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Advanced Bp for Clinicians. Presenter: Dr Greg Wyatt. Topics for discussion – a wander through some of the hidden jewels in Bp. Main Screen Clinical Cervical screening Diabetes Register Utilities Search ** Word processor ** Templates ** Messages ** Previous patients. View

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advanced bp for clinicians

Advanced Bp for Clinicians

Presenter: Dr Greg Wyatt

topics for discussion a wander through some of the hidden jewels in bp
Topics for discussion – a wander through some of the hidden jewels in Bp

Main Screen

  • Clinical
    • Cervical screening
    • Diabetes Register
  • Utilities
    • Search **
    • Word processor **
      • Templates **
    • Messages **
    • Previous patients
  • View
    • PCEHR Audit
  • Setup
    • Configuration **
    • Users **
    • Preferences **
    • Custom preparations **
    • Drug combinations **

Bp Sunshine Summit 2014

topics for discussion a wander through some of the hidden jewels in bp1
Topics for discussion – a wander through some of the hidden jewels in Bp

Patient Screen

  • File
    • Export patient
    • Print drug sheet **
    • Print health summary **
  • Open
    • Appt history
  • Clinical
    • Clinical Tools *****
  • View
    • Patient messages
    • Digital Health Media
  • Menu buttons

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topics for discussion a wander through some of the hidden jewels in bp2
Topics for discussion – a wander through some of the hidden jewels in Bp
  • Auto-fill shortcuts
  • Referral letters and templates
  • Recalls and reminders
  • Clinical measurements
  • Investigation and inbox
  • Clinical photography
    • Using Wi-fi
  • Complex medication instructions
  • Tips and tricks
    • Alt codes

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search
Search
  • Powerful search function
  • Many installed searches
    • C:\Program Files\Best Practice Software\BPS\SuppliedQueries
  • Custom searches on Bp Forum
    • Can request anything
    • Very complex searches will require SQL Management Studio

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word processor aka letter writer
Word processor aka Letter writer
  • Basically a cut down version of MS Word
  • Saves in RTF
  • Positioning of sender’s address for window-face envelope
  • Templates (discuss soon)
  • MEDRefer
  • SMD (Secure Message Delivery)

Bp Sunshine Summit 2014

messages
Messages
  • Handy utility
  • Takes a bit of getting used to
  • Set inability to delete patient messages (just mark as read)
  • View patient messages
  • Requires a bit of thought about how it will work for your practice

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setup configuration
Setup → Configuration
  • System wide changes
  • Not too many Clinical Items
  • Lists
    • Reason for ceasing medications
    • Contact categories
    • Document types
    • Appointment types
    • Reason for cancelling appt

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setup users
Setup → Users
  • Not clinical
  • Permissions for each user important
  • Can clone or pick up category defaults

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setup preferences
Setup → Preferences
  • Affect current user only
  • Can be cloned (ie to set up new doctor)
  • General
  • Prescribing
  • Clinical
  • Pathology/Imaging
    • Can also be accessed from ordering screens
    • Favourite tests
    • Additional tests
    • Test groups

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custom recipes
Custom recipes
  • Good for creams used by dermatologists etc
  • Main screen → Setup → Custom preparations
  • To use, click Custom radio button at top of New Rx screen
  • Live demo

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combination drugs
Combination drugs
  • Useful when drugs are used in combination
    • Chlorsig drop and ointment
    • Gastro-stop and Stemetil
  • Main screen → Setup → Drug combinations
  • To use, click Drug combination button on top right of New Rx screen
  • Live demo

Bp Sunshine Summit 2014

print drug sheet
Print drug sheet
  • Use to print labels for Compact Business Systems or PSH charts in Aged Care Facilities
  • Print drug charts
    • Customisable
  • Patient drug list
    • More info than just a summary list

Bp Sunshine Summit 2014

print health summary
Print Health summary
  • Print anything from a list of medications to a full record
  • I use it to send copies of tests
  • Easy check box interface
  • I tend to View then Print
  • Customisable format (I added a footer with page number, patient’s name and DoB)

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clinical menu
Clinical menu
  • Asthma action plan
  • BMI
  • Ceased Rx
  • Blood pressure
  • Cardiovascular risk
  • Diabetes risk
  • Observations
  • Gestational age
  • INR manager
  • K10 assessment
  • MMSE
  • Metric conversion
  • Renal function
  • Respiratory function
  • Travel medicine
  • Geriatric depression assessment
  • Edinburgh PND Scale
  • Percentile charts
  • Physical activity prescription
  • Unchecked reports

