=============== © nvug 2012 =============== unless explicitly authorised by nvug this material is...
TRANSCRIPT
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
National Vision User Group
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
National Vision User Group
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…
National Vision User Group
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. =================