Searching GP records using SPICT-derived clinical indicators.
|
|
|
- Valentine Armstrong
- 5 years ago
- Views:
Transcription
1 Searching GP records using SPICT-derived clinical indicators. Bruce Mason 1, Kirsty Boyd 1, John Steyn 2, Marilyn Kendall 1, Stella Macpherson 3, Scott A. Murray 1 1. University of Edinburgh, 2. NHS Lothian, 3. PPI representative
2 Background GP computer systems contain a database of Read codes and notes from consultations. Software that can interrogate these databases can identify indicators of palliative care or anticipatory care needs.
3 Two projects Developing an algorithm to search UK GP databases 1: Test the concept with a search template informed by Supportive and Palliative care Indicator Tool (SPICT). 1 2: Testing a data extract module over an extended period in eight GP surgeries. Plug-in to current software Run on demand: app model. Disseminate to NHS Lothian practices as part of a Redesign Programme 1. Mason, B. L., K. Boyd, S. A. Murray, J. Steyn, P. Cormie, M. Kendall, D. Munday, D. Weller, S. Fife, P. Murchie and C. Campbell (2015). "Developing a computerised search to help UK General Practices identify more patients for palliative care planning: a feasibility study." BMC Fam Pract 16(1): 99.
4 AnticiPal three types of search Malignancy codes Within last 18 months E.g. Malignant neoplasm of bronchus or lung (B22z) Other single Read codes E.g. Frailty (2Jd) Entered at any time Combination codes Entered any time E.g. Heart Failure AND (CKD 4 OR CKD 5) AND COPD. G58% AND (1Z13 or K054 or 1Z14 or K055) AND (H3; or H31% excl H3101 or H31y0 or H3122; or H32%; or H36-H3z (excl H3y0 or H3y1); or H5832
5 Results patients identified search results IP1 IP2 IP3 IP4 IP5 IP6 IP7 IP8 Total Patients matched List size Percentage ID'd 1.23% 0.94% 0.63% 0.64% 0.83% 0.61% 0.98% 0.96% 0.82%
6 Search results single read codes Read code Description IP1 IP2 IP3 IP4 IP5 IP6 IP7 IP8 Total Oxygen therapy Exhaustion Oxygen at home Geriatric home admission exam Long term oxygen therapy CD. Mobility very poor D18 Pain from metastases Jd.. Frailty Yj Home oxygen supply cylinder Yk. Home oxygen supply - concentrator BAN Community specialist palliative care CAX. Recommended thickened fluids C19.. Multiple organ failure H39.. Very severe COPD K055. Chronic kidney disease stage R095. [D]Ascites Z172. Palliative Care
7 Search results cancer codes within 18 months Read codedescription IP1 IP2 IP3 IP4 IP5 IP6 IP7 IP8 Total 7M371 Radiotherapy NEC BAD. Chemotherapy B11 % Malignant neoplasm of stomach B17 % Malignant neoplasm of pancreas B22z. Malignant neoplasm of bronchus or lung NOS B56.. Lymph node metastases B57.. Metastases of respiratory and/or digestive systems B58.. Secondary malignant neoplasm of other BB03 % Neoplasm, metastatic BB13. [M]Carcinoma, metastatic, NOS BB14. [M]Carcinomatosis
8 Combination search results Combination search IP1 IP2 IP3 IP4 IP5 IP6 IP7 IP8 Total Liver Disease & Spirnolactone Fractured Neck of Femur Heart Failure/COPD/CKD PVD + CKD (4 or 5) Difficulty swallowing + dementia Housebound + dementia Housebound + multimorbidity
9 Search results - Discussion Type of search Cancer code within last 18 months 104 Single general Read code 137 Combinations of Read codes 1113 Total identified Multimorbidity, broadly defined, is most common Frailty is common through various combinations with housebound
10 Results Qualitative observations GP categories of patients identified 1. Definitely not palliative 2. Not palliative yet 3. Would benefit from palliative care but I can t intervene 4. Definitely palliative Categories 2 & 3 are candidates for anticipatory care.
11 Discussion - Anticipatory care as early palliative care In actual use, GPs focused on using the search to start or review a Key Information Summary (KIS) record. Practice teams largely worked reactively but a KIS also provides future, anticipated patient benefits.
