUDIT 2DRUGS TO DIAGNOSIS

AUDIT 3DRUGS TO DIAGNOSIS

AUDIT 4DRUGS TO DIAGNOSIS

AUDIT 5DRUGS TO DIAGNOSIS

AUDIT 6

IMT DESHOME

DRUGS TO DIAGNOSISHOME

THE DIAGNOSES COVERED IN EACH OF THE DRUGS TO DIAGNOSES AUDITS ARE:

DRUGS TO DIAGNOSIS AUDIT 1

Breast CancerGlaucomaPernicious AnaemiaHypothyroid

DRUGS TO DIAGNOSIS AUDIT 2

Asthma / UrtcariaAF or Heart FailureDysrhthmiaGout (1)Raised Intra Ocular Pressure

DRUGS TO DIAGNOSIS AUDIT 3

DiabetesEpilepsy (1)Gout (2)Osteoporosis

DRUGS TO DIAGNOSIS AUDIT 4

Depression (1)Inflammatory Bowel DiseaseEpilepsy (2)PsychosisRespiratory Disease

DRUGS TO DIAGNOSIS AUDIT 5

AcneDepression (2)Inflammatory Bowel DiseasePsychosisRA / Inflam Arthritis

DRUGS TO DIAGNOSIS AUDIT 6

MigrainePsoriasisProstate CancerCOPD

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IM&T DES – DRUGS TO DIAGNOSIS AUDITS

DRUGS TO DISEASE AUDIT 1

Total No. of Patients on the drug(s)

No. with appropriate

diagnosis

No. without diagnosis

Percentage with

diagnosis

Patients on Tamoxifen v Breast Cancer Diagnosis 17 16 1 94.1%

Patients on Latanoprost / Timolol / Dorzolamide v Glaucoma Diagnosis

55 53 2 96.4%

Patients on Hydroxocobalamin v Pernicious Anaemia Diagnosis

28 26 2 92.9%

Patients on Levothyroxine v Hypothyroid Diagnosis 196 190 6 96.9%

DRUGS TO DIAGNOSISAUDIT 1

DRUGS TO DIAGNOSISAUDIT 2

DRUGS TO DIAGNOSISAUDIT 3

DRUGS TO DIAGNOSISAUDIT 4

DRUGS TO DIAGNOSISAUDIT 5

DRUGS TO DIAGNOSISAUDIT 6

IMT DESHOME

DRUGS TO DIAGNOSISHOME

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IM&T DES – DRUGS TO DIAGNOSIS AUDITS

DRUGS TO DISEASE AUDIT 2

Total No. of Patients on the drug(s)

No. with appropriate

diagnosis

No. without diagnosis

Percentage with

diagnosis

Patients on Montelukast v Asthma / Urtcaria Diagnosis

30 28 2 93.3%

Patients on Digoxin v AF or Heart Failure Diagnosis 79 77 2 97.5%

Patients on Amiodarone / Disopramide v Dysrhthmia Diagnosis

11 11 0 100.0%

Patients on Allopurinol v Gout Diagnosis 53 51 2 96.2%

Patients on Cartelol, Pilocarpine, Brinzolamide, Brimonidine v Raised Intra Ocular Pressure Diagnosis

23 21 2 91.3%

DRUGS TO DIAGNOSISAUDIT 1

DRUGS TO DIAGNOSISAUDIT 2

DRUGS TO DIAGNOSISAUDIT 3

DRUGS TO DIAGNOSISAUDIT 4

DRUGS TO DIAGNOSISAUDIT 5

DRUGS TO DIAGNOSISAUDIT 6

IMT DESHOME

DRUGS TO DIAGNOSISHOME

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IM&T DES – DRUGS TO DIAGNOSIS AUDITS

DRUGS TO DISEASE AUDIT 3

Total No. of Patients on the drug(s)

No. with appropriate

diagnosis

No. without diagnosis

Percentage with

diagnosis

Patients on Insulins and Other Antidiabetics except Metformin v Diabetes Diagnosis

