Chronic Condition Management - Queensland Scope of Practice

Chronic Condition Management - Queensland Scope of Practice

The Pharmacist Consultation QSOP form should be used for acute services and/or continued dispensing and therapeutic adaptation or substitution. 

 

To record Chronic Condition Management, follow these steps: 

  • Launch MedAdvisor for Pharmacy or log into the web version. CLICK HERE for how to access the web platform

 

Please note: The following sections appear in the form:

- Patient Information*

- Consulting pharmacist details*

- Consent and reason for consultation*

- Medical and social history

- Clinical service incl. prescribing (where applicable)

- Measures

- Notifications and referrals

- Consultation outcome*

*Indicates a compulsory section that must be filled out to complete the form. 

 

  • In the menu, select Patients

Patients Menu.png

 

  • Search for a patient and select Search OR select a patient from Bookings OR select from the Recently dispensed customers list

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 Record Service 

Patient Record Service.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 Chronic Condition Management

QSOP Chronic Condition Management.png

 

 

 

 

 

 

 

 

Patient Eligibility

 

A consulting pharmacist MUST be selected to mark a patient as ineligible

 

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

Chronic Mark patient ineligible.png

 

 

 

 

 

 

 

  • A pop-up will appear. Clinical service type is preselected as 'Chronic Condition Management'

Chronic Mark patient ineligible pop up.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. 

pharmacist consult reason consult.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 Chronic Condition Management form, the Measures section automatically displays the following fields:

  • Observations
  • Respiratory function
  • Lipid profile
  • Glycaemic control
  • Renal measures

Record relevant measures for the consultation e.g Weight, BMI, blood pressure and much more. 

 

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) 

 

  • After the prescribing step, select Treatment goal(s)

Treatment goal .png

 

  • Enter Scheduled review information, select a review date and add any notes when required. Also select if a Follow up is recommended

follow up recommended review notes.png

 

Notifications and referrals 

For secure communications, click the following link:

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

 

  • Select Clinical Service Type from the check box list proved. 

Clinical Service Type Chronic Condition.png

Please note: Select Review Clinical Protocol to launch a pop-up to the protocols

 

  • 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