12 Conclusions Algorithm succeeds at identifying patients likely to have early palliative care (anticipatory) care needs. GPs will complete a KIS to share anticipatory care plans with OOH services more readily than starting palliative care. GPs have an informal category of pre-palliative patients that seems to accord with AnticPal results.
13 Acknowledgements Thanks to our funders, Marie Curie, The Edinburgh & Lothians Health Foundation and the OAK Foundation. Thanks also to all participants in this project and also to the IT staff at NHS Lothian who supported us so ably. Questions? Please contact Scott Murray or Bruce Mason
AnticiPal: Searching GP records and care-planning in the community
AnticiPal: Searching GP records and care-planning in the community Bruce Mason 1, Kirsty Boyd 1, John Steyn 2, Marilyn Kendall 1, Stella Macpherson 3, Scott A. Murray 1 1. University of Edinburgh, 2. NHS
Palliative Care Research: leading internationally and making a difference in Scotland
Palliative Care Research: leading internationally and making a difference in Scotland Scottish Cross Party Group, June, 2011 Scott A Murray St Columba s Hospice Chair of Primary Palliative Care Primary
5 key areas for research, and how to go forward. Primary Palliative Care Research Forum, University of Capetown, September, 2010
5 key areas for research, and how to go forward Primary Palliative Care Research Forum, University of Capetown, September, 2010 Scott A Murray St Columba s Hospice Chair of Primary Palliative Care Primary
Many people in Scotland now benefit from anticipatory care before they die: an after death analysis and interviews with general practitioners
For numbered affiliations see end of article. Correspondence to Professor Scott A Murray, Primary Palliative Care Research Group, Centre for Population Health Sciences, The Usher Institute of Population
TRAJECTORY OF ILLNESS IN END OF LIFE CARE
TRAJECTORY OF ILLNESS IN END OF LIFE CARE By Dr Helen Fryer OBJECTIVES To be aware of the three commonest trajectories of decline in the UK To understand the challenges faced in delivering effective Palliative
PALLIATIVE CARE. A Brief Intervention. Euan Paterson Macmillan GP Facilitator (Glasgow)
PALLIATIVE CARE A Brief Intervention Euan Paterson Macmillan GP Facilitator (Glasgow) euan.paterson@ntlworld.com 07792120108 1 or How to deal with ACP, epcs and the Palliative Care DES http://www.palliativecareggc.org.uk/
Three triggers that suggest that patients could benefit from a hospice palliative care approach
Why is it important to identify people nearing the end of life? About 1% of the population dies each year. Although some deaths are unexpected, many more in fact can be predicted. This is inherently difficult,
PALLIATIVE CARE. A Brief Intervention. Euan Paterson Macmillan GP Facilitator (Glasgow)
PALLIATIVE CARE A Brief Intervention Euan Paterson Macmillan GP Facilitator (Glasgow) euan.paterson@ntlworld.com 07792120108 or How to deal with the Palliative Care DES (plus epcs & ACP!) http://www.palliativecareggc.org.uk/
PALLIATIVE CARE. A Brief Intervention. Euan Paterson Macmillan GP Facilitator (Glasgow)
PALLIATIVE CARE A Brief Intervention Euan Paterson Macmillan GP Facilitator (Glasgow) euan.paterson@ntlworld.com 07792120108 1 or How to deal with ACP, epcs and the Palliative Care DES http://www.palliativecareggc.org.uk/
New Horizons. Long Term Conditions
New Horizons Long Term Conditions Years of this 2000 2050: The Legacy Rising at all ages People reporting a chronic condition (by age) 80 70 % of sample 60 50 40 30 0-4y 5-15y 16-44y 45-64y 65-74y 75+
Identifying and counting people living with treatable but not curable cancer
Identifying and counting people living with treatable but not curable cancer Rachel White Joanna Pethick, Archie Macnair, Gregory Fallica, Jennifer Than and Jane Maher September 2018 Who are the people
Preventing harmful treatment
Preventing harmful treatment How can Palliative Care prevent patients receiving overzealous or futile treatment? Antwerp, November 2010 Prof Scott A Murray, St Columba s Hospice Chair of Primary Palliative
Understanding and Assessing for Frailty
Understanding and Assessing for Frailty Dr Gloria Yu Clinical Head of Bexley Integrated Care Consultant Physician in Elderly, General and Stroke Medicine 8 July 2015 Learning objectives What is frailty?