170 170 0 100.0%

Patients on Lamotrignine v Epilespy Diagnosis 13 12 1 92.3%

Patients on Colchicine v Gout Diagnosis 13 10 3 76.9%

Patients on Bisphosphonates v Osteoporosis Risk Diagnosis

67 59 8 88.1%

DRUGS TO DIAGNOSISAUDIT 1

DRUGS TO DIAGNOSISAUDIT 2

DRUGS TO DIAGNOSISAUDIT 3

DRUGS TO DIAGNOSISAUDIT 4

DRUGS TO DIAGNOSISAUDIT 5

DRUGS TO DIAGNOSISAUDIT 6

IMT DESHOME

DRUGS TO DIAGNOSISHOME

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IM&T DES – DRUGS TO DIAGNOSIS AUDITS

DRUGS TO DISEASE AUDIT 4

Total No. of Patients on the drug(s)

No. with appropriate

diagnosis

No. without diagnosis

Percentage with

diagnosis

Patients on Paroxetine v Depression Diagnosis 70 64 6 91.4%

Patients on Predfoam Budesonide Rectal v Inflammatory Bowel Disease Diagnosis

3 3 0 100.0%

Patients on Levetiracetam v Epilepsy Diagnosis 3 3 0 100.0%

Patients on Clozapine / Risperidone / Olanzapine v Psychosis Diagnosis

42 42 0 100.0%

Patients on Inhaled (Lung) Steroids v Respiratory Disease Diagnosis

565 544 21 96.3%

DRUGS TO DIAGNOSISAUDIT 1

DRUGS TO DIAGNOSISAUDIT 2

DRUGS TO DIAGNOSISAUDIT 3

DRUGS TO DIAGNOSISAUDIT 4

DRUGS TO DIAGNOSISAUDIT 5

DRUGS TO DIAGNOSISAUDIT 6

IMT DESHOME

DRUGS TO DIAGNOSISHOME

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IM&T DES – DRUGS TO DIAGNOSIS AUDITS

DRUGS TO DISEASE AUDIT 5

Total No. of Patients on the drug(s)

No. with appropriate

diagnosis

No. without diagnosis

Percentage with

diagnosis

Patients on Roaccutane/Tretinoin v Acne Diagnosis 2 2 0 100.0%

Patients on Fluoxetine v Depression Diagnosis 123 118 5 95.9%

Patients on Mesalazine v Inflammatory Bowel Disease Diagnosis

17 17 0 100.0%

Patients on Depot Antipsychotics and Psychosis Diagnosis

9 8 1 88.9%

Patients on Gold, Penicillamine or Leflunomide and RA / Inflam Arthritis Diagnosis

5 5 0 100.0%

DRUGS TO DIAGNOSISAUDIT 1

DRUGS TO DIAGNOSISAUDIT 2

DRUGS TO DIAGNOSISAUDIT 3

DRUGS TO DIAGNOSISAUDIT 4

DRUGS TO DIAGNOSISAUDIT 5

DRUGS TO DIAGNOSISAUDIT 6

IMT DESHOME

DRUGS TO DIAGNOSISHOME

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IM&T DES – DRUGS TO DIAGNOSIS AUDITS

DRUGS TO DISEASE AUDIT 6

Total No. of Patients on the drug(s)

No. with appropriate

diagnosis

No. without diagnosis

Percentage with

diagnosis

Patients on Pizotifen v Migraine Diagnosis 22 18 4 81.8%

Patients on Calcipotriol v Psoriasis Diagnosis 44 42 2 95.5%

Patients on Bicalutamide / Buserelin / Goserelin / Flutamide v Prostate Cancer Diagnosis

10 10 0 100.0%

Patients on Tiotropium v COPD Diagnosis 23 20 3 87.0%

DRUGS TO DIAGNOSISAUDIT 1

DRUGS TO DIAGNOSISAUDIT 2

DRUGS TO DIAGNOSISAUDIT 3

DRUGS TO DIAGNOSISAUDIT 4

DRUGS TO DIAGNOSISAUDIT 5

DRUGS TO DIAGNOSISAUDIT 6

IMT DESHOME

DRUGS TO DIAGNOSISHOME

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IM&T DES ALLERGY AUDITNON DRUG

