If the patient is presenting with possible symptoms of ACOS you can access the template from the Auto consultations drop down > hover over Arden's CONDITIONS RESPIRATORY > select the Asthma COPD Overlap Syndrome option.
This can also be accessed by clicking on the Asthma COPD Overlap Syndrome (lungs) icon under the patient status alert if they are already diagnosed.
The ACOS template is split between 9 tabs; Home, Diagnosis, Review - Plan, Exacerbation, Follow-Up, Online, Notes, Resources
Home Tab
The home Tab will give you access to the different pages of the template (diagnosis, review etc), as well as a summary of relevant medical history for the patient. Please see our Home Tab Support Article for more information.
Diagnosis Tab
The ACOS Diagnosis tab gives you shortcuts both the COPD and Asthma to look at the criteria. Once this has been considered, the Clinician can add the diagnosis code.
Review Assessment and Review Plan Tabs
N.B. Red Stars indicate these areas are required for QOF, Blue Stars are for Network Contract DES and Yellow Stars for local payment.
These tabs are split into 3 sections; Review, Impression and Management
Review: This section contains both drop down boxes and numerical codes for the clinician to collect data during the patients review. The right hand side of the template allows the clinician to access relevant template shortcuts if necessary.
Impression - This allows the clinician to complete the COPD Stages and groups.
Management - This section gives the clinician the opportunity to complete a medication review along with shortcuts to both the Asthma and COPD Formularies These templates allows you to prescribe medication using both NICE or British Thoracic Society guidelines.
Both sections list reliever & maintenance inhalers and provide pictures of the inhaler, just click the required button to