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The instructions below cover how to complete a Health Check in Skyline. Note, you must have a Clinician or Clinical Support Assistant role in Skyline to complete a Health Check. You can also find Skyline ‘How To Guides’ on the top menu in ? Help of the Skyline browser application.

Completing A Health Check

Note

NOTE: You must log into the Skyline Desktop Connector for the results to be saved within Emis Web

  • Ensure you’re logged into your clinical system - i.e. Emis Web

  • Log into the Skyline Desktop Connector

  • If the Desktop connector is hidden or not logged in

    • Click on the ^ (hidden icons) in the bottom right system tray

    • Right click the Skyline icon

    • Click login and log into Skyline (if login is greyed out you’re already logged in)

    • Click on show cues

  • Click on the Open Browser Application - Skyline will open in a web browser

  • Click on the Health Checks box or Health Checks in the top menu

  • Under cohorts - click on the + next to Health Checks

    • Click on Patients To Be Invited For a Health Check

    • Click on the patient - the line will be highlighted in white

    • Click on the Action dropdown in the top right of the screen

    • Click on Health Check - the assessment template will open

    • Populate the fields

    • Click the radio button to complete the Health Check

    • Tick the box to generate Patient Plan

    • Click on Finish

    • Heart Age Calculator - displays the results and allows you to show the patient how by changing their lifestyle they can lower the risk

    • Documents To Print - Patient Plan is available here. You can click Print against a single document or click Print All

    • Codes - the codes generated by the Health Check results will be listed - click Add CodesLaunch the web interface via the open browser application option in the Desktop Connector

...

Carrying Out A Health Check

Note

NOTE: We do not recommend running a Health Check on a patient using the Health Checks Activity This Year cohort unless you’re absolutely sure the patient is eligible. This cohort gives practices an overview of all patients 40 - 74, eligible and ineligible.

  • Select the Bury Health Checks Solution | Cohorts

  • Select the Patients to be invited Cohort

  • Find the patient to be reviewed either by scrolling though the patients or by entering the Name into the filters box.

  • Select the patient by clicking on them and then select Health Check from the Action menu

  • A Data Entry tab will open containing the Health Check review

Info

NOTE: A Health Check can be part saved at any point by clicking Finish. You may want to do this if you take bloods during the Health Check which are sent to a lab.

Codes will be generated for all data entered into the template; these can then be added into the clinical system. A second Health Check will be needed once the blood results are back to complete the Health Check. Note, these patients will remain listed in the Eligible Patients cohort until the ‘Health Check Completed’ code is added.

  • Did the patient DNA - by ticking NO to the question, the Health Checks template will be displayed

  • The box "Tick to generate patient plan" will be ticked as default

  • Answer the questions - some fields may be populated with the data held in the patients clinical record

    • Mandatory questions will be labelled

    • Values that are out of range will also generate an error message

    • As the questions are answered different options may appear

    • Calculators are indicated by a green square, click on the square to open the calculator if the result has not populated

      • When all the required values have been populated clicking on calculate will perform the calculation

      • The result of the calculation will be displayed

  • The Visualisation tab will appear and display data once the minimum data requirements are met

    • Values can be altered in the tab using the slider to show the effects of lifestyle change on the QRISK score. No data collected in the Health Check will be affected by changing the information in the visualisation tab.

  • The Documents to Print tab will list any documents produced by the Health Check (e.g the patient plan) will be available to be printed on

    • Print the documents

  • Once all mandatory fields have been populated a Health Check Completed box will be displayed - you MUST tick YES

Note

Failing to tick the Health Check completed box will result in the Health Check Done code NOT being generated.

  • Clicking on Finish will prompt to confirm completing the Health Check and adding the codes

    • Click on Yes to accept the statement

    • Check you’re happy with the codes being added into the clinical system

    • Clicking on Add Codes at the bottom of the screen will save the selected codes into the patients clinical record

    • A confirmation message will be displayed

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    • Once you see the message the Health Check is complete

      • Close the Health Check Template tab in your Internet browser by clicking on the X as shown below

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    • NOTE: If you see a warning that codes have not been saved

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      • Check that you are logged in to the Principal Clinical System - as mentioned above

      • Check that the Skyline Desktop Connector is logged in - as mentioned above