ALLERGY AUDITDRUG

ALLERGY AUDITIMT DESHOME

ALLERGY AUDIT HOME

NON Drug Allergy

Drug Allergy

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IM&T DES ALLERGY AUDIT

NON DRUG ALLERGY FROM MIQUEST TOTAL NUMBER RATE PER 1000 PATIENTS

Total No. of Patients who have a Non Drug Allergy Code 139 18.7

Total No. of Patients with Food Allergy Codes 11 1.5

Total No. of Patients with Allergies to Venom (Bee & Wasp Stings) 10 1.3

Total No. of Patients with any other Non Drug Allergy entry 118 15.9

Total No. Non Drug Allergy entries 206 27.7

Total No. Food Allergy entries 19 2.6

Total No. Allergies to Venom (Bee & Wasp Stings) 15 2.0

Total No. Any other Non Drug Allergy entries 172 23.1

NON DRUGALLERGY AUDIT

DRUGALLERGY AUDITIMT DES

HOME

ALLERGY AUDIT HOME

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IM&T DES ALLERGY AUDIT

DRUG ALLERGY FROM SYSTEM SUPPLIER REPORTS TOTAL NUMBER RATE PER 1000 PATIENTS

Total No. of Patients who have Drug Allergies 22 2.2

Total No. of Drug Allergies 31 3.1

Total No. of Patients with Penicillin Allergy 16 1.6

Total No. of Patients with Antibiotic Allergy 16 1.6

Total No. of Patients with Gastro-Intestinal Drug Allergies 2 0.2

Total No. of Patients with Cardiovascular Drug Allergies 5 0.5

Total No. of Patients with CNS Drug Allergy 4 0.4

Total No. of Patients with Musculoskeletal Drug Allergy 5 0.5

NON DRUGALLERGY AUDIT

DRUGALLERGY AUDITIMT DES

HOME

ALLERGY AUDIT HOME

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IM&T DES CHOLECYSTECTOMY AUDIT

CHOLECYSTECTOMY AUDIT TOTAL NUMBER OFPATIENTS WITH RECORD

PERCENTAGE

Total No. of Patients who have had a Cholecystectomy 151

Total No. with 1 entry 106 70.2%

Total No. with 2 entries 20 13.2%

Total No. with 3 entries 13 8.6%

Total No. with more than 3 entries 12 7.9%

TIME DIFFERENCE WHERE MULTIPLE ENTRIES

Less than a month between first and last entry 19 12.6%

One month to one year between first and last entry 20 13.2%

Over one year between first and last entry 6 4.0%

Total No. with a high level code added 6 4.0%

Total No. Recorded as having an Endoscopic Cholecysectomy 62 41.1%

DRUGS TO DISEASEAUDITS

ALLERGYAUDIT

CHOLECYSTECTOMYAUDIT

HYSTERECTOMYAUDIT

WRONG SEXAUDIT

REFERRALS, LOCATION,SUMMARY AUDIT

TOP LEVEL CODESAUDIT

CHOOSE ANOTHERLIBRARY

IM&T DES HOME

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IM&T DES HYSTERECTOMY AUDIT

HYSTERECTOMY AUDIT TOTAL NUMBER OFPATIENTS WITH RECORD

PERCENTAGE

Total No. of Patients who have had a Hysterectomy 330

Total No. with 1 entry 150 45.5%

Total No. with 2 entries 92 27.9%

Total No. with 3 entries 31 9.4%

Total No. with more than 3 entries 57 17.3%

TIME DIFFERENCE WHERE MULTIPLE ENTRIES

Less than a month between first and last entry 37 11.2%

One month to one year between first and last entry 69 20.9%

Over one year between first and last entry 74 22.4%

Total No. with a high level code added 4 1.2%

Total No. Recorded as having a Cervical Smear after Hysterectomy 19 5.8%

DRUGS TO DISEASEAUDITS

ALLERGYAUDIT

CHOLECYSTECTOMYAUDIT

HYSTERECTOMYAUDIT

WRONG SEXAUDIT

REFERRALS, LOCATION,SUMMARY AUDIT

TOP LEVEL CODESAUDIT

CHOOSE ANOTHERLIBRARY

IM&T DES HOME

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IM&T DES WRONG SEX AUDITFEMALE CODES

