Quick Reference Guide CAT4. Cancer Screening

Transcription

1 Quick Reference Guide CAT4 Cancer Screening <4.1> - December 2015

2 Organisation Contacts Sydney Office Pen CS Level 1, 35 Moore St LEICHHARDT NSW 2040 Phone: +61 (0) Fax: +61 (0) Document Owner Matthias Merzenich Training Programs Manager Phone: matthias.merzenich@pencs.com.au Melbourne Office Pen CS Level 6, 3 Bowen Crescent Melbourne VIC 3004 Phone: Fax: SUPPORT FREECALL support@pencs.com.au Document Control Version Release Date Modified By Description 4.1 7/12/2015 Matthias Merzenich Initial release for CAT4 11 December 2015 PAGE 2 of 10

3 1 INTRODUCTION Clinical Audit Tool 4 (CAT4) The Clinical Audit Tool (CAT) analyses clinical information from GP Clinical Desktop Systems. It translates data into real statistical and graphical information that is easy to understand and action. This allows practitioners to assess and improve the quality and completeness of patient information. The benefit to the practice is to assist with its ongoing accreditation and provide opportunities to grow practice income. The emphasis of the tool is to help practice staff to take specific action to improve patient coverage in chronic disease management and prevention. Quick Reference Guides Quick Reference Guides (QRG) are provided as a reference for modules and specific reports in our tools. All user guides are available online at help.pencs.com.au/cat.htm CAT Plus CAT4 is the latest release of our clinical audit tool with many changes to functionality, user interface and performance. CAT4 uses preconfigured Views to provide our users with easy access to the relevant information for their current investigations and field of work. CAT4 is part of the CAT Plus suite and has integration links with the other products in the suite. These links are still at an early stage but will gradually be introduced and will make CAT4 a central tool for data quality improvement and patient population management at the practice level. CAT4 is the practice population tool in the CAT Plus suite Topbar is the decision support tool working with MD3 and Best Practice at the point of care PAT CAT is the data aggregation and reporting tool for organisations to analyse de-identified data provided by CAT4 11 December 2015 PAGE 3 of 10

4 2 CAT4 Cancer Screening Graphs The Screening tab provides three sub tabs for the various screening sections. These are: Pap Smear Mammogram FOBT Pap Smear > Pap Smear Recorded A pie chart displays the % of female patients in the following categories: Pap Smear Recorded - at least one pap smear result has been recorded for this patient 1 No Pap Smear Recorded - a pap smear result has never been recorded for this patient Ineligible - the patient no longer is required to have a pap smear because the patient has been ticked for exclusion on the pap smears tab, or 2) the patient has a diagnosis code that implies exclusion 2 Figure 1: Pap Smear Recorded Pap Smear > Pap Smear Done Date A pie chart displays the % of female patients who have a pap smear last recorded in the following categories: 1 Refer to the mappings document for your clinical system 2 Refer to the diagnosis codes at the end of this guide 11 December 2015 PAGE 4 of 10

5 < 1 year 1-2years >2-3 years >3-4 years > 4 years Figure 2: Pap Smear Done Date Pap Smear > Summary Report Card A report for eligible females aged The Pap Smear Summary Report Card is an initiative of the SA Cervix Screening Program (SACSP) to improve the management of clinical information related to cervical screening and to support increased participation of women in screening. Mammogram A pie chart displays the % of female patients with a Mammogram Last Recorded in the following categories: 0-2 years >2-3 years >3-4 years > 4 years No Mammogram Recorded - a mammogram has never been recorded for this patient 11 December 2015 PAGE 5 of 10

6 Ineligible - the patient no longer is required to have a mammogram because the patient has a diagnosis code that implies exclusion 3 Electronic results have been sent to GPs who have patients screening at BreastScreen Victoria Clinics since October 2011 and it is hoped other States will follow with this functionality. Figure 3: Mammogram FOBT > FOBT Last Recorded A pie chart displays the % of patients with a FOBT Last Recorded 4 in the following categories: 0-2 years >2-3 years >3-4 years > 4 years No FOBT Recorded - an FOBT test has never been recorded for this patient Ineligible - the patient no longer is required to have an FOBT test because the patient has a diagnosis code that implies exclusion 5 3 Refer to the diagnosis codes at the end of this guide 4 Refer to the pathology test names and codes at the end of this guide 5 Refer to the diagnosis codes at the end of this guide 11 December 2015 PAGE 6 of 10