Patterns of social, psychological and spiritual decline towards the end of life in lung cancer and heart failure
Patterns of social, psychological and spiritual decline towards the end of life in lung cancer and heart failure APCC 2007 Scott A Murray, Marilyn Kendall, Elizabeth Grant, Kirsty Boyd, Aziz Sheikh, Stephen
National End of Life Care Intelligence Network
National End of Life Care Intelligence Network Current research End of life care research area: Commissioning Summary research No Summary Research Aim 4 Quantitative analysis of the numbers and needs of
abcdefghijklmnopqrstu
NHS Circular: PCA(M)(2012) 6 Health and Social Care Integration Directorate Primary Care Division abcdefghijklmnopqrstu Dear Colleague THE PRIMARY MEDICAL SERVICES DIRECTED ENHANCED SERVICES (SCOTLAND)
PALLIATIVE CARE. A Brief Intervention. Euan Paterson Macmillan GP Facilitator (Glasgow)
PALLIATIVE CARE A Brief Intervention Euan Paterson Macmillan GP Facilitator (Glasgow) euan.paterson@ntlworld.com 07792120108 or How to deal with ACP, epcs and the Palliative Care DES http://www.palliativecareggc.org.uk/
Wednesday 23rd September HEAT TARGETS: NETWORK EVENT Fall and fracture prevention
Wednesday 23rd September 2009 HEAT TARGETS: NETWORK EVENT Fall and fracture prevention Ann Murray Falls Programme Manager Practice Development Unit NHS Quality Improvement Scotland Prevalence of falls
GP Palliative Care Handover Form. 28 May 2013
GP Palliative Care Handover Form 28 May 2013 Sarah.Murphy@hospicefoundation.ie Background The IHF/ICGP/IHF Primary Palliative Care in Ireland report published in 2012 Recommendation 6.2.1.A from the Primary
Palliative care - the opportunities. Dr David Brooks Macmillan Consultant in Palliative Medicine Chesterfield Royal Hospital
Palliative care - the opportunities Dr David Brooks Macmillan Consultant in Palliative Medicine Chesterfield Royal Hospital Our Commitment to you for end of life care The Government Response to the
Tackling inappropriate polypharmacy in NHS Scotland
Tackling inappropriate polypharmacy in NHS Scotland Francesca Aaen Lead Care Homes Pharmacist - NHS Lanarkshire Heather Harrison - Senior Prescribing Advisor/ Chronic Pain Primary Care Service Development
Tango Toscana (by Quartet San Francisco)
Tango Toscana (by Quartet San Francisco) Dancing to a different tune: living and dying with cancer, organ failure and physical frailty Marilyn Kendall, 1 Emma Carduff, 1,5 Anna Lloyd, 1 Barbara Kimbell,
Palliative and End of Life Care in Scotland: The Case For a Cohesive Approach
Palliative and End of Life Care in Scotland: The Case For a Cohesive Approach Membership Dr Patricia Cantley, Consultant in Elderly Medicine, NHS Lothian Dr Fiona Downs, Consultant in Palliative Care,
Scottish Branch BGS Autumn Meeting
Programme 08.45 Registration and coffee 09.15 Welcome and housekeeping 09.25-10.45 Clinical Updates: Biliary disease, heart failure & EBM prize winner Session chair Dr Sue Pound 9.25 Biliary disease in
Delivering personalised care to end of life patients. Jane Naismith Nurse Consultant in Palliative care St Joseph s Hospice London
Delivering personalised care to end of life patients Jane Naismith Nurse Consultant in Palliative care St Joseph s Hospice London Over View This session will cover Supporting patients with long term conditions
Outcomes Report: Accountability Measures and Quality Improvements
Outcomes Report: Accountability Measures and Quality Improvements The FH Memorial Medical Center s Cancer Committee ensures that patients with cancer are treated according to the nationally accepted measures.