IN MALE RECORDSMALE CODES

IN FEMALE RECORDSIMT DESHOME

WRONG SEX AUDIT HOME

Female Codes In Male Records

Male Codes In Female Records

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IM&T DES WRONG SEX AUDIT

FEMALE CODES IN MALE RECORDS TOTAL NO. OFPATIENTS WITH RECORD

RATE PER1000 PATIENTS

Total No. of Males with Female Codes 67 9.0

NO. OF PATIENTS WITH RECORD EVER

NO. OF PATIENTS WITH RECORD IN LAST 6 MONTHS

Males with any Female Codes 67 3

Males with Female Contraception Codes 0 0

Males with Pregnancy Process Codes (62%) 50 1

Males with Obstetric Codes (L%) 6 1

Males with Female Operation Codes 3 0

Males with Female Referral Codes 4 1

Males with Cervical Smear Codes 5 0

FEMALE CODESIN MALE RECORDS

MALE CODESIN FEMALE RECORDSIMT DES

HOME

WRONG SEX AUDIT HOME

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IM&T DES WRONG SEX AUDIT

MALE CODES IN FEMALE RECORDS TOTAL NO. OFPATIENTS WITH RECORD

RATE PER1000 PATIENTS

Total No. of Females with Male Codes 5 0.7

NO. OF PATIENTS WITH RECORD EVER

NO. OF PATIENTS WITH RECORD IN LAST 6 MONTHS

Females with any Male Codes 5 0

Females with Male Operation Codes 3 0

Females with Male Disease Codes 2 0

FEMALE CODESIN MALE RECORDS

MALE CODESIN FEMALE RECORDSIMT DES

HOME

WRONG SEX AUDIT HOME

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IM&T DES REFERRALS & LOCATIONS & SUMMARIES AUDIT

REFERRALS LOCATIONS SUMMARIESIMT DESHOME

REFERRALS, LOCATION,SUMMARY HOME

Referrals

Locations

Summaries

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IM&T DES REFERRALS & LOCATIONS & SUMMARIES AUDIT

REFERRALS TOTAL NUMBER RATE PER 1000 PATIENTS

Total No. of Patients with Referral Codes in Last 12 Months 1414 190.1

Total No. of Patients with Medical Referral Codes in Last 12 Months 418 56.2

Total No. of Patients with Surgical Referral Codes in Last 12 Months 679 91.3

Total No. of Patients with Private Referral Codes in Last 12 Months 0 0.0

Total No. of Patients with Referral to Other Agencies Codes in Last 12 Months 372 50.0

Total No. of Patients with Uncategorised Referral Codes in Last 12 Months 128 17.2

Total No. of Medical Referral Codes in Last 12 Months 463 62.2

Total No. of Surgical Referral Codes in Last 12 Months 868 116.7

Total No. of Private Referral Codes in Last 12 Months 0 0.0

Total No. of Referral to Other Agencies Codes in Last 12 Months 549 73.8

Total No. of Uncategorised Referral Codes in Last 12 Months 128 17.2

REFERRALS LOCATIONS SUMMARIESIMT DESHOME

REFERRALS, LOCATION,SUMMARY HOME

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IM&T DES REFERRALS & LOCATIONS & SUMMARIES AUDIT

LOCATIONS (From Clinical Supplier System Reports) TOTAL NUMBER RATE PER 1000 PATIENTS

Total No. of Surgery Encounters in Last 28 Days 1720 340.6

Total No. of Telephone Encounters in Last 28 Days 62 12.3

Total No. of Home Visits in Last 28 Days 32 6.3

REFERRALS LOCATIONS SUMMARIESIMT DESHOME

REFERRALS, LOCATION,SUMMARY HOME

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IM&T DES REFERRALS & LOCATIONS & SUMMARIES AUDIT

SUMMARY ONCE PER DIAGNOSIS(From Clinical Supplier System Reports)

