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


Recording Information on the Management of Stroke Patients

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

 

To locate the Ardens Stroke and TIA 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 “stroke” in the search box.

 

 

 

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


All the Ardens Chronic Disease Templates follow 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. 

 

 

The Diagnosis pages provide recommendations relating to the history, examination and investigations recommended around diagnosis, as well as data entry fields for you to record this information.



 

There are pages to enable you to record information relating to Lifestyle and Alcohol Screening.


The Management – TIA, Management – Stroke pages provide NICE guidance on initial management for your patients with a suspected TIA or Stroke.

 

 

For clinicians completing a full clinical review, the Follow up/Complications page is available.  This page provides NICE CKS follow up advice, sections for recording details around anti-platelet therapy or anticoagulation, areas to record information given on reducing other risk factors, complications and details relating to social and employment circumstances and support networks.

 

 

There is a Referral page enabling the user to code onward referrals, including referral to Social Prescribing and a Review & Recall page to code that the annual review has been completed.


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


Equipment Loan Template

Ardens has provided a template to easily manage the loan and return of the equipment within the practice, you may loan a BP machine to your Stroke/TIA patients for them to monitor their BP at home.  

 

For more information, please see our dedicated support article.

 

Ardens Home BP alert

If you  have requested your stroke patient monitors their BP at home - the Ardens resources includes an alert in the pink box to alert if the patients latest home BP is out of target:

 

 

Hovering over the alert will display the date and value.

 

Ardens Stroke Searches

 There are various searches that might be useful to support practices with the care of Stroke/TIA  patients.  The 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 Stroke/TIA patients are attending their annual review.

 

 

2.4 CHD/HYP/STIA with BP taken this QOF Year

This folder contains searches displaying patients on the Stroke/TIA register, who have not had an annual review this financial year, however they have a recorded BP.  Practices may wish to review these patients so check whether they still need to come in for a full review.

 

 

2.5. Patients with latest BP in QOF yr> threshold

This folder identifies patients who have a condition for which their BP needs to be within a certain range for QOF, however their latest BP this financial year is out with this range.

 

 

For more information on the Chronic Disease (QOF) Recall System, 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 Stroke/TIA patients are called back for any BP checks that is set for them, or any blood tests required:

 

 

For more information, please see our dedicated support article.

 

1.4 Ardens Clinical Safety Searches

Ardens has created medication related searches to support practices with identifying patients on medication that may need extra care or monitoring.  Some of these may be appropriate for your Stroke/TIA patients:

 


The Anticoagulants folder identifies DOAC patients and of those, patients that require bloods and/or weights prior to reviews.  The Warfarin folder monitors patients on the warfarin register and includes details around their targets, indication and duration.

 

For more information, please see our dedicated support article.

 

5.0 Ardens Case Finders

Ardens have provided a suite of searches to support practices to improve data quality and ensure QOF payments are correctly calculated for your TIA patients.  These can be accessed via the Population Reporting module > Ardens Searches > 5.0 Ardens Case Finders > CVA/TIA folder:

 

 

The searches are reporting on patients that fulfil certain criteria which indicates the patient potentially could be included on the TIA QOF register but are not recorded with the correct diagnostic code. For more information, please see our dedicated Support Article.

 

Home Blood Pressure Diary Document

To support Stroke/TIA patients monitoring their BP at home and record details of the readings, Ardens has provided a Home Blood Pressure Diary document template.


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 Home Blood Pressure 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):

 

 

This can be printed for the patient for them to complete at home.

 

 

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