Diabetes Care Status (EPC Summary)

The Diabetes Care Status is designed to make handling and keeping up with a cycle of care for diabetics easier, so that the relevant SIP item number can be charged. It is accessed through Open > Patients, Patients > Diabetes Care Status.

This will display all your diabetic patients (marked as such through their demographics or clinical window) with age, sex, last SIP trigger, next appt, last visit etc.

Initially the Status column will read "No Cycle Recorded". Clicking on the Update All button, will loop through each patient looking for the relevant activities. To update just one patient, click their name and click the EPC Summary button. The EPC Summary can also be accessed through the EPC Summary button in a patients clinical record or right clicking on their name in the Appointments Book and selecting EPC Summary.

If there has been a previous SIP item number charged, then Genie will set the Cycle Start date to one day after that date. Otherwise the Cycle Start will be 1 year prior to the current date. To change the Cycle Start Date, you need to open the EPC Summary window, and change the date at the bottom of the screen.

Note: When you click the EPC Summary button in the clinical window, the information is displayed in the usual display area, not in a separate window, so you can't change the start date here. You would have to do it through the Appointments book (R-click) or through the actual Diabetes Care Status list EPC Summary button.

Depending on the Cycle Start Date, Genie will assign a Status of:

Bad Cycle: where a 6 monthly check hasn't been done within 6 months of the start date. In this case you probably need to enter a different start date, or complete your records as below.

On Track: if the 6 monthly activities were completed, but there are still activities to complete before the 12 months is up.

On Track- LESS THAN A MONTH LEFT TO COMPLETE: as above, but time is running out.

On Track- OVERDUE: if you ignored the previous warning

Activities Complete: if everything has been done but it's not yet 12 months since the last SIP was billed.

Ready to Invoice: if all activities are complete and it's been at least 12 months since the last cycle.

How the EPC Summary works:

The EPC Summary will display the dates of any Health Assessments, GP Management Plans and/or Mental Health Reviews based on when the relevant items were last invoiced.

Eye Examinations: need to be recorded as a Presenting Problem in a consultation record. Genie looks for either "Referral to op@", or "@eye exam@"

Foot Examinations: again recorded as a Presenting Problem, with either "Referral to podiatrist@", "@foot exam@", or "@feet exam@".

(where @ is a wild card character/s)

The Measurements i.e. BP, BMI, Chol, Trigs, HDL, Microalbuminuria are pulled from the Measurements table in the consult window.