NO OF PATIENTSWITH RECORDS

NO OF PATIENTS WITH A RECORD WITH

SUMMARY FLAG

PERCENT OF PATIENTS WITH SUMMARY FLAG

Summaries for Cholecystectomies 0 0 0.0%

Summaries for Chronic Bronchitis 2 2 100.0%

Summaries for Hypothyroidism 0 0 0.0%

Summaries for Colectomies 0 0 0.0%

Summaries for Rheumatoid Arthritis 1 0 0.0%

Summaries for Breast Cancer 0 0 0.0%

Summaries for Essential Hypertension 6 5 83.3%

Summaries for Ulcerative Colitis 0 0 0.0%

Summaries for Multiple Sclerosis 0 0 0.0%

Summaries for Parkinsons Disease 0 0 0.0%

Summaries for Dementia 2 0 0.0%

↓ ↓ ↓ ↓

Summaries for Glaucoma 0 0 0.0%

REFERRALS LOCATIONS SUMMARIESIMT DESHOME

REFERRALS, LOCATION,SUMMARY HOME

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TOP LEVEL CODES AUDIT

TOP LEVEL CODES TOTAL NO. OF PATIENTSWITH TOP LEVEL CODE

RATE PER1000 PATIENTS

Total No. of Patients with Top Level Codes 26 3.5

Total No. of Patients with [A….] Codes 0 0.0

Total No. of Patients with [B…. Or XE1vN] Codes 0 0.0

Total No. of Patients with [C…. Or Xa9AI] Codes 12 2.0

Total No. of Patients with [D…. Or X20Bj] Codes 0 0.0

Total No. of Patients with [E….] Codes 0 0.0

Total No. of Patients with [F…. Or X000E] Codes 4 1.0

Total No. of Patients with [G…. Or XE0UX] Codes 0 0.0

Total No. of Patients with [H….] Codes 2 0.0

Total No. of Patients with [J….] Codes 0 0.0

Total No. of Patients with [K…. Or X30Hb] Codes 0 0.0

↓ ↓ ↓

Total No. of Patients with [Z….] Codes 0 0.0

DRUGS TO DISEASEAUDITS

ALLERGYAUDIT

CHOLECYSTECTOMYAUDIT

HYSTERECTOMYAUDIT

WRONG SEXAUDIT

REFERRALS, LOCATION,SUMMARY AUDIT

TOP LEVEL CODESAUDIT

CHOOSE ANOTHERLIBRARY

IM&T DES HOME

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PNEUMOCOCCALPNEUMO SUMMARY

SHEET – PART 1PNEUMO SUMMARY

SHEET – PART 2CHOOSE

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PNEUMOCOCCALHOME

The aim of this query set is to support the Chief Medical Officer Immunisation Programme for older people and risk groups. The Pneumococcal (PPV) Vaccine Uptake CHART Library has been designed to provide the details of vaccinations given to people 65 and over and ‘At-risk groups' as per the Chief Medical Officer’s (CMO) Letter of 31st March 2005.

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PNEUMOCOCCAL VACCINATION

PNEUMOCOCCAL VACCINATION UPTAKE SURVEY 2009Patient age on 31st March 2009 as defined using the Dates of Birth (DOB) below

Number of patients registered in the day

data is extracted

Number of registered patients that have

received the pneumococcal vaccine between 1st April 2008 and 31st March 2009

Number of patients that have received the pneumococcal vaccine at any time (including

the last year) on or before 31st March

% Uptake (vaccinated in the last year)

% Uptake (vaccinated anytime before 31st

March 09)

Aged 65 and over 575 21 329 3.65% 57.22%

Aged 2 to 15 750 0 1 0.00% 0.13%

Aged 16 to 64 3925 4 107 0.10% 2.73%

Aged 65 33 5 10 15.15% 30.30%

66 to 74 268 13 161 4.85% 60.07%

75 to 79 108 3 74 2.78% 68.52%

80+ 166 0 84 0.00% 50.60%

No. of males aged 65 and over

269 11 145 4.09% 53.90%

No. of females aged 65 and over

306 10 184 3.27% 60.13%

PNEUMO SUMMARYSHEET – PART 1

PNEUMO SUMMARYSHEET – PART 2

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PNEUMOCOCCALHOME

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PNEUMOCOCCAL VACCINATION

PNEUMOCOCCAL VACCINATION UPTAKE SURVEY 2009Patient age on 31st March 2009 as defined using the Dates of Birth (DOB) below

