Forms & Reports
Content coming soon
Content coming soon
The Integrated Team Care programme (ITC - previously CCSS), supports activities to improve the prevention, detection, and management of chronic disease in Aboriginal and Torres Strait Islander people.
Better management of these chronic conditions is a key factor in meeting the Government’s target of closing the gap in life expectancy between Indigenous and non-Indigenous Australians within a generation. Primary health care for Aboriginal and Torres Strait Islander people needs to be supported by an organised approach to integration at the primary care level and with other parts of the health system.
This page includes an example of a standard ITC workflow that is supported by a number of features in MMEx. Please use it as an example of how MMEx may be used to support this specialised service.
Adding a new patient is required when you receive a new referral or self-referral and the patient/client is new to the organisation.
Further information on Adding New Patients
Referrals can be recorded in the patient record. The Referrer must be recorded in the MMEx Address Book initially to display in the Referrals page. All referrals are able to be reported on for any ITC Referrals reports required.
Ensure the appropriate fields are filled in, including specifying whether a referral was made by:
The important fields to complete are:
Then scan, attach and upload the referral file and Save. The New Patient and Referral details are now recorded.
Further information about using the Address Book
Any referrals recorded will be able to be reported from the MMEx ITC Reports, once a client has commenced the process and you have completed the ITC Forms within MMEx.
Uploading documents to a patient record is important to keep track of all external and internal communication.
Any form or message will be in the patient documents.
In addition to this you can also scan files and attach them to patient documents, such as the original referral letter from the GP and a copy of the patient GP Management Plan. This can be done by selection Documents from the clients Clinical Navigator or from the Patient Widget
For futher information Uploading documents
Calendars in MMEx can be used to create and track appointments and can form an important part of the workflows in your organisation.
* From the Calendar, find the available appointment time for the relevant clinician.
Patients: select the patient for the appointment using
For further information on SMS Reminders see SMS Appointment Reminders
The most important part is keeping track of the appointment. This can be done by right-clicking on the appointment and changing the status of the appointment. You will need to record if an appointment was attended, did not attend or cancelled. This can be done by selecting:
Note: Use the Comments box on the appointment to record extra information. Such as in the event of a Did Not Attend you could record “Client forgot about the appointment”.
Progress Notes are an easy way to add information to the patient record. Progress notes can be added from the Clinical Summary of the patient and are used to record events that happened during the time with the client.
Both Progress Notes and Attended Calendar Appointments count as an occasion of service within MMEx. This is important for OCHREStreams nKPI and OSR reporting.
Further information on Progress Notes
MMEx provides a comprehensive care planning system that allows a series of activities to be linked, including pathology, imaging, referrals (specialist and allied health), care instructions (e.g. observations, dietary status etc.), planned procedures, medications, immunisations, review and follow up schedule into a single coherent view of a patient's treatment plan to maximise wellness and preventative health provision.
MMEx care plan templates dictate a prescribed list of scheduled activities to be performed as part of the management / treatment of a particular condition and can also be used to track activities such as obtaining consent, pre and post-treatment measures etc.
A suite of Global Care plans is available for organisations to user or unsubscribe from as they wish. Organisations can also create their own custom careplans.
A patient may be assigned multiple care plans incorporating multiple providers and activities in a consolidated view to achieve a collaborative approach to client care
Where care plans contain the same activities but with differing recurring intervals, MMEx will automatically combine care plans into a unified view.
Further information on Care Plans
The ITC forms in MMEx are integral to recording and capturing information related to ITC activity for your organisation.
The following forms are available:
Each form can be used for one patient at a time and is saved in the patient record when completed.
See here for ITC Forms
MMEx provides a secure and encrypted mail service. Messages can be sent to other users of MMEx and is a secure way to communicate to other users client information.
Click on New Message, in the Messaging menu.
To create a message, simply enter a title or subject into the Subject field - this is the title that will be given to the message when it is saved in the patient record. Then start typing a message directly into the editing area immediately below the formatting toolbar. Format the message using formatting commands familiar to any user of Microsoft Word.
If you wish to use a template for your message, select the patient & refer to options (if/as required), select the template you wish to insert and click the Insert button.
If your chosen template requires a patient context or an Addressee, select your patient and choose your addressee from the Address book in the relevant fields.
The final step in the ITC workflow is to discharge the patient.
Search for and select the desired patient, and go to the General Tab of Patient Details.
You will be required to enter a reason from the drop down list, as to why you are making the Patient Record Inactive. This list is configurable in the Organisation Centre
Click Save when finished.
If a patient is referred to the program again, you simply search inactive patients and click on Make Active.