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


Recording Information on the Management of Patients with Coronary Heart Disease

The Ardens 'Coronary Heart Disease' 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 CHD 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 “chd” in the search box.


 

This will return the Coronary Heart Disease - CHD (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. 


 

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


 

The Investigations page displays information and data entry fields for initial investigations and annual monitoring investigations.


The Management – Stable angina and Management – After MI pages contain NICE guidance for ongoing monitoring of these patients with sections to record data around medication, secondary prevention, lifestyle and social care needs.


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



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

 

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

 

Equipment Loan Template

If you wish to loan a BP machine to your CHD patients for them to monitor their BP at home. Ardens has provided a template to easily manage the loan and return of the equipment within the practice. 

 

For more information, please see our dedicated support article.

 

Ardens Home BP alert

If you have requested your CHD 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 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.

 

A clinical safety alert will be triggered if your CHD patient has recently been issued Warfarin and you are issuing Miconazole. The following information will be displayed:


 

Ardens CHD Searches 

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

 


Further information on the Ardens Chronic Disease Recall System can be found here.

 

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

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

 

 

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 CHD patients are called back for any interim review 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 searches may be relevant to your CHD patients.

 

To locate the searches, access the Population Reporting module > Ardens Searches > 1.4 Ardens Clinical Safety Searches > Medication Related Searches folder. 

 

 

The Medication Related Searches folder is broken down by several sub folders:


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 CHD patients.  These can be accessed via the Population Reporting module > Ardens Searches > 5.0 Ardens Case Finders > CHD folder:

 

 

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


5.1 Ardens Condition Reports

Ardens have provided a suite of searches to help practices monitor activity, alerts, case finders, performance indicators and register information for various conditions. Within the Conditions > Cardiovascular folder you will find searches relating to your CHD patients:

 

 

The Activity Last Month folder provides information around diagnosis, reviews and screening completed in the last month.


 

The Case Finders folder includes additional searches to increase prevalence and will display patients who do not have a CHD diagnosis code on their records, however they fulfil certain criteria which indicates potentially they could have CHD.


 

The Performance Indicators folder includes searches identifying where certain elements of the CHD review is missing.



The Registers folder includes additional CHD registers which practices may find useful over and above the standard QOF register.



Home Blood Pressure Diary Document

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