The High Risk review is not something only Bury implemented but it is or has been suggested in the national documents. It certainly make sense for monitor High Risk patients.
How The High Risk Review Cohort Works
Within Skyline, Bury practices have a High Risk Review cohort.
If a Health Check was previously completed on a patient in iCAP or Skyline and their QRISK score was 20 >, a high risk register code is automatically added to the patients clinical system notes.
As long as there’s no diagnoses, the patient will be eligible for a High Risk Review.
The patient won't be eligible for a Health Check in 5 years time and therefore won’t be listed in the ‘Patients To Be Invited’ cohort but they will be in the ‘High Risk Review’ cohort where practices can complete the review.
Manually Adding The Health Checks Review Done Code In Emis
NOTE: This will change in Skyline V6.3; the 'High Risk Review Done' code will automatically be added to the codes during the review.
NOTE: You need to add the High Risk Review Done code off the Skyline Desktop Connector
Ensure the patient is loaded in Emis Web
Desktop Connector has the patient loaded
Click on the + next to High Risk Review Due
Click on Actions under the Numerator Codes
Click on Save
Green ‘Data successfully Filed’ message is displayed
Health Checks Completed Outside Of iCAP Or Skyline - QRisk 20>
If a Health Check has been completed on a patient using the Emis template, and the patient has a risk of 20 >, they may not automatically show in the High Risk Review cohort as a high risk register code will be missing.
The high risk register codes are:-
417206009 : Cardiovascular disease monitoring
440358008 : Primary prevention of cardiovascular disease
161640005 : High risk of heart disease