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Cardiovascular Disease (CVD) Risk Reduction Program - Queensland Community Pharmacy Scope of Practice Pilot

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To record a CVD Risk Reduction consultation, follow these steps: 

  • Log into the web version of PlusOne by MedAdvisor. CLICK HERE for how to access the web platform
  • The following sections must be filled out to complete the form:

- Patient Information

- Consulting pharmacist details

- Consent and reason for consultation

- Medical and social history

- Clinical service incl. prescribing (where applicable)

- Measures incl. Observations, Lipid profile, Glycaemic control, Renal measures, Diagnosis and Treatment, CVD risk.

- Notifications and referrals

- Consultation outcome

 

  • In the Home section, search for a patient and select Search OR select a patient from Booked services OR the Recently dispensed customers list

FSOP Home Patient Search.png

 

  • If the patient is NOT in your dispense system, click Add patient in the top right-hand corner. FSOP Add patient.png

 

  • Enter all compulsory fields and select Save patient

    FSOP Save patient.png

 

  • Select Patient details 

FSOP Patient details.png

 

  • Review Patient information and Patient notes. 

 

  • Review the CONSULTATION HISTORY 

FSOP Patient Consultation History.png

 

  • Select the QSOP dropdown in the top right-hand corner and choose CVD Risk Reduction

QSOP CVD Risk Reduction.png

 

 

Patient Eligibility

  • At the top of the form, you may select Mark patient ineligible if the patient is not eligible for the service.

FSOP mark patient ineligbile.png

 

  • A pop-up will appear. Clinical service type is preselected as 'CVD Risk Reduction'

CVD Risk Reduction ineligible.png

 

  • Select from the Reason pilot service not provided drop-down list

FSOP pharmacist consult mark patient ineligible reason.png

 

  • Answer the question Did patient receive usual pharmacy care? and add additional details below

FSOP pharmacist consult mark patient ineligible pharmacy care.png

 

  • Specify if the patient consents to be contacted for evaluation from the drop-down

FSOP pharmacist consult mark patient ineligible consent evaluation.png

 

  • Select MARK INELIGIBLE or CANCEL to undo this action

FSOP pharmacist consult mark patient ineligible or cancel.png

 

 

Patient information

  • Review and update the Patient information section, making sure to fill out all compulsory fields

FSOP pharmacist consult patient information.png

Please note: We recommend to update patient information in your dispense system. 

 

 

Consulting pharmacist details

  • Under Consulting pharmacist details, today's date is pre-populated but this can be changed by selecting the calendar icon. 

FSOP pharmacist consult pharmacist details.png

 

  • Select from the Pharmacist drop-down list. 

FSOP pharmacist consult pharmacist details 1.png

 

If you do not see your details in the Pharmacist drop-down list. Select the + icon, enter all compulsory fields including Pharmacist details, Immuniser details and Prescribing and secure messaging details. Consent to Hola account (for prescribing) and select Add pharmacist

 

Consent and reason for consultation

 

Select Clinical & financial and/or Pilot evaluation to view the 'Informed Clinical Consent' and Pilot information sheet. 

 

QSOP CONSENT Clinical and financial pilot evaluation.png

The patient is asked to provide consent when making their booking online and you can see this under 'Consent'.

 

FSOP Consent yes yes.png

If the patient has not booked online, you must ask the patient for their clinical, financial and evaluation consent and select the corresponding tick boxes.  All consents must be provided to proceed. 

 

  • If consent is provided by a substitute decision maker e.g a carer, select the check box and enter the name of the substitute decision maker.

QSOP Consent provide by substitude decision maker.png

FSOP consent patient in pharmacy.png

 

  • The patient must provide re-consent during the consultation, if the patient or pharmacy booked an appointment. Answer the compulsory question, For patient bookings or if the pharmacy made the booking, select "Yes, patient still consents" to reconfirm consent by selecting the drop down. The patient may remove consent at anytime. 

  • QSOP Patient still consents.png

    Please note: This selection will not appear for services launched with you pre-booked appointment. 

     

  • You will also see the patients' answers made while booking to the below questions. This section can be updated. 

