1 / 33

Advanced Bp for Clinicians

Advanced Bp for Clinicians. Presenter: Dr Greg Wyatt. Topics for discussion – a wander through some of the hidden jewels in Bp. Main Screen Clinical Cervical screening Diabetes Register Utilities Search ** Word processor ** Templates ** Messages ** Previous patients. View

halil
Télécharger la présentation

Advanced Bp for Clinicians

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Advanced Bp for Clinicians Presenter: Dr Greg Wyatt

  2. Topics for discussion – a wander through some of the hidden jewels in Bp Main Screen • Clinical • Cervical screening • Diabetes Register • Utilities • Search ** • Word processor ** • Templates ** • Messages ** • Previous patients • View • PCEHR Audit • Setup • Configuration ** • Users ** • Preferences ** • Custom preparations ** • Drug combinations ** Bp Sunshine Summit 2014

  3. Topics for discussion – a wander through some of the hidden jewels in Bp Patient Screen • File • Export patient • Print drug sheet ** • Print health summary ** • Open • Appt history • Clinical • Clinical Tools ***** • View • Patient messages • Digital Health Media • Menu buttons Bp Sunshine Summit 2014

  4. Topics for discussion – a wander through some of the hidden jewels in Bp • Auto-fill shortcuts • Referral letters and templates • Recalls and reminders • Clinical measurements • Investigation and inbox • Clinical photography • Using Wi-fi • Complex medication instructions • Tips and tricks • Alt codes Bp Sunshine Summit 2014

  5. Search • Powerful search function • Many installed searches • C:\Program Files\Best Practice Software\BPS\SuppliedQueries • Custom searches on Bp Forum • Can request anything • Very complex searches will require SQL Management Studio Bp Sunshine Summit 2014

  6. Word processor aka Letter writer • Basically a cut down version of MS Word • Saves in RTF • Positioning of sender’s address for window-face envelope • Templates (discuss soon) • MEDRefer • SMD (Secure Message Delivery) Bp Sunshine Summit 2014

  7. Messages • Handy utility • Takes a bit of getting used to • Set inability to delete patient messages (just mark as read) • View patient messages • Requires a bit of thought about how it will work for your practice Bp Sunshine Summit 2014

  8. Setup → Configuration • System wide changes • Not too many Clinical Items • Lists • Reason for ceasing medications • Contact categories • Document types • Appointment types • Reason for cancelling appt Bp Sunshine Summit 2014

  9. Setup → Users • Not clinical • Permissions for each user important • Can clone or pick up category defaults Bp Sunshine Summit 2014

  10. Setup → Preferences • Affect current user only • Can be cloned (ie to set up new doctor) • General • Prescribing • Clinical • Pathology/Imaging • Can also be accessed from ordering screens • Favourite tests • Additional tests • Test groups Bp Sunshine Summit 2014

  11. Custom recipes • Good for creams used by dermatologists etc • Main screen → Setup → Custom preparations • To use, click Custom radio button at top of New Rx screen • Live demo Bp Sunshine Summit 2014

  12. Combination drugs • Useful when drugs are used in combination • Chlorsig drop and ointment • Gastro-stop and Stemetil • Main screen → Setup → Drug combinations • To use, click Drug combination button on top right of New Rx screen • Live demo Bp Sunshine Summit 2014

  13. Print drug sheet • Use to print labels for Compact Business Systems or PSH charts in Aged Care Facilities • Print drug charts • Customisable • Patient drug list • More info than just a summary list Bp Sunshine Summit 2014

  14. Print Health summary • Print anything from a list of medications to a full record • I use it to send copies of tests • Easy check box interface • I tend to View then Print • Customisable format (I added a footer with page number, patient’s name and DoB) Bp Sunshine Summit 2014

  15. Clinical menu • Asthma action plan • BMI • Ceased Rx • Blood pressure • Cardiovascular risk • Diabetes risk • Observations • Gestational age • INR manager • K10 assessment • MMSE • Metric conversion • Renal function • Respiratory function • Travel medicine • Geriatric depression assessment • Edinburgh PND Scale • Percentile charts • Physical activity prescription • Unchecked reports Bp Sunshine Summit 2014

