Dermatology Trial NSW

The purpose of the NSW dermatology trial is to support trained pharmacists to treat the following conditions: 

• Mild to moderate atopic dermatitis, 6 months to 65 years old
• Herpes Zoster (shingles), 18 years and older
• Impetigo, 12 months or above
• Mild plaque psoriasis, 18 years and older 

Please note: Only pharmacists consented to the trial can provide the service. 

 

CLICK HERE to access the clinical guidelines

 

CLICK HERE to access the webinar recording

 

 

Please follow these steps: 

• In the left-hand menu select Patients in the left-hand menu.

  

 

• Search for the patient by surname, first name, address, medicare number or date of birth OR select from the Recently dispensed customers list

Please note: If the patient is not visible select Add patient and manually enter all compulsory fields, including name, address and mobile number.

 

 

• Next to the patient's details, select Record Service

 

• View the Patient Information, including any patients notes, consultation history, medication list and more. Select the Services drop-down

 

• Select Dermatology Trial NSW 

 

• Review and update the Patient information including all compulsory fields e.g e-mail, date of birth, gender and main language spoken at home etc

Please note: DVA and Medicare number and expiry are NOT compulsory fields. Please enter valid medicare card details OR leave these blank if the patient does not have a valid medicare or DVA number. 

 

 

Pharmacist details

• Today's date is prepopulated. Select from the Pharmacist dropdown under Pharmacist details

 

• Select the pencil icon to update your details

Please note: If you do not see yourself in the drop-down list, click the + icon to add your details.

 

• Indvidual identifier (HPI-I) and Organisation identifier (HPI-O) must be entered for Dermatology. These details can be found in PRODA and in your dispense system. Please check with your dispense software vendor on where this is located. 

 

• Scroll down to the Prescribing and secure messaging details section and select the 'Practice and practitioner consent to Hola account' tick box

 

• Leave the Prescriber No. and eRX Registration No. sections blank

Please note: eRX cannot be utilised during the Trial because a Clinical Trial Treatment Summary will be generated, not a prescription

 

• Enter Gender, Date of birth, Work email and mobile number

 

• Select Update details

 

Pharmacist suitability

• Under Pharmacist suitability, select the check to confirm you are a consented pharmacist under the trial

 

Age verification

• Select the Age verification acknowledgement checkbox

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

 

• Answer the below question

 

Please note: If No is selected the patient can be marked as ineligbile by selecting Cancel Service

 

 

Consent

• PATIENT CONSENT- The patient must consent to the service and the collection of their personal information including e-consent. Once the patient has accessed the website via the QR code that is located in pharmacy, enter the code. The form will indicate if the code is valid.

 

 

Medical and social history

As long as all required fields are filled out, the Medical and social history section will expand.

 

• Enter Past medical history and Past surgical history

 

• Review Medications list from dispense 

 

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

 

• Select the Smoking history (including vaping) drop-down and choose from the options

 

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

 

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

 

• Complete the Risk factors for referral or treatment questions

 

Clinical service

 

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

Please note: At least 1 symptom must be selected.

 

• In the text box under Subjective assessment, type the details of presenting symptom or complaint. This field is mandatory. 

 

• In the text box under Objective assessment, type the details of the physical examination and/or other objective assessments. Remember to address risk factors marked as "Yes" on the previous section. This field is mandatory.

 

• Enter Diagnosis and Treatment and plan. Both of these fields are mandatory. 

 

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

 

• To generate a 'Clinical Trial Treatment Summary', select Prescribe medication

 

This will launch the Hola Health widget to generate a 'Clinical Trial Treatment Summary'.

 

• In the top left-hand corner, select from the list of Available Formulations you would like to dispense to the patient 

 

• Selecting the available formulation will populate the information in the top right-hand corner including Generic Name, Schedule, PBS listing and more. You may edit the Quantity as required, however Repeats should always be nil / 0. 

 

• Enter the following information including, Dose, Frequency Food, Instruction, Route, Script Date, Start and End Date, Days Between Repeats, Purpose and more. 