Number of patients registered in the day

data is extracted

Number of registered patients that have

received the pneumococcal vaccine between 1st April 2008 and 31st March 2009

Number of patients that have received the pneumococcal vaccine at any time (including

the last year) on or before 31st March

% Uptake (vaccinated in the last year)

% Uptake (vaccinated anytime before 31st

March 09)

Summary of Patients in one or more Risk Group(s)

Aged 2 to 15 750 0 1 0.00% 0.13%

Aged 16 to 64 3925 4 107 0.10% 2.73%

Aged 65 33 5 10 15.15% 30.30%

Patients with Asplenia or Dysfuction of the Spleen (re-immunisation recommended every 5 years)

Aged 2 to 15 750 0 1 0.00% 0.13%

Aged 16 to 64 3925 4 107 0.10% 2.73%

Aged 65 33 5 10 15.15% 30.30%

Same information as above is provided for Chronic Respiratory Disease, Chronic Heart Disease, Chronic Kidney Disease, Chronic Liver Disease, Diabetes, Immunosuppression, HIV Infection, Bone Marrow Transplant, Cochlear Implants, Cerebrospinal Fluid Leaks, Cancer on or after 1/4/ 2008, Asthma on continuous or repeated steroids.

PNEUMO SUMMARYSHEET – PART 1

PNEUMO SUMMARYSHEET – PART 2

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PNEUMOCOCCALHOME

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TOTAL PRACTICE POPULATION 10620

Population

Latest MI in last 12 months

Latest MI over 12 months ago TOTAL

No. of Patients who have had an MI 7 130 137Percent of Practice Population 0.07% 1.22% 1.29%

NO. OF PATIENTS PERCENTAGE OF PATIENTS

Advice and Procedures Post MI

Latest MI in last 12 months

Latest MI over 12 months ago TOTAL

Latest MI in last 12 months

Latest MI over 12 months ago TOTAL

No. of patients offered exercise advice since last MI 1 37 38 14.3% 28.5% 28%No. of patients whose latest smoking status shows them as smokers 2 11 13 28.6% 8.5% 8%No. of patients given advice to quit smoking since MI 1 53 54 14.3% 40.8% 41%No. of patients referred to cessation service since MI 0 0 0 0.0% 0.0% 0%No. of patients offered dietary advice since last MI 1 33 34 14.3% 25.4% 25%No. of patients offered Cardiac Rehabilitation since last MI 1 1 2 14.3% 0.8% 1%No. of patients recorded as having Bypass Surgery since last MI 1 5 6 14.3% 3.8% 4%No. of patients recorded as having Angioplasty since last MI 1 8 9 14.3% 6.2% 6%No. of patients recorded as having a Stent inserted since last MI 3 16 19 42.9% 12.3% 12%

Medication Post MI ACEI AspirinBETA BLOCKER STATIN

No. of patients with issue for each drug in last three months 98 94 89 106No. of patients with contra-indication code for each drug 1 6 12 2Percent on each drug out of all those post MI minus those with contra-indication 72% 72% 71% 79%

Audit of NICE Guidance on the secondary prevention of MI and Review of Acute Coronary Syndromes.

Overall Treatment

4 of the above drugs

3 of the above drugs

2 of the above drugs

1 of the above drugs

0 of the above drugs TOTAL

No. of Post MI patients on or with contra-indication to the combination of drugs 47 53 26 9 2 137

Heart Failure Total

Licensed Aldosterone Antagonist issued in last 3 mths

Potassium checked in Last 3 Months

Patients who have had an MI and Left Ventricular Systolic Dysfunction 6 1 2 Go to Dashboard view

Diagnostic Categories v Current Clopidogrel TreatmentTreatment Advised

Clopidgorel issued L3M

Clopidogrel not issued

STEMI in last 1 month Yes 0 0NSTEMI in last 12 months Yes 2 0STENT in last 12 months Yes 3 4Unspecified MI in last 12 months (Does not distinguish STEMI from NSTEMI) Ambiguous 1 0STEMI more than 1 month ago No 2 5NSTEMI more than 12 months ago No 0 5STENT more than 12 months ago No 3 25Unspecified MI more than 12 months ago No 5 98ACS Only No 3 10

