FOCUS 2.0 Expose'- Main Patient Display (MPD)

Main Patient Display (MPD)M

As you can see, the navigation within the application has been streamlined to make it more intuitive and the different functions within the application separated. The philosophy behind the new navigation is that there are now 3 different sections determined by function:

• Functions applicable to the active screen on buttons along the bottom of the screen
• Patient-‘centric’ functions i.e. things that you might want to do with the selected patient, are on a navigation bar along the left hand side of the screen
• Modules and menus are listed on menu items or buttons along the top of the screen

We have tried to keep the ‘look and feel’ of FOCUS whilst also not allowing it to constrain new functionality that we want to introduce. We think that the look and feel is important because this rewrite is primarily for existing users of FOCUS, if we changed it too much, there would be too big a learning curve to change to a new system. When an upgrade to the new system is taken by a store, the initial reaction and adoption of the new system should be that it should still look and feel familiar but changes and improvement should also be apparent. The main sections of the MPD have remained the same, but the patient recall information has been consolidated to include cancellation (this used to be in a different place on the screen).

NHS Claims

We have added an NHS Claim form section to the bottom right hand side of the screen to enable quick production of GOS forms from within the MPD. The GOS Form functionality has been ported directly from Acuitas and allows complete overprinting of the GOS forms with all details entered for the patient before printing. The 2 buttons alongside each GOS form allow you to add the GOS details to patient, or to edit details where information has previously been entered.

If you have a duplex printer, it will print on both sides of the GOS forms requiring only the patient and/or practitioner signatures. When new versions of GOS forms are released, they are updated within the application and by right-clicking on the GOS form section of the screen you can select the version of the GOS form that your practice is using (shown below).

 Validation of the information entered onto the GOS forms is done to ensure that the form is completed in a consistent and valid way. If the local PCT accepts electronic submission of GOS forms, this validation will further ensure speedy processing and payment of GOS claims. This should have a positive impact on the processes used within stores when it comes to producing GOS forms as patients arrive in store. It may be current practice to pre-print any NHS patients’ forms before they arrive for an appointment, but if the whole form can be printed on demand, it may be more efficient to complete the form ‘on system’ with the patient present and simply print it out for the patient to sign. The screens used to collect the information to go on the GOS forms are taken from the forms themselves so there should be very little training required in order to use this functionality; it will be familiar from the forms themselves. An example is shown in the screenshot below of the first section of a GOS 1 form:

Other features

A new search feature is included in the patient search panel at the top of the MPD; the Previous Patient button  will drop-down to show the previous 5 patients viewed on the MPD to allow quick selection of recent patients. A ‘disallow/allow’ selector

 has been added to the Mobile phone number on the screen making it easy to select whether a mobile number may be used to send SMS text messages to a patient or not. A slightly controversial, but necessary, change has been made to patient recall details. We have removed the facility to overtype the Last visit date against an individual recall type. This has been done because the alteration of this date by store staff causes many support calls and difficulties in back-tracking what has happened to a patient’s recalls. The Last Date field will be completed by marking a patient as Arrived for a recall-enabled appointment type or by completion of an Rx or Contact lens Rx record, the date being taken from those sections of the application when they are completed. A manual reset of recall can be achieved by selecting a new recall scheme or by typing (or double-clicking) the Due Date for the patient. This should allow the flexibility within the current recall facility to be retained without introducing many unnecessary support calls.

You should notice that there are new ‘patient buttons’ in the left hand navigation bar. Clinical Records and Imaging are both now fully integrated into the application meaning that you don’t have to move between applications, the images and clinical record (both optional) will relate to the patient selected on the MPD. Dispensing (Specs and CL) and Patient sales are combined into a single button and will be explained later in this document. Miscellaneous (or walk-in) sales are done using the Till button in the Modules navigation bar at the top of the screen. This has been done in order to separate the logical functions within the application and should aid in training new staff to use the application.

The EyeToons animations have also been integrated into the application so that they don’t have to be downloaded as a separate exercise, and so that they can be viewed entirely within the application. The button to access these is also on the Modules navigation bar at the top of the screen

The ‘Delete Patient’ function has been put on the bottom function bar where it was previously located in a menu item in FOCUS 1.0. The system will now mark a patient in the data as deleted as opposed to actually deleting the record from the database. They will then be removed from any searches except in the ‘Advanced search’ where there is an option to include deleted patients.

Some of the patient navigation buttons on the left hand side of the screen will indicate that there is information relating to the patient by displaying a small ‘i’, or ‘information’ symbol as part of the main action icon. This is an example of it shown for the patient notes icon  This indicates that there are notes against the patient, and by hovering the mouse over the button, the notes recorded against the patient will be shown in a ‘pop-up’ hint box. Information indicators are also used for Imaging (number of images recorded for the patient), Disp/Sales (dispensing status and outstanding balance), DD/SO (indicates a live DD/SO and current balance), Jobs (active jobs) and Notes as already detailed.