Download Vision for the Future

Outcomes Manager – Unplanned
Admissions DES
Unplanned Admissions DES
Personalised Care Plan Manager
• A dynamic template based on
the example within the DES
Documentation.
• Backed up by relevant patient
alerts and practice reports that
enable the personalised care
plan to remain up to date and
relevant.
Risk Stratification and Register
Manager
• 2 Versions
– Qadmissions Risk
Stratification
– Non-Validated Risk
Stratification
• Both contain a 2% Monitor
www.inps.co.uk
Personalised Care Plan Manager
• “A Record
within a
Record.”
• More than an
electronic
version of the
DES template.
www.inps.co.uk
Personalised Care Plan Manager
• Clinical
Information
presented in a
Clinically
Relevant way.
www.inps.co.uk
Personalised Care Plan Manager
• Simple data
entry to be
able to track
processes.
www.inps.co.uk
Personalised Care Plan Manager
• Useful clinical
alerts to help
identify
potential
increased risk
of admission
when in a
patient record.
www.inps.co.uk
Personalised Care Plan Manager
• Clear Care Plan
Summary Tab
for Quick
Reference
• Action plan
documentation
www.inps.co.uk
Personalised Care Plan Manager
• Electronic version populates the fields
within a printable version for patient.
www.inps.co.uk
Personalised Care Plan Manager
• Practice Reports allow
efficient management
of patients on the
register
• Excel files can be
generated to build up
evidence in support of
payment claims.
• Outstanding tasks to
fulfil DES targets is
listed.
www.inps.co.uk
Personalised Care Manager –
Additional Functionality
•
Consent/Capacity prompt and check
•
Anticipatory Care – thorough documentation and planning
•
Home Visit Logging and alerts
•
Adverse drug reaction monitoring and alerts
•
Blood results trend and absolute value alerts
•
Centralised Dashboard Reporting – adaptable to local needs.
www.inps.co.uk
Risk Stratification and Register Manager
- Non-validated Categorisation Number of Admissions in
Last Year
Age:
90+
80-89:
70-79:
60-69
50-59
<50:
Risk Factor Count
Risk Factors:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
CVD
CVA
Heart failure
Diabetes
AF
COPD
Asthma
Palliative Care
CKD
Dementia
Epilepsy
Learning Difficulties
PVD
Smoker
On Warfarin
On NSAIDs
Alcohol > 40 Units/Week
Obesity
On Mental Health Register
Cancer Diagnosis
www.inps.co.uk
Risk Stratification and Register Manager
• Allows practice to
make decisions based
on categorised data
• No probability of
admission risk is
reported
• Cannot demonstrate
change in risk
www.inps.co.uk
Risk Stratification and Register
Manager
• Qadmissions Version:
1.Probability reported.
2.High level of granularity in the
stratification.
3.Allows practice to demonstrate
improvement in overall risk.
4.Stratifies register itself to enable high risk
patients to be managed first.
www.inps.co.uk
Risk Stratification and Register Manager
• Both Versions:
1. 2% Monitor
2. Run weekly, this
can help practices
stay on top of the
workload, with
patients easily
being
added/removed
from the register.
www.inps.co.uk