EVENING MEDICAL UPDATES
Representing physicians, maintaining standards. EVENING MEDICAL UPDATES Session 2013-2014 organised by the Trainees & Members Committee Scottish charity no. SC009465 2013 2014 CARDIORESPIRATORY ARREST
We need to talk about Palliative Care. Parkinson s UK
We need to talk about Palliative Care Parkinson s UK Introduction Parkinson s UK strongly welcomes the Committee s Inquiry, and hope that it will help to address inequalities in access to palliative and
Primary Palliative Care Task Force
Primary Palliative Care Research Group http://www.cphs.mvm.ed.ac.uk/groups/ppcrg/ Primary Palliative Care Task Force Update 4, Lancaster, Oct 2013 18 th to 22 Feb 13 International Primary Palliative Care
National Cancer Registration and Analysis Service Short Report: Chemotherapy, Radiotherapy and Surgical Tumour Resections in England: (V2)
National Cancer Registration and Analysis Service Short Report: Chemotherapy, Radiotherapy and Surgical Tumour Resections in England: 13-14 (V2) Produced as part of the Cancer Research UK - Public Health
SCAN Lung Group Friday 16 th November pm
SCAN Lung Group Friday 16 th November 2012 14.15 16.15pm Oncology Seminar Room, Western General Hospital, Edinburgh with videolink to Dumfries MINUTES Present Diana Borthwick Martin Keith Kate Macdonald
Older People with Complex Health Needs: NIHR Workshop Delegate Agenda The Royal Society 6-9 Carlton House Terrace London SW1Y 5AG
Older People with Complex Health Needs: NIHR Workshop Delegate Agenda The Royal Society 6-9 Carlton House Terrace London SW1Y 5AG Wednesday 2 nd November 2016 A workshop to identify tractable research
Report to Waikato Medical Research Foundation
Report to Waikato Medical Research Foundation Understanding the importance of tumour biology and socio-demographic difference in cancer stage at diagnosis using the Midland Lung Cancer Register Ross Lawrenson
National Breast Cancer Audit next steps. Martin Lee
National Breast Cancer Audit next steps Martin Lee National Cancer Audits Current Bowel Cancer Head & Neck Cancer Lung cancer Oesophagogastric cancer New Prostate Cancer - undergoing procurement Breast
Head and Neck Cancer 2012 COMPARATIVE AUDIT REPORT
SOUTH EAST SCOTLAND CANCER NETWORK PROSPECTIVE CANCER AUDIT Head and Neck Cancer 2012 COMPARATIVE AUDIT REPORT Mr Guy Vernham, NHS Lothian SCAN Lead Clinician Head & Neck Cancer Mr J Morrison, Fife Mr
Bowel Cancer in England and Wales A summary report about the management and outcomes of people with bowel cancer
Bowel Cancer in England and Wales A summary report about the management and outcomes of people with bowel cancer Based on findings from the National Bowel Cancer Audit Background How are patients diagnosed?
Improving Healthcare Utilization in Injured Older Adults
Improving Healthcare Utilization in Injured Older Adults G ERIATRIC T R A U MA I N I T I AT I V E S AT S TA N F O R D H E A LT H C A R E J U LY 12, 2018 Objectives Background on Geriatric Trauma Population
A Global overview of palliative care since WHA resolution 2014
A Global overview of palliative care since WHA resolution 2014 Scott A Murray, St Columba s Hospice Chair Primary Palliative Care Research Group, University of Edinburgh, Scotland, UK http://www.cphs.mvm.ed.ac.uk/groups/ppcrg/
Marie Curie Research Grants Scheme Call for outline applications Themes of call
Marie Curie Research Grants Scheme 2016 Call for outline applications Themes of call 1. Aim Marie Curie, the Chief Scientist Office (CSO) and the Motor Neurone Disease Association (MND Association) recognise
Macmillan Publications
S1 S2 S3 S3 S3 S4 S5 S6 S7 S8 S8 S9 S10 S11 S11 S12 S13 S14 S15 S17 S18 S19 Bladder Cancer: Non-Invasive, Invasive and Advanced Bone Cancer: Primary, Secondary Colon Cancer, Anal Cancer, Rectal Cancer
