COPD is a common condition that mainly affects middle-aged or older adults who smoke. Many people do not realise they have it. Ardens has created many different resources to support practices in identifying, monitoring and managing the care of COPD patients.


COPD Clinical Template

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


To locate the template, access the relevant patient record. Open a new consultation and select the Run Template option (if not in a consultation, 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 leftof the screen. Search for the template using the search box provided (alternatively select the Ardens > Chronic disease templates folder to the right of the screen). 



All of 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 to complete a full review, the Review pages includes contract requirements and best practice information:

 

 

The Review and Recall page enables users to code that they have completed a COPD annual review or Interim review. For patients requiring an interim review (e.g. patient needs inhaler technique checked in 6 months time), completing the ‘COPD Follow up Diary Entry’ field and entering a future date, will trigger the Ardens Diary Recall System. For more information on the Diary Recall System, please see our dedicated support article.

 


The COPD Exacerbation page follows the latest NICE guidance to manage patients presenting with an exacerbation. 


 

 

The template contains many helpful links and information including links to NICE guidance within the Management Guidance page and leaflets for your patients within the Patient Resources page.  


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


Ardens COPD Searches

There are various searches that might be useful to support practices with the care of COPD patients These searches can be accessed via the Population Reporting module > Ardens Searches folder.


1.1 Chronic Disease (QOF) Recall Syst

This is a month of birth recall system, designed to recall a patient for multiple conditions at once.  These searches will ensure your COPD patients are attending their annual review.


For more information please see our dedicated support article


1.2 Ardens Diary Recall Searches

The Ardens Diary Recall System allows practice staff to easily manage diary recalls for ad-hoc tests, including blood tests and interim reviews.  These can be used to ensure your COPD patients are called back for any interim COPD review that is set for them.



For more information please see our dedicated support article


1.3 Ardens Admin Searches > QOF Related Searches > QOF Housekeeping  - annual reviews? Missing coding

Ardens has built QOF housekeeping searches to identify patients who have not had the full COPD review completed for this financial year.  These searches will highlight which clinical codes are missing.


 

1.4 Ardens Clinical Safety searches

The Asthma and COPD safety searches folder includes searches to identify asthmatic or COPD patients who may need extra care and support.

 

 

The first sub folder includes searches showing any asthmatic or COPD patient on any betablockers and those that are on just non cardio-selective betablockers

 

The second sub folder has a search that displays COPD patients who have evidence of exacerbations or issued oral steroids in the last 12 months.

 



The Clinical Safety folder also includes a suite of Medication Related Searches.  The NPSA steroid alerts folder may be useful for COPD patients, to help identify those who have recently had multiple issues of steroid medications.

 


For more information please see our dedicated support article.

 

2.1 Risk Stratification Searches

The Ardens Risk Stratification searches can help practices focus on their higher risk COPD patients, enabling them to pro-actively prioritise those most at risk.  The different risk categories are looking at areas such as high or missing CAT score.



For more information please see our dedicated support article.

 

5.0 Case Finding Searches

The Case Finding searches folder contains a suite of searches to support practices to improve data quality and ensure QOF payments are correctly calculated for your COPD patients.  These will display patients who are not on the QOF COPD register but potentially should be, for example patients have results and medication which indicate that they have COPD, or patients have had a code of COPD monitoring or a COPD review on their record but do not have a diagnosis of COPD.  This will be affecting your prevalence for COPD and therefore affecting your practice’s QOF income, but more importantly these patients may not be getting the care they should as they will not be appearing in the results of any recall searches.



5.1 Ardens Service Reports

The Ardens Service Reports > Conditions - Respiratory folder contains a suite of searches which enables practices to monitor COPD activity for last month, be alerted to potential safety issues and areas of best practice that has not been completed.


 

The searches have been designed to work with our separate cloud based system Ardens Manager. Ardens Manager enables practice staff to upload Respiratory information to an easily readable dashboard, which can be viewed at PCN and CCG level depending on sharing agreements. Please watch this short video on how to upload service information to Ardens Manager.

 

Ardens COPD Clinical Safety Alerts

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

 

NPSA Steroid card alert

NPSA steroid card pop up alert will 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).

 

 

Ardens COPD 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 COPD patients on the QOF COPD register, whilst also alerting you of missing requirements.


COPD Spiro Alert

When a COPD diagnosis code is entered in the patients record, you will be alerted if they require spirometry.


 

COPD Care Plan 

For your COPD patients you may wish to supply them with the COPD Care Plan document.  

To access the Document Templates:

  • Within a consultation, select the Documents > Create letter option.
  • Outside of a consultation, select the Add > Document > Create letter option.

 

This will display the New Patient letter screen. Click on the magnify glass to search for the document template:

 

 

 

This will display the Find Document Templates screen.

 

Search for the COPD Care Plan document template using the search box provided, select the relevant document template and click on OK to launch (alternatively double click on the document to open).

 

 

The document will launch with the pre-populated information.

 

 

 

When completed, select File from the EMIS button on the left of the screen, Print (if needed) and Save and Close to save the document to the patients care record.


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