Asthma

Asthma is a common lung condition that can affect all ages, there is currently no cure. Asthma is included in QOF and it is important practices are recording activity for this purpose and for patient care. 

 

Ardens has created a variety of resources to assist with identifying patients who may have asthma, and to support their ongoing management once diagnosed. 

 

Recording Information on the Management of Patients with Asthma

The Ardens Asthma template has been designed to standardise consultations, ensuring clinicians are following the same national guidelines and recording accurate coding of data.

 

To locate the Ardens Asthma Template, access the relevant patient record. Open a new consultation and select the Run Template option (if not in consultations, click on the Add button on the EMIS ribbon, followed by Data Using Template option).

 

This will open the Template Picker screen. If you have accessed any templates before, these will display to the left of the screen. Search for the template by typing “asthma” in the search box.

 

 

This will return the Asthma (Ardens) template (alternatively select the Ardens > Chronic disease templates folder to the right of the screen).

 

All the Ardens Chronic Disease Templates following the latest NICE guidance and best practice information. They include a QOF page for capturing QOF requirements and Review pages to complete a structured review.

 

Any information displayed in red relates to payment purposes such as QOF, PCN DES or local payment. Please note - if the information is relevant for the current financial year you do not need to duplicate this information. 

 

 


For clinicians requiring completing a full review, the Review pages should be used.  These pages include contract requirements and best practice information.  The hyperlinks will direct you to useful external websites:

  

 

The Review and Recall page enables users to code that you have completed an Asthma annual or interim review. For patients requiring an interim review (e.g. after starting the patient on new medication), completing the ‘asthma follow up diary entry’ field and entering a future date, will trigger the Ardens Diary Recall System. For more information please see the following support article.  



 

The Initial Diagnosis page can be used for patients without a confirmed diagnosis of Asthma.  This page enables you to record relevant history, spirometry and FeNO results.


There is an Asthma Exacerbations page for use when a patient presents with an exacerbation.  It helps determine the severity of the exacerbation, provides advice on when the patient may need hospital admission and includes a section for recording post-admission review data:

 

 

The Management page contains many helpful links, including links to NICE guidance, Green-inhaler.org, fitness to fly and a printable steroid card.  There are links to leaflets and information for your patients within the Patient Resources page.

 

Please note – for patients presenting with multiple long-term conditions, you may wish to use the Multi-Morbidity Templates.

 

Ardens Asthma Data Quality Alerts

The Ardens resources includes Data Quality Alerts to alert practice staff in real time of incorrect coding or missing QOF requirements. These will ensure that you are entering accurate data to include your Asthma patients on the QOF Asthma register, whilst also alerting you of missing requirements.

 

Asthma but not on asthma register alert

If a patient coded with asthma is not on the asthma QOF register, you may see either of the alerts below:

 

 



 

Asthma Coding alert

When adding a new diagnosis of asthma, an alert will display reminding you of the testing required for QOF:

 


 

Asthma resolved but on inhalers alert

The following alert will display when adding an ‘asthma resolved’ code to a patients record who has been issued asthma medication in the last 3 months:

 


 

Asthma review incomplete alert

When adding an asthma review code, if there are elements of the review missing for QOF the following alert will display:

  


Wrong asthma code alert

If entereing a non QOF compliant asthma code to the patients record the following alert will display:

  

 

 

Ardens Clinical Safety alerts

The Ardens resources includes Clinical Safety Alerts  to flag important MHRA drug safety and NICE guidance information that may be missed. The alerts are triggered on certain activity in the patient record e.g. entering a particular code or prescribing specific drugs.

 

Beta blocker asthma alert

If you issue a betablocker to a patient on the Asthma QOF register, this alert will remind you of the BTS/SIGN guidance:

  

 

NPSA steroid card alert

We have an NPSA steroid card pop up alert to notify you if an at-risk patient has not had a card issued within the last 3 years and enables you to issue the card. This is triggered when issuing steroid medication (oral, rectal, inhaled but NOT topical).

 

 

You will then be presented with a multiple-choice question:

 

 


Selecting the Print NHS steroid emergency card option will launch the Ardens Corticosteroid Monitoring document:

 

 

Select Print > Save and Close to save to the patients records.

 

Ardens Asthma Searches

There are various searches that might be useful when monitoring asthma – these include:

  • Ardens LTC Recall System - a month of birth recall system, designed to recall a patient for multiple QOF conditions at once. These searches will ensure your Asthma patients are attending their annual review. 
  • Diary Recall System - allows practice staff to easily manage diary recalls for blood tests, injections, procedures, and follow-ups, including Asthma interim reviews.
  • QOF Related Searches - includes searches to identify patients that have not had the full elements of their review.
  • Asthma and COPD Safety Searches -  includes searches to identify asthmatic or COPD patients who may need extra care and attention.
  • Chronic Disease Risk Stratification Searches – searches to enable practices to prioritise reviews for high-risk Asthma patients. 
  • Ardens Case Finders -  contains a suite of searches to support practices to improve data quality and ensure QOF payments are correctly calculated for your Asthma patients.  

 
Asthma Document Templates

There are documents that may be useful in the care of Asthmatic patients, particularly the SMART asthma action plan.


To access documents, click on Add > Document > Create Letter in the patient record. Select the magnify glass and search for the document using the search box provided or folder navigation pane (Ardens docs > Misc folder).


 



If you require any further assistance on the process above, please contact Ardens support on: 
support-emis@ardens.org.uk