Mental Health Collaborative. Dementia Summary of Activity. October 2009
Mental Health Collaborative Dementia Summary of Activity October 2009 The following extracts provide either one example of a Board s dementia improvement activity or a brief summary of their current and
Palliative and end of life care Priority Setting Partnership
Palliative and end of life care Priority Setting Partnership Putting patients, carers and clinicians at the heart of research Katherine Cowan, James Lind Alliance Dr Bill Noble, Marie Curie Palliative
Information Services Division NHS National Services Scotland
Cancer in Scotland April 2017 First published in June 2004, revised with each National Statistics publication Next due for revision October 2017 Information Services Division NHS National Services Scotland
Prognostic Impact of Hyperglycemia in Patients with Locally Advanced Squamous Cell Carcinoma of Cervix Receiving Definite Radiotherapy
Prognostic Impact of Hyperglycemia in Patients with Locally Advanced Squamous Cell Carcinoma of Cervix Receiving Definite Radiotherapy 2016.04.08 KCCH 김문홍 DM and prediabetes in cancer Negative impact on
MEDICAL POLICY Gene Expression Profiling for Cancers of Unknown Primary Site
POLICY: PG0364 ORIGINAL EFFECTIVE: 04/22/16 LAST REVIEW: 07/26/18 MEDICAL POLICY Gene Expression Profiling for Cancers of Unknown Primary Site GUIDELINES This policy does not certify benefits or authorization
The GSF Prognostic Indicator Guidance
4 th Edition September 2011 The GSF Prognostic Indicator Guidance The National GSF Centre s guidance for clinicians to support earlier recognition of patients nearing the end of life Why is it important
Chapter 3. Neoplasms. Copyright 2015 Cengage Learning.
Chapter 3 Neoplasms Terminology Related to Neoplasms and Tumors Neoplasm New growth Tumor Swelling or neoplasm Leukemia Malignant disease of bone marrow Hematoma Bruise or contusion Classification of Neoplasms
Implementation Clinical Pathway Primary Palliative Care
Implementation Clinical Pathway Primary Palliative Care Prague, EAPC Congress 1/6/2013 Bert Leysen, MD Promotors: Bart Van den Eynden, MD PhD; Johan Wens, MD PhD Challenges in Palliative Care * 1. To reach
Heart Failure Transitions of Care SJMH - Ann Arbor
Heart Failure Transitions of Care SJMH - Ann Arbor March 4, 2013 Cecelia Montoye, RN, MSN Reducing 30 Day Heart Failure Readmissions: SJMH Ann Arbor See you in 7 Measures Process Measure #4: Identify and
Let s get the Conversation Started. Helen Meehan - Lead Nurse Palliative and End of Life Care
Let s get the Conversation Started Helen Meehan - Lead Nurse Palliative and End of Life Care Background Royal United Hospitals (RUH) catchment population of 500,000 with 565 acute beds Serves 4 CCGs End
Dr Barry D Vallance. Where does palliative care for patients with heart failure fit into the Scottish agenda for heart disease
Where does palliative care for patients with heart failure fit into the Scottish agenda for heart disease Advanced Heart Failure Symposium RCPSG 22 nd November 2012 Dr Barry D Vallance Lead Clinician for
Commissioning Urology Services in New NHS
Commissioning Urology Services in New NHS Oct 2013 Commissioning Urology Services NHS England s Role Role of the new Clinical Reference Groups Current Issues / Work Programme for Urology Clinical Reference
Hu J, Gonsahn MD, Nerenz DR. Socioeconomic status and readmissions: evidence from an urban teaching hospital. Health Aff (Millwood). 2014;33(5).
Appendix Definitions of Index Admission and Readmission Definitions of index admission and readmission follow CMS hospital-wide all-cause unplanned readmission (HWR) measure as far as data are available.
Research in Palliative and End of Life Care - Scope for Patient and Public Involvement?