COPD reason background.png

 

 

Medical and social history

  • Enter Past medical history and Past surgical history

FSOP Past medical surgical history.png

 

  • Review Medications list from dispense 

FSOP Medications.png

 

  • Fill out Current medications and Allergies and known adverse medication reactions

FSOP Current medications Allergies.png

 

  • Select the Smoking history (including vaping) drop-down and choose from the optionsFSOP Smoking.png

 

  • Select the Alcohol history drop-down and choose from the options. Enter the amount under Standard drinks per day on a typical drinking day

FSOP Alcohol.png

 

  • Complete Recreation drugs, Relevant family history, Obstetric history, Relevant sexual activity and Relevant work, hobbies and other information sections (where applicable)

FSOP Drugs Family History etc.png

 

Clinical service

  • Under the Clinical service heading, select if the service is new or a follow up 

FSOP pharmacist consult clnical sevice new follow up.png

 

  • Under Presenting symptom (up to four), start typing the symptom and select from the list.

FSOP Sympotoms.png

 

  • In the text box under Subjective assessment, type the details of presenting symptom or complaint

FSOP subjective assessment.png

 

  • In the text box under Objective assessment, type the details of the physical examination and/or other objective assessments

FSOP objective assessment.png

 

 

Measures

In the Pharmacist Consultation form, the Measures section automatically displays the Observations, Lipid Profile, Glycaemic control (including Review AUSDRISK) and Renal measure sections where you can enter the patients' results. 

CVD Risk Reduction Measures 1.png

CVD Risk Reduction Measures 2.png

  • Select Review AUSDRISK to assess risk of Type 2 Diabetes. Other optional fields can be opened and filled out (as required) by selecting the down arrow e.g Respiratory function

 

 

Pathology

  • Select 'Yes' where applicable to answer Does the patient require a Pathology request? Leave blank if the patient does NOT require a pathology request. 

FSOP Pathology.png

 

  • If Yes, select required tests from the pathology list

FSOP pathology list.png

 

  • Where applicable, select Pathology report received tickbox

QSOP Pathology report received.png

 

For more information on Pathology including third-party pathology providers, please CLICK HERE

 

  • Enter Diagnosis and Treatment and plan

FSOP Diagnosis and Treatment and plan.png

 

  • Upload any supporting files and images by selecting the Upload files button to attach files or images from your desktop computer. 

FSOP Upload files.png

 

Prescribing

Click here to access the knowledge article on Prescribing (powered by Hola Health) 

 

 

CVD Risk 

  • Enter CVD Risk information and select CVD clinical protocol to view. 

CVD Risk and protocol.png

 

  • Select applicable Treatment goal(s) or select Other (please specify) and enter treatment goal.

CVD treatment goal.png

 

  • Enter Scheduled review information and select Review date

FSOP scheduled review.png

 

  • If a Follow up is recommended select the check box and enter Notes and Follow up date 

Follow up notes date.png

 

Notifications and referrals 

Click here to access the knowledge article on secure messaging (powered by FOXO)

Please note: DO NOT go to Foxo directly to create an account. Your account will be created as part of the MedAdvisor onboarding process. 

 

Consulting outcome

  • Select Consultation length

Consultation length updated.png

 

  • Clinical Service Type is pre-selected as Cardiovascular Disease Risk Reduction Program

CVD clinical service type.png

 

  • Click REVIEW CLINICAL PROTOCOL to review the protocols. 

FSOP pharmacist consult clinical protocol.png

 

  • Select from the list in Consultation summary (You may select more than one)

FSOP pharmacist consult consult summary.png

 

  • If a referral was made via PDF or secure message, Referral Made will be automatically selected and you must select the reason/s for referral

QSOP Referral Made.png

 

At the bottom (and the top) of the form, you can Save a draft at any time. You can also Delete the form or Complete the Pharmacist Consultation form, as long as you have completed all compulsory fields. 

FSOP Delete Save Draft Complete.png

 

After completing the form, you may REOPEN it at a later stage to update notes and pathology results. 

Click here to access the knowledge article on Reopening a Community Pharmacy Scope of Practice form to update information. 

If you have any questions, please contact us via support@medadvisor.com.au or call 1300 909 917.

 

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