  16. What is an Autofill? • Simply a typing short-cut • Type .r and get right • Can be simple or complex • Can be limited to one doctor or practice wide • Some supplied but unlimited can be added • Work in progress notes, letter writer and some other text boxes • Differences from other software Bp Sunshine Summit 2014

  17. Supplied Autofills • PC Presenting complaint: • HX History: • OE Examination: • MX Management: • DX Diagnosis: • RV Review interval: • AX Actions: • S: Subjective: • O: Objective: • A: Assessment: • P: Plan: Bp Sunshine Summit 2014

  18. Where to start Bp Sunshine Summit 2014

  19. Simple vs Complex • Simple • Default font • Suitable for one or 2 words up to short sentences, or at least no formatting • Type directly into autofill window • Complex • May be easier to set up in WP first, to allow formatting, tables etc which cannot be typed directly into autofill window Bp Sunshine Summit 2014

  20. Complex examples & ideas • Diagnostic tools • Epworth Sleepiness Scale • “Decision support” tools • CHADS2 for anticoagulation in AF • Teaching • CDM tools • Unfortunately, autofills cannot be exported (but are backed up) Bp Sunshine Summit 2014

  21. Use of caret - ^ (above 6) • Used as a placeholder for variable data • Selected with Ctrl-F5 • mxexc • Skin lesion ^mm in average diameter excised from ^ under local anaesthetic. Wound sutured with ^. Sutures to be removed in ^ days. • Each press of Ctrl-F5 selects and highlights next caret and allows appropriate data to be typed in Bp Sunshine Summit 2014

  22. Autofill tips & tricks • Make sure shortcut is not something you would normally type – precede a single letter or real word with character such as . or , (li) • Think about whether any autofill should be yours alone or available to all, egla • Remember use of caret ^ and Ctrl-F5 • No ability to print autofill list • Avoid large chunks of text with no customisation • Practice meeting: • share ideas and autofills • Policy on creating/saving/naming Bp Sunshine Summit 2014

  23. Referral letters and templates • Lots of supplied templates • Custom templates • Forum page for these • Don’t reinvent the wheel • Don’t open templates outside of Bp or you will destroy the custom fields • Live demo Bp Sunshine Summit 2014

  24. Recalls and reminders • Called reminders in Bp (were recalls in MD) • Reminders button on right side of demographics screen • Add when the occasion presents • Doctor • Reason (add more via lists) • Interval/date • Auto update • Office staff print weekly list • Options for handling • Live demo Bp Sunshine Summit 2014

  25. Clinical measurements • Seems obvious, but use Observations screen, not free text • Could this screen be improved? • Sitting/standing/lying pulse • BP surgery or home • Multiple readings one on day • Other places to enter measurements • BMI tool • General History & Examination screen • Respiratory function tool Bp Sunshine Summit 2014

  26. Investigations and inbox • Very powerful part of Bp • View and allocate (Computer monitor icon or View → Incoming reports) • Check “Show unallocated only” • Important regular task • Should only be done by senior person (PM, PN, senior GP) • Manually allocate patient and/or doctor • “Missing” results usually in here • Check Inbox (Inbox icon) • 2 setup styles (Preferences) Bp Sunshine Summit 2014

  27. Clinical photography • Useful for skin lesions, rashes, things for later review • I use Canon Powershot A480 – few years old (10 megapixel) • Camera attachment for dermatoscopes • Eye-Fi Wi-fi cards now easy to get and make process easier • Photo on network within 15 seconds • Import photo via BDI to reduce size • Live demo Bp Sunshine Summit 2014

  28. Complex medication instructions • Eg reducing prednisolone dosage • Document template • Fill out manually (unfortunately) • Prints on bottom “tear off” on script • Save in Correspondence out for permanent record • Alternative • Excel spreadsheet • Copy and past into notes Bp Sunshine Summit 2014

  29. Reducing prednisolone Bp Sunshine Summit 2014

  30. Reducing prednisolone 2 Bp Sunshine Summit 2014

  31. Alt codes • Alt + numeric key (must use numeric keypad) Bp Sunshine Summit 2014

  32. Thank-you!Any questions? Bp Sunshine Summit 2014

  33. This session’s over. (But we’re still here for you) For assistance, please visit www.bpsoftware.com.au You can contact our Customer Support Team on: (07) 4155 8800 (07) 4153 2093 support@bpsoftware.com.au Bp Sunshine Summit 2014

More Related