Recording of Latest Myocardial Infarctions by Category No. in L12M No. > L12MPositional i.e. Antero-Lateral or Posterior 1 8Q Wave 0 0Non Q Wave 0 1Sub-Endocardial 0 2STEMI 1 3NSTEMI 3 4Micro-Infarction 0 0MI Aborted 0 0Unspecified 2 112TOTAL 7 130

Go to Dashboard viewLatest Acute Coronary Syndrome by Category No. in L12M No. > L12MAcute MI 3 109STEMI 1 3NSTEMI 3 4MI Aborted 0 0Unstable Angina 1 10Angina Other 0 0Preinfarction Syndrome 0 0Microinfarction 0 0ACS 1 2Other 4 20TOTAL 13 148

MIACS SUMMARY SHEET

CHARTS DATA SHEETMAIN MENU

SUMMARY SHEET

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CHART GRAPH EXAMPLES 1 – 2 – 3

CHARTS DATA SHEETMAIN MENU

SUMMARY SHEET

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CHART GRAPH EXAMPLES 1 – 2 – 3

CHARTS DATA SHEETMAIN MENU

SUMMARY SHEET

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CHART GRAPH EXAMPLES 1 – 2 – 3

CHARTS DATA SHEETMAIN MENU

SUMMARY SHEET

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MIACS DATASHEET CLICK HERE FOR MORE OF DATASHEET

CHARTS DATA SHEETMAIN MENU

SUMMARY SHEET

Note – CHART can bring back either anonymised references or patient names

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MIACS DATASHEET CLICK HERE FOR MORE OF DATASHEETCLICK HERE FOR MORE OF DATASHEET

CHARTS DATA SHEETMAIN MENU

SUMMARY SHEET

Note – CHART can bring back either anonymised references or patient names

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MIACS DATASHEETCLICK HERE FOR MORE OF DATASHEET CLICK HERE FOR MORE OF DATASHEET

CHARTS DATA SHEETMAIN MENU

SUMMARY SHEET

Note – CHART can bring back either anonymised references or patient names

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MIACS DATASHEETCLICK HERE FOR MORE OF DATASHEET

CHARTS DATA SHEETMAIN MENU

SUMMARY SHEET

Note – CHART can bring back either anonymised references or patient names

Page 66: Download this file (CHART_Library_PowerPoint_Tool.ppt)

CHART ONLINE is a database maintained by PRIMIS+. For specific libraries practices can upload data from CHART to this database. These libraries are currently:

IM&T DES, MIACS, HEROIN MISUSE, ATRIAL FIBRILLATION

The practices can then, via the internet, log into the CHART Online software and look at useful graphs which compare their results with those of their fellow practices.

Results from other practices are anonymised.

You can see some of these graphs by clicking the above buttons.

CHART ONLINEEXAMPLE CHART 1 EXAMPLE CHART 2 EXAMPLE CHART 3

EXAMPLE CHART 4MAIN MENU

CHART ONLINE HOME

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EXAMPLE CHART 1 EXAMPLE CHART 2 EXAMPLE CHART 3

EXAMPLE CHART 4MAIN MENU

CHART ONLINE HOME

CHART ONLINE

Chart showing patients with prescription of Tamoxifen and percentage with a diagnosis of Breast Cancer

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CHART ONLINE

Chart showing patients with pacemakers and whether this shows on GP’s summary screen when they starts consultation

EXAMPLE CHART 1 EXAMPLE CHART 2 EXAMPLE CHART 3

EXAMPLE CHART 4MAIN MENU

CHART ONLINE HOME

Page 69: Download this file (CHART_Library_PowerPoint_Tool.ppt)

CHART ONLINE

Chart showing hysterectomy coding, including patients who have had hysterectomies coded more than once.

EXAMPLE CHART 1 EXAMPLE CHART 2 EXAMPLE CHART 3

EXAMPLE CHART 4MAIN MENU

CHART ONLINE HOME

Page 70: Download this file (CHART_Library_PowerPoint_Tool.ppt)

CHART ONLINE

Chart showing Meniere’s disease and rate per 1000

EXAMPLE CHART 1 EXAMPLE CHART 2 EXAMPLE CHART 3

EXAMPLE CHART 4MAIN MENU

CHART ONLINE HOME


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