OPTOMANAGER WALKTHROUGH – MECS MODULE€“-MECS … · OPTOMANAGER WALKTHROUGH – MECS MODULE...
Transcript of OPTOMANAGER WALKTHROUGH – MECS MODULE€“-MECS … · OPTOMANAGER WALKTHROUGH – MECS MODULE...
OPTOMANAGERWALKTHROUGH–MECSMODULE(“FLASHESANDFLOATERS”)
WhenyouloginintoOptomanager–youneedtoselecttheMinorEyeConditions(MECS)GloucestershirePrimaryEyecareoption.
Slightlydifferenttothepreviousepisodesyouareaskedtodoublecheckthepatientisn’talreadyonthesystem.Thisistomakesurethereisnoduplication–thereisachancethatthepatientmayhavealreadybeenseenundertheservicebyyour(oranother)practice.
Justonecharactercanbeinputtedinoneboxtoallowthesearch.(Ifleftblanknosearchcantakeplace)
Ifthesearchrevealsthepatientyoucanclick“Addnewepisode”or“Clickheretoregisteranewpatient”ifyourpatientisnotfound.
NB:IfyouclickthePxIDitwillgiveyoualistofpreviousepisodesforthatpatientonthesystem
Ifyouclick“Addnewpatient”itwillaskyoutoconfirmthatpatientunderstandstherecordkeepingspecifics(aspertheothermodules)
Foranexistingpatientthiswillhavealreadybeendonesoisnotrequired.Eitherwayyouendupwithapatient(neworexisting)withtheirinformationfilledin
(Verysimilartoothermodules)
Sonowyouneedtoaddtheinformationforthenewepisode.
Forsourceofreferraltheoptionsare;
Forreasonsforreferraltheoptionsare;
Ifyouselectthatthepatienthasbeengivenanappointmentsomeextraoptionscomeuparoundthedateandtimeoftheappointment.
Forthetypeofappointmenttheoptionsare;
Thisdoesn’ttieinexactlywiththe24/48hourdistinctionthatwehavemadeinourprotocol.IhaveaskedWHtochangetheRoutineoptionto“soon”48hoursandthiswillbeamendedASAP.Intheinterimpleaseselectthe“routine”optionifthesymptomswarranta48hourappointment.Ifanappointmenthasnotbeengiventheoptionsaredifferent;
Theoptionsfornoappointmentgivenare;
NB–Thethirdoption“PatientreferredtoPharmacyMAS/SelfCareisathrowbackfromthefullMECSmodulethisisbasedupon.PEGarenotexpectingthistobeusedasareasonfornoappointmentbeigngiven.Option3–ReferredtoanotherMECSproviderisgoodtousetorecordwhenyouhavenotbeenabletoaccommodatethepatientintoaclinicatyourpractice.The“other”opensafreetextentryboxtoallowanexplanation.Letsassumethatyouareseeingthispatient.Whenyouclicksaveitbringupthefollowingscreen
Aswithothermodules(likethepostcatop)itletsyouamendtheappointmentoraddconsultation;IfyouclickinEditAppointment
Theoptionsforthechangeofappointmentare;
Ifyouarechangingtheappointment;
Youcanthespecificsofthenewappointmentandwhencontactwasmade.Theoptionsforthereaonforchangeare;
Ifyouarecancelingtheappointment;
Thereasonsforcancellingare;
IfyouarerecordingaDNA;
Whenyouclickaddconsultation;Apatientsummaryisdisplayedwithentryfortheconsultationdetailspossible.
Theinternalnotesandexaminationnoteswillnotappearonthereportbutitwouldbebestpracticetoenternotesherespecifictothepatientandexaminationrelevanttothesymptoms.e.g.
Theexaminationoptionsare;
Youcanaddasmanyoftheseasyoudeemclinicallyrelevant.Multipleentriesunderotherarepossible.AftereachonemakesureyouclickAddsothattheyshowupunderexamination.Ifanerrorhasbeenmadeyoucanclickon‘remove”.
ThenextsectionisDiagnosisandActions;
Optionsare:Eye:R,LorBothLocation:Anterior,PosteriororOtherIfyouselectAnterior(unlikelyforaflashesafloaterservice)theoptionsforStructureare;
Forposteriortheyare;
Thediagnosisoptionsaredependentonwhichstructureyouhaveselected;e.g.forRetinalFnF(Mostlikelyoptiontobeselectedunderthisservice)theyare;
NBYoucanaddmultiplediagnosesandannotatewhichtheprimarypresentingconditione.g.
Theactionoptionsare;
Youcanaddmorethanoneoptione.g.
OncecompleteclickNext.
Thisbringsupasummaryandthechancetoaddanoutcome
Theoptionsforoutcomeare;
Additionalnotescanbeaddedtothegeneratedreport.Forthedifferentoutcomesdifferentadvisorynotesappear.ForDischargeandFollowUp
Forroutinereferral
Theoptionforclinicrequiredappear
Thechoiceofhospitalcanberecorded.
ForURGENTreferral
i.e.youwillneedtocontacttheEyeTriageline–THESYSTEMDOESNOTPROCESSTHEREFERRALFORYOU.HoweveritdoessendtheGPreport.Youarethenabletosignofftheepisode(asperothermodules)
Asyousignoffthesystemallowsyoutosave/printoffvariousreportsordirectsyoutowardhavingthepatientsatisfactionquestionnaireresponsesuploaded.