outcomes manager – unplanned admissions des
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Outcomes Manager – Unplanned Admissions DES . Unplanned Admissions DES. Personalised Care Plan Manager A dynamic template based on the example within the DES Documentation. - PowerPoint PPT PresentationTRANSCRIPT
Outcomes Manager – Unplanned Admissions DES
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Unplanned Admissions DES
Personalised Care Plan Manager
• A dynamic template based on the example within the DES Documentation.
• Backed up by relevant patient alerts and practice reports that enable the personalised care plan to remain up to date and relevant.
Risk Stratification and Register Manager• 2 Versions
– Qadmissions Risk Stratification
– Non-Validated Risk Stratification
• Both contain a 2% Monitor
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Personalised Care Plan Manager
• “A Record within a Record.”
• More than an electronic version of the DES template.
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Personalised Care Plan Manager
• Clinical Information presented in a Clinically Relevant way.
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Personalised Care Plan Manager
• Simple data entry to be able to track processes.
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Personalised Care Plan Manager
• Useful clinical alerts to help identify potential increased risk of admission when in a patient record.
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Personalised Care Plan Manager
• Clear Care Plan Summary Tab for Quick Reference• Action plan
documentation
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Personalised Care Plan Manager
• Electronic version populates the fields within a printable version for patient.
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Personalised Care Plan Manager
• Practice Reports allow efficient management of patients on the register
• Excel files can be generated to build up evidence in support of payment claims.
• Outstanding tasks to fulfil DES targets is listed.
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Personalised Care Manager – Additional Functionality
• Consent/Capacity prompt and check
• Anticipatory Care – thorough documentation and planning
• Home Visit Logging and alerts
• Adverse drug reaction monitoring and alerts
• Blood results trend and absolute value alerts
• Centralised Dashboard Reporting – adaptable to local needs.
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Risk Stratification and Register Manager- Non-validated Categorisation -
• CVD• CVA• Heart failure• Diabetes• AF• COPD• Asthma• Palliative Care• CKD• Dementia• Epilepsy• Learning Difficulties• PVD• Smoker• On Warfarin• On NSAIDs• Alcohol > 40 Units/Week• Obesity• On Mental Health Register• Cancer Diagnosis
Number of Admissions in Last Year
Age:90+
80-89:70-79:60-6950-59<50:
Risk Factor Count
Risk Factors:
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Risk Stratification and Register Manager
• Allows practice to make decisions based on categorised data
• No probability of admission risk is reported
• Cannot demonstrate change in risk
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Risk Stratification and Register Manager
• Qadmissions Version:
1.Probability reported.2.High level of granularity in the stratification.3.Allows practice to demonstrate improvement
in overall risk.4.Stratifies register itself to enable high risk
patients to be managed first.
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Risk Stratification and Register Manager
• Both Versions:
1. 2% Monitor
2. Run weekly, this can help practices stay on top of the workload, with patients easily being added/removed from the register.