WHO Collaborating Centre for Palliative Care & Older People Research in Palliative and End of Life Care - Scope for Patient and Public Involvement? Dr Catherine Evans NIHR Clinical Lecturer Palliative
Palliative care in long-term conditions Scottish Palliative Care Pharmacists Association
Palliative care in long-term conditions 2011 2012 Scottish Palliative Care Pharmacists Association Aims & Objectives To explore symptoms, general management principles and appropriate palliative treatment
THE SCOTTISH ENHANCED SERVICES PROGRAMME FOR PRIMARY AND COMMUNITY CARE ( ) Falls Prevention and Bone Health Service Specification
THE SCOTTISH ENHANCED SERVICES PROGRAMME FOR PRIMARY AND COMMUNITY CARE (2007-2009) Falls Prevention and Bone Health Service Specification Rationale The Delivery Framework for Adult Rehabilitation and
SCAN Skin Group Friday 1 st November 2013
SCAN Skin Group Friday 1 st November 2013 Dermatology Seminar Room, Lauriston Buildings with videolinks to Oncology Seminar Room, Western General Hospital and Borders General Hospital. MINUTES Present
Primary Palliative care research
Primary palliative care research: Developing and sustaining a research agenda Rod MacLeod Scott Murray Amy Abernethy Geoff Mitchell International Primary Palliative Care Research Group http://www.som.uq.edu.au/research/phcred/international.htm
Diagnoses, symptoms and outcomes in aged care residents referred to a community palliative care service
Diagnoses, symptoms and outcomes in aged care residents referred to a community palliative care service Dr. Catherine Brimblecombe Aged Care Registrar, Western Health Advanced Trainee in Geriatric & Palliative
Academic Half day December 8 th 2014 Presented by the UBC Division of Palliative Care
Academic Half day December 8 th 2014 Presented by the UBC Division of Palliative Care The Hsu-Hsieh Foundation Kathryn Inman All the speakers Vancouver General Hospital for space UBC Technical Support
MSCC CARE PATHWAYS & CASE STUDIES. By Michael Balloch Spine CNS
MSCC CARE PATHWAYS & CASE STUDIES By Michael Balloch Spine CNS Aims To be familiar with the routes of MSCC prentaion How the guidelines work in practice Routes of presentation Generic intervention Managing
Cancer of Unknown Primary (CUP) Protocol
1 Department of Oncology. Cancer of Unknown Primary (CUP) Protocol Version: Document type: Document sponsor Designation Document author [ s] Designation[s] Approving committee / Group Ratified by: Date
All India Institute of Medical Sciences, New Delhi, INDIA. Department of Pediatric Surgery, Medical Oncology, and Radiology
All India Institute of Medical Sciences, New Delhi, INDIA Department of Pediatric Surgery, Medical Oncology, and Radiology Clear cell sarcoma of the kidney- rare renal neoplasm second most common renal
Integration; Frailty; and efi
Integration; Frailty; and efi John Young Geriatrician, Bradford Hospitals Trust, UK National Clinical Director for Integration & the Frail Elderly, NHS England (john.young@bthft.nhs.uk) NHS England Older
Metastatic esophageal cancer icd 10 code
Metastatic esophageal cancer icd 10 code Gogamz Menu Taxanes are conventional treatment for metastatic breast cancer (MBC); however, the solvents (e.g., ethanol and polyoxyethylated castor oil) employed
Carcinoembryonic Antigen
Other Names/Abbreviations CEA 190.26 - Carcinoembryonic Antigen Carcinoembryonic antigen (CEA) is a protein polysaccharide found in some carcinomas. It is effective as a biochemical marker for monitoring
The Changing Face of Major Trauma in the UK
The Changing Face of Major Trauma in the UK Emergency Medicine Journal 2015 Trauma Audit Research Network (TARN) database Review 1990 to end 2013 n=116,467 Data interrogation: Age Gender Mechanism of injury
Information Services Division NHS National Services Scotland