7 Figure 4: FOBT last recorded FOBT > FOBT Orders and Results A pie chart displays the % of patients who are required to have an FOBT test (i.e. are not ineligible) and have had an FOBT test order or result in the last 12 months in the following categories: FOBT Order and result - an FOBT test result has been received in the last 12 months with an order recorded within 6 months prior 6 FOBT Order only - an FOBT order has been recorded but no result has been received FOBT Result only - an FOBT order has been received but no order is recorded. 6 FOBT results and orders within 6 months of each other are considered to be a pair 11 December 2015 PAGE 7 of 10

8 Figure 5: FOBT Orders and Results 11 December 2015 PAGE 8 of 10

9 3 Diagnosis Codes Pap Smear Exclusions Hysterectomy Hysterectomy - Abdominal Hysterectomy - Laparoscopic Hysterectomy - ovary(ies) spared Hysterectomy - Subtotal Hysterectomy - Vaginal Hysterectomy - Vaginal with vaginal repair Hysterectomy & BSO Abdominal Hysterectomy, subtotal Partial hysterectomy Subtotal hysterectomy Subtotal hysterectomy Surgery - Uterus - Hysterectomy Uterus - removal of Vaginal Hysterectomy Mammogram Exclusions Adenocarcinoma - Breast Breast cancer Breast carcinoma Breast carcinosarcoma Breast removal Carcinoma - Breast Carcinosarcoma of the breast Mastectomy Mastectomy - partial & node biopsy Radical mastectomy Radical mastectomy Signet ring cell carcinoma of breast Simple mastectomy Surgery - Mastectomy Surgery - Radical mastectomy Surgery - Radical mastectomy Surgery - Simple mastectomy Colorectal Exclusions Cancer of the Bowel Adenocarcinoma - Colon Anal carcinoma Bowel cancer Carcinoma - Anus Carcinoma - Colon Carcinoma - Rectum Carcinosarcoma of the colon Colon - Adenocarcinoma Colon carcinosarcoma Colonic cancer Colonic carcinoma Hereditary Non-Polyposis Colon Cancer Hereditary nonpolyposis colorectal carcinoma HNPCC (Hereditary Non-Polyposis Colon Cancer) Rectal adenocarcinoma Rectal cancer Rectal carcinoma Polyps Adenomatous polyp - Colon Colon tumour Colonic polyp(s) Colonic polyp, removal Colonic polypectomy Familial polyposis coli Familial polyposis coli Multiple colonic polyps Multiple colonic polyps Neoplasm - Colon Polyp(s) caecum Polyp(s) - colon Polyp(s) - colonic Polyp(s) - rectal Polyposis Coli Polyposis coli Rectal polyp excision Rectal polyp, removal Rectal polypectomy 11 December 2015 PAGE 9 of 10

10 Signet ring cell carcinoma of bowel Signet ring cell carcinoma of rectum Squamous cell carcinoma of anus Rectal polyps Removal of colonic polyp Removal of rectal polyp Pathology Codes Pap Smear CCSR CERVICAL CONVENTIONAL SMEAR CERVICAL CYTOLOGY CERVICAL SMEAR CERVICAL SMR CYG CYTOLOGY GYNAECOLOGICAL CYTOLOGY GYNAECOLOGICAL (PAP-0) CYTOLOGY-PAP SMEAR GYNAECOLOGICAL CYTOLOGY NON SCREENING SMEAR PAP (BALLARAT) PAP (GEELONG) PAP SMEAR PAP SMEAR +/- THIN PREP PAP SMEARS PAP TEST PAP-0 (PAP SMEAR) FOBT Test names LOINC codes Faecal Occult Blood Faecal occult blood screening Faecal Occult Blood Test FOB FOBT Occult blood faeces Stool occult blood test OCCULT BLOOD faecal human haemoglobin Insure FOBT FOBT1 FOBT2 FOBT3 FOB1 FOB2 FOB3 BOW OCCULT BLOOD (OCB-0) OCCULT BLOOD (OCB-1) OCCULT BLOOD (OCB-2) December 2015 PAGE 10 of 10