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PEARS/MECS ANNUAL UPDATE

This update provides information on the progress made in the PEARS/MECS program, including feedback on cornea clinics, VR project learning objectives, and IOP initiative. It emphasizes the importance of data quality and highlights areas of improvement. Practice visits and service letters are planned to address outlier behaviors. User engagement and integration with other services are encouraged for better patient care.

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PEARS/MECS ANNUAL UPDATE

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  1. PEARS/MECS ANNUAL UPDATE 6/7/16

  2. Overview CET Admin information PEARS/MECS Cataract Safeguarding anyone?

  3. CET Cornea clinics - feedback form VR Project - learning objectives IOP Initiative Leaflets available, Spears available

  4. We Are On A Mission To prove our service To care for Px To drive up standards

  5. Mini-CG Review Using March & May figures Looking carefully at practices that stood out last time Or are doing large numbers Or have become outliers

  6. Mini-CG Review We do not seek to pick on anyone If you are an outlier we have to act We expect some behaviours to change following this exercise

  7. Mini-CG Review Letters sent Practice visits planned

  8. Our Services – over Halfway!

  9. Activity By Practice

  10. Discharged (avg 63%)

  11. Follow Ups (avg 14%)

  12. 24 Hour ARC Referral (avg 6%)

  13. 72 Hour ARC Referral (avg 5%)

  14. IOPRM & Cataract

  15. IOPRM & Cataract

  16. IOPRM & Cataract The ‘ugly sisters’ Minor increases in users If you benefit from PEARS/MECS we expect you to join, support and use the other services as well

  17. PEARS/MECS…Doing Things Better

  18. Use the Guidance

  19. Use the Guidance

  20. Use the Guidance

  21. Use the Guidance

  22. Use the Guidance

  23. Use the Rules

  24. Use the Rules

  25. Use the Rules

  26. Use the Rules

  27. Use the Rules

  28. Use the Rules

  29. Use the Rules

  30. PEARS/MECS Data Quality of Record Keeping • Clear • Contemporaneous • Concise • Relevant • Reason for referral • Completion

  31. Using the software Unprecedented level of accuracy Use specific cases as examples Show the level of data we can accumulate Confused symptoms, notes referrals. Signs & clinical findings in appropriate box Discussion not lecture Follow ups …..another ugly sister? Of 1153 follow ups to date, 89% have not been recorded

  32. PEARS…MECS; CG

  33. Quality of Clinical Notes

  34. 24Hr Referral Reason for Referral (Triage) FnF Eye Examination Notes (Consultation) FnF Comments (Consultation) “ _” Comments (Outcome) “_”

  35. 72 Hour Referral Reason for Referral (Triage) Other Eye Examination Notes (Consultation) flashes in both eyes LR. When px moves eyes Comments (Consultation) “ _” Comments (Outcome) “_”

  36. 24Hr Referral Reason for Referral (Triage) Painful eye Eye Examination Notes (Consultation) Painful red eye Comments (Consultation) “Painful red eye emergency referral” Comments (Outcome) “Painful red eye”

  37. 24Hr Referral Reason for Referral (Triage) Other Eye Examination Notes (Consultation) drop in vision Comments (Consultation) “drop in vision” Comments (Outcome) “_”

  38. 24Hr Referral Reason for Referral (Triage) Other Eye Examination Notes (Consultation) Flashes and Shadow in RE Comments (Consultation) “Flashes and Shadow in RE” Comments (Outcome) “_” @WEI Vitreous haemorrhage

  39. 24Hr Referral Reason for Referral (Triage) Red eye Eye Examination Notes (Consultation) Px has reported a Red swollen eye Comments (Consultation) “RE - Redness / swollen and watery discharge” Comments (Outcome) “_”

  40. Quality of Decisions

  41. Reason for Referral (Triage) Painful eye Eye Examination Notes (Consultation) fb from strimmer yesterday Comments (Consultation) “central corneal abrasion” Comments (Outcome) “corneal abrasion yesterday. px feels the ey is worse today. stains readily. No evidence of foreign body remaining.” Action 24 hr referral

  42. Reason for Referral (Triage) F&F Eye Examination Notes (Consultation) RE Shadow and pain Comments (Consultation) RE Shadow and pain Comments (Outcome) “_” Referral Urgent 72 hour for F&F @WEI Seen next day A&E; grade 3+ AC cells; treated for iritis, referred to ARC

  43. Reason for Referral (Triage) sore eyes Eye Examination Notes (Consultation) Swollen, itchy, watery and sore red eyes Comments (Consultation) Diagnosis Allergy Outcome Urgent 24 hrreferral

  44. Reason for Referral (Triage) red eye Eye Examination Notes (Consultation) Pxreports she has a stye LE 2/7 ago, eyes were stuck together this morning becoming more painful as the day goes on. Px pregnant due soon. Comments (Consultation) Diagnosis Stye Outcome Urgent 24 hr referral

  45. Reason for Referral (Triage) • red eye Eye Examination Notes (Consultation) LE outer corner of lid inflamed and sore itchy patches. Comments (Consultation) Diagnosis other Outcome Urgent 72 hr referral

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