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General Practice BILLING GUIDE - British Columbia Medical ...

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APPENDIX ii OTHER TOOLS TO SUPPORT FAMILY PRACTICE IN BC<br />

The BC Ministry of Health launched the Toolkit in 2004 in response to BC physician<br />

requests for an IT solution for efficient organization and retrieval of their chronic care<br />

patient information. This web-based patient registry system is free to BC physicians<br />

and provides a number of functions to support optimal chronic care management. It is<br />

especially useful to practices not equipped with an EMR. Currently there are more than<br />

1000 Toolkit users in BC. The provinces of Saskatchewan and Manitoba and the Yukon<br />

Territory have also adopted the Toolkit in their own jurisdictions.<br />

Use of the Toolkit allows general practitioners and their MOAs to:<br />

• electronically complete patient flow sheets based on the BC Clinical Guidelines<br />

(developed through the MSP/BCMA Guidelines and Protocols Advisory<br />

Committee)<br />

• securely share the flow sheets with members of their practice and other health<br />

care providers for better continuity of patient care<br />

• automatically generate clinical and administrative reports based on the patient<br />

flow sheet data:<br />

o personalized patient flow sheets that compile a patient’s chronic care<br />

information into a single record that can be printed out and maintained in<br />

the patient’s chart<br />

o practice profiles that provide numeric and graphic age/sex summaries of<br />

the practice’s population of patients with particular chronic diseases<br />

recall reports that list the practice’s patients who are due for their next<br />

office visit, along with the tests or procedures that are due, according<br />

to the clinical guideline recommendations<br />

o run charts that graph changes in the practice’s clinical processes and<br />

patient health outcomes over a period of time, and allow the physician to<br />

compare his/her practice to larger groups (e.g., to all Toolkit users in BC)<br />

o patient education reports that give patients valuable information on their<br />

particular chronic disease, along with graphs of their progress over time<br />

on a number of relevant clinical measures (e.g., A1C levels, blood<br />

pressure)<br />

o data extremes reports that enable the physician to easily identify patients<br />

who fall below the practice average on a number of disease relevant<br />

clinical process and health outcome measures<br />

o key measures reports indicating patients at risk (not at target) for key<br />

combinations of clinical indicators for particular conditions<br />

GENERAL PRACTICE <strong>BILLING</strong> <strong>GUIDE</strong><br />

E/19

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