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what is an autofill
What is an Autofill?
  • Simply a typing short-cut
    • Type .r and get right
  • Can be simple or complex
  • Can be limited to one doctor or practice wide
  • Some supplied but unlimited can be added
  • Work in progress notes, letter writer and some other text boxes
  • Differences from other software

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supplied autofills
Supplied Autofills
  • PC Presenting complaint:
  • HX History:
  • OE Examination:
  • MX Management:
  • DX Diagnosis:
  • RV Review interval:
  • AX Actions:
  • S: Subjective:
  • O: Objective:
  • A: Assessment:
  • P: Plan:

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where to start
Where to start

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simple vs complex
Simple vs Complex
  • Simple
    • Default font
    • Suitable for one or 2 words up to short sentences, or at least no formatting
    • Type directly into autofill window
  • Complex
    • May be easier to set up in WP first, to allow formatting, tables etc which cannot be typed directly into autofill window

Bp Sunshine Summit 2014

complex examples ideas
Complex examples & ideas
  • Diagnostic tools
    • Epworth Sleepiness Scale
  • “Decision support” tools
    • CHADS2 for anticoagulation in AF
  • Teaching
  • CDM tools
  • Unfortunately, autofills cannot be exported (but are backed up)

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use of caret above 6
Use of caret - ^ (above 6)
  • Used as a placeholder for variable data
  • Selected with Ctrl-F5
  • mxexc
    • Skin lesion ^mm in average diameter excised from ^ under local anaesthetic. Wound sutured with ^. Sutures to be removed in ^ days.
    • Each press of Ctrl-F5 selects and highlights next caret and allows appropriate data to be typed in

Bp Sunshine Summit 2014

autofill tips tricks
Autofill tips & tricks
  • Make sure shortcut is not something you would normally type – precede a single letter or real word with character such as . or , (li)
  • Think about whether any autofill should be yours alone or available to all, egla
  • Remember use of caret ^ and Ctrl-F5
  • No ability to print autofill list
  • Avoid large chunks of text with no customisation
  • Practice meeting:
    • share ideas and autofills
    • Policy on creating/saving/naming

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referral letters and templates
Referral letters and templates
  • Lots of supplied templates
  • Custom templates
    • Forum page for these
    • Don’t reinvent the wheel
  • Don’t open templates outside of Bp or you will destroy the custom fields
  • Live demo

Bp Sunshine Summit 2014

recalls and reminders
Recalls and reminders
  • Called reminders in Bp (were recalls in MD)
  • Reminders button on right side of demographics screen
  • Add when the occasion presents
    • Doctor
    • Reason (add more via lists)
    • Interval/date
    • Auto update
  • Office staff print weekly list
  • Options for handling
  • Live demo

Bp Sunshine Summit 2014

clinical measurements
Clinical measurements
  • Seems obvious, but use Observations screen, not free text
  • Could this screen be improved?
    • Sitting/standing/lying pulse
    • BP surgery or home
    • Multiple readings one on day
  • Other places to enter measurements
    • BMI tool
    • General History & Examination screen
    • Respiratory function tool

Bp Sunshine Summit 2014

investigations and inbox
Investigations and inbox
  • Very powerful part of Bp
  • View and allocate (Computer monitor icon or View → Incoming reports)
    • Check “Show unallocated only”
    • Important regular task
    • Should only be done by senior person (PM, PN, senior GP)
    • Manually allocate patient and/or doctor
    • “Missing” results usually in here
  • Check Inbox (Inbox icon)
    • 2 setup styles (Preferences)

Bp Sunshine Summit 2014

clinical photography
Clinical photography
  • Useful for skin lesions, rashes, things for later review
  • I use Canon Powershot A480 – few years old (10 megapixel)
  • Camera attachment for dermatoscopes
  • Eye-Fi Wi-fi cards now easy to get and make process easier
    • Photo on network within 15 seconds
  • Import photo via BDI to reduce size
  • Live demo

Bp Sunshine Summit 2014

complex medication instructions
Complex medication instructions
  • Eg reducing prednisolone dosage
  • Document template
  • Fill out manually (unfortunately)
  • Prints on bottom “tear off” on script
  • Save in Correspondence out for permanent record
  • Alternative
    • Excel spreadsheet
    • Copy and past into notes

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reducing prednisolone
Reducing prednisolone

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reducing prednisolone 2
Reducing prednisolone 2

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alt codes
Alt codes
  • Alt + numeric key (must use numeric keypad)

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thank you any questions
Thank-you!Any questions?

Bp Sunshine Summit 2014

slide33

This session’s over. (But we’re still here for you)

For assistance, please visit www.bpsoftware.com.au

You can contact our Customer Support Team on:

(07) 4155 8800

(07) 4153 2093

support@bpsoftware.com.au

Bp Sunshine Summit 2014