Manage patients in line with BTS guidelines

PrimaryCare IT has been working hard on a new integrated pathway within EMIS Web for patients with asthma. This means that every time an asthmatic patient is reviewed within EMIS Web, the system works to aid the clinician to make sure that the shutterstock 381182923patient is managed according to NICE guidelines. In this way, we ascertain which step of the BTS guidelines the patient is on, whether the patient is well controlled or not, or if the patient is suitable to step down their medication. Where patients are overusing their reliever medication this is highlighted  and options presented for management.  Pre-populated, step specific self management plans are created automatically for patients.  Useful resources to aid improvement in inhaler technique and to address poor expectations are referenced.

Why focus on Asthma?

In the UK, 5.4 million people are currently receiving treatment for asthma, 1.1 million of whom are children. Asthma is the most common long‑term medical condition, and 1 in 11 children has it. There are around 1000 deaths a year from asthma, about 90% of which are associated with preventable factors. Almost 40% of these deaths are in people under 75. Asthma is responsible for large numbers of accident and emergency department attendances and hospital admissions. Most admissions are emergencies and 70% may have been preventable with appropriate early interventions


shutterstock 178559108What will this mean for my practice?

We will work with you to successfully implement our pathways.  Initial work will need to be undertaken to define which step of the BTS guidelines your patients are on.  Guided advice will then be provided to clinicians when undertaking reviews.  Information on high users of reliever inhalers will be provided on screen at review and step specific information will be presented.  There is automated production of self management plans for your patients, ensuring that every one of your patients has a useful and relevant self management plan.  Prompts are made where appropriate to aid stepping up and stepping down of treatment.  Prescribing is directed towards cost effective inhaler choices.  Resources are embedded to help education about inhaler technique.  New onset asthmatics are screened for occupational causes.  Our work ensures implementation of all NICE quality standards (QS25).

Any questions?

Contact our team to discuss on