 

• Select Next in the top right-hand corner

 

• Enter Notes to Pharmacy, Annotation, Reason for Prescriptions and Approval Number as needed

 

• In the top right-hand corner, select the Prescribe drop down to choose Prescribe and Print to generate the NSW Dermatology Clinical Trial Treatment Summary in a new web page. (You must allow pop-ups). 

 

Please note: The NSW Dermatology Clinical Trial Treatment Summary is only valid at the pharmacy it was generated and CANNOT be taken to another pharmacy. 

 

• The medication/s will now be visible in the form. Select Drug status drop-down to mark the script as New or Continuing. 

 

• Click the pencil icon to edit/amend the medications

 

• Click the Select Action drop-down to Cancel the script, Print again, Re-issue or Cease

 

Notifications and referrals (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. 

 

• If a patient has a regular GP:
  • any communication (notification or referral) must be sent via secure message.
  • If a referral is required a notification does not need to be sent.
  • If a referral is not being sent to the regular GP a notification is mandatory.
  • If a referral is being sent to an alternate health practitioner or emergency department a GP notification is required.

• If patient does not have a regular GP:
  • notification is not required
  • If a referral is required, it can be sent via secure message OR PDF as applicable.

Please note: All communications require patient consent. If the patient does not consent the form can be completed without comms.

 

To send secure messages, please follow these steps: 

• In the forms Notifications and referrals section, select the drop down under Who do you want to notify / refer to? 

 

• Select the type of communication

If you choose Notify via secure message or Referral via secure message, you will need to make sure you have a valid email address in your pharmacist settings. 

 

• Select Find a health practitioner to search

 

• The Search contacts pop-up will appear. Enter name, search by discipline, clinic, suburb or state and click Search to locate a health practitioner in the Suggested section. 

 

• Select the Health Practitioner you would like to securely message from the list OR select Add new contact if you cannot find them in the search results. 

 

• The template for Subject and Body of the notifcation will pre-populate. You can edit these fields as required. 

 

Please note: When generating a referral, be sure to edit this text by entering specific reasons for the referral. 

Referral reasons include:

Referred to a GP as required by clinical guidelines 'red flag' or 'refer when' criteria

Referred to an Emergency Department as required by clinical guidelines 'red flag' or 'refer when' criteria

Patient has a condition outside the scope of the trial

Requires further investigation or tests, including pathology

 

• Select Preview message to view the message with all fields (e.g Patient info) visible. 

 

• All consultation details including uploaded supporting files and images will be attached to the message as a PDF by default. This can be deselected. 

 

• After reviewing / editing the message, select Send secure message

 

• A green bar will appear, letting you know the message was sent successfully.

 

• You will also see a record below the message, showing you the date and time of the successfully sent message. 

• Repeat the above steps by selecting + Add another communication to message another health practitioner, as required. 

 

You must set up your pharmacist profile, prior to using Notifcation and referrals to send secure messages via Foxo. More information can be found here: https://foxo.com/

 

Consultation outcome

• Select the Consultation length drop-down and select the length

 

• Select a dermatological condition from the Clinical Service Type drop-down list.

 

• Click REVIEW CLINICAL GUIDELINES to review the protocols.

 

• Answer the compulsory question, Does the patient have a regular GP? 

 

• Answer the mandatory questions, Is a referral required? and Does the patient consent to the pharmacist sending a notification or referral, as applicable? 

Please note: If the patient consents and a notification or referral is required, scroll up to Notification and referrals to complete the mandatory notification or referral.

 

• Select from the list in Consultation summary (At least one option must be marked)

 

Please note: If Prescribed Clinical Trial Medication is selected pharmacists MUST record the medication using the ‘Prescribe Medication’ feature above AND answer the below questions:

 

 

Please note: If No intervention is selected, all other fields will be greyed out and cannot be selected. 

 

 

• Selecting Referral made requires you to select a reason(s) for the referral

 

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 form, as long as you have completed all compulsory fields.