Cancer in Scotland April 2013 First published in June 2004, revised with each National Statistics publication Next due for revision October 2013 Information Services Division NHS National Services Scotland
Audit Report. Report of the 2014 Clinical Audit Data. North, South East and West of Scotland Cancer Networks
North, South East and West of Scotland Cancer Networks HepatoPancreatoBiliary Cancers National Managed Clinical Network Audit Report Report of the 2014 Clinical Audit Data Professor Stephen Wigmore Consultant
Louisa Fleure. Advanced Prostate Cancer Clinical Nurse Specialist. Guys and St Thomas NHS Trust
Louisa Fleure Advanced Prostate Cancer Clinical Nurse Specialist Guys and St Thomas NHS Trust The classification of advanced prostate cancer The incidence of patients presenting with, or developing advanced
Hospice Volunteer Poems Thank You
Hospice Volunteer Poems Thank You Read Book Online: Hospice Volunteer Poems Thank You Download or read online ebook hospice volunteer poems thank you in any format for any devices. Hospice Volunteer Poems
Hospital at Home. Frailty and Hospital at Home. 17 th March Pam Livingstone and Gwyneth Thom
Hospital at Home Frailty and Hospital at Home 17 th March 2016 Pam Livingstone and Gwyneth Thom National Definition of Hospital at Home December 2013 An episode of specialist care delivered at home as
Co-morbidity: a summary of issues from the NCIN Site-Specific Clinical Reference Groups Dr Mick Peake
Co-morbidity: a summary of issues from the NCIN Site-Specific Clinical Reference Groups Dr Mick Peake Clinical Lead, NCIN National Clinical Lead, NHS Cancer Improvement Questionnaire to Site- Specific
CEA (CARCINOEMBRYONIC ANTIGEN)
(CARCINOEMBRYONIC ANTIGEN) 428 C15.3 Malignant neoplasm of upper third of esophagus C15.4 Malignant neoplasm of middle third of esophagus C15.5 Malignant neoplasm of lower third of esophagus C15.8 Malignant
Trends in Cancer Survival in Scotland
Scottish Cancer Intelligence Unit Trends in Cancer Survival in Scotland - Trends in survival are presented for the half million adult cancer patients diagnosed in Scotland between and. The Results show,
Malignancy ; 191.6; Malignant neoplasm of brain
APPENDIX 15 Comparison of ICD-9 Diagnostic Codes Used to Identify Children with Life-Threatening or Life-Limiting or Comple Chronic Conditions By Five CHI PACC Programs ICD-9 Category ICD-9 Description
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Malignant melanoma: assessment and management of malignant melanoma 1.1 Short title Malignant Melanoma 2 The remit The Department
Heart Failure Vital steps for palliative care. Dr Karen J Hogg Glasgow Royal Infirmary
Heart Failure Vital steps for palliative care Dr Karen J Hogg Glasgow Royal Infirmary Overview Why is heart failure a problem? Why do we need integrated cardiology and palliative care services? Cardiology
SCAN Gynae Group Thursday 23 rd May 2013
DRAFT SCAN Gynae Group Thursday 23 rd May 2013 Edinburgh Breast Unit Seminar Room with videolink to Victoria Hospital, Kirkcaldy MINUTES Present Lorna Bruce Kathy Burton Camille Busby-Earle Christine Dodds
Crosswalk File of ICD9 Diagnosis Codes to Risk Group Assignment 1-Apr-15
1 1500 MALIGNANT NEOPLASM OF CERVICAL ESOPHAGUS 1 1501 MALIGNANT NEOPLASM OF THORACIC ESOPHAGUS 1 1502 MALIGNANT NEOPLASM OF ABDOMINAL ESOPHAGUS 1 1503 MALIGNANT NEOPLASM OF UPPER THIRD OF ESOPHAGUS 1
SCAN Head & Neck Group Friday 8 th June, to 4.00pm Oncology Seminar Room, WGH NOTES. Assistant Clinical Director-Special care Dental Services
SCAN Head & Neck Group Friday 8 th June,2012 2.00 to 4.00pm Oncology Seminar Room, WGH Present Richard Adamson Marlene Brown Andy Evans Karen Gordon Fiona Haston Valerie Findlay Fiona Haston Carolyn Kear
Smoking kills - so why is it missing from death certificates?
Smoking kills - so why is it missing from death certificates? Louise Restrick, integrated consultant respiratory physician, Whittington Health & Islington CCG London Respiratory Network London Senate Helping
Activity Report April 2012 March 2013
North, South East and West of Scotland Cancer Networks HepatoPancreatoBiliary Cancers National Managed Clinical Network Activity Report April 2012 March 2013 Mr Colin McKay Consultant Surgeon NMCN Clinical
Information Services Division NHS National Services Scotland
Cancer in Scotland October 2012 First published in June 2004, revised with each National Statistics publication Next due for revision April 2013 Information Services Division NHS National Services Scotland
Specialist Palliative Care Service Referral Criteria and Guidance
Specialist Palliative Care Service Referral Criteria and Guidance Specialist Palliative Care Service Referrals These guidelines cover referrals for patients with progressive terminal illness, whether
SE SCOTLAND CANCER NETWORK PROSPECTIVE CANCER AUDIT LUNG CANCER REPORT ON PATIENTS DIAGNOSED 1 JANUARY 31 DECEMBER 2009
SE SCOTLAND CANCER NETWORK PROSPECTIVE CANCER AUDIT LUNG CANCER REPORT ON PATIENTS DIAGNOSED 1 JANUARY 31 DECEMBER 2009 Dr Ron Fergusson SCAN Lead Lung Cancer Clinician Dr Colin Selby Dr Jakki Faccenda
Oncology 101. Cancer Basics
Oncology 101 Cancer Basics What Will You Learn? What is Cancer and How Does It Develop? Cancer Diagnosis and Staging Cancer Treatment What is Cancer? Cancer is a group of more than 100 different diseases
Activity Report April 2013 March 2014
North, South East and West of Scotland Cancer Networks HepatoPancreatoBiliary Cancers National Managed Clinical Network Activity Report April 2013 March 2014 Mr Colin McKay Consultant Surgeon NMCN Clinical
National Survey of Patient Activity Data for Specialist Palliative Care Services
National Survey of Patient Activity Data for Specialist Palliative Care Services Minimum Data Set (MDS) Summary Report for the year 2014-15 About the National Council for Palliative Care The National Council
Midwest Metastatic Breast Cancer Conference. Renata Beaman, PT, MS, MA, OCS, CLT Exercise & Cancer
Midwest Metastatic Breast Cancer Conference Renata Beaman, PT, MS, MA, OCS, CLT Exercise & Cancer Presented By: Title Sponsor: Renata Beaman, PT, MS, MA, OCS, CLT OrthoRehab Specialists, Inc. Edina, MN
NICE guideline Published: 21 September 2016 nice.org.uk/guidance/ng56
Multimorbidity: clinical assessment and management NICE guideline Published: 21 September 2016 nice.org.uk/guidance/ng56 NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).
End of Life Care in Dementia. Dr Rosie Lockwood Consultant Geriatrician Sheffield Teaching Hospitals
End of Life Care in Dementia Dr Rosie Lockwood Consultant Geriatrician Sheffield Teaching Hospitals Rosie.Lockwood@sth.nhs.uk Agenda Some facts and figures What are the challenges? What is good care? How
Unknown Primary Service for patients at Chesterfield Royal Hospital
Unknown Primary Service for patients at Chesterfield Royal Hospital David Brooks Macmillan Consultant in Palliative Medicine Louise Merriman GP Cancer Lead With thanks to Macmillan Cancer Support, who
History of breast cancer icd 10
History of breast cancer icd 10 Section I.C.21.8 explains that when using a history code, such as Z85, we also must use Z08 Encounter for follow-up examination after completed treatment for a malignant
Surgical Management of Metastatic Colon Cancer: analysis of the Surveillance, Epidemiology and End Results (SEER) database
Surgical Management of Metastatic Colon Cancer: analysis of the Surveillance, Epidemiology and End Results (SEER) database Hadi Khan, MD 1, Adam J. Olszewski, MD 2 and Ponnandai S. Somasundar, MD 1 1 Department
Cabozantinib for medullary thyroid cancer. February 2012
Cabozantinib for medullary thyroid cancer February 2012 This technology summary is based on information available at the time of research and a limited literature search. It is not intended to be a definitive
Welcome to the Routine frailty identification in the GP contract webinar presented by Dawn Moody
Welcome to the Routine frailty identification in the GP contract webinar presented by Dawn Moody The presentation will begin at 12.00pm. Attendees will be muted during the presentation to avoid interference.
National level ICD 9-3 digit Nuts II european shortlist Croatia 1999/2000 From WHO ICD-10, 4 digit. 1999/2000 From WHO ICD-10, 4 digit
Gleb Denissov Reference Period Transmission to Eurostat Data Albania 1999/2000 From WHO ICD-9, 3 digit Bulgaria 1999/2000 National level from WHO Nuts II level by e-mail National level ICD 9-3 digit Nuts
Deprescribing: A Practical Guide
Deprescribing: A Practical Guide The information in this booklet should be used as a pragmatic decision aid, in conjunction with other relevant patient specific data. Useful resource links http://www.derbyshiremedicinesmanagement.nhs.uk/assets/clinical_guidelines/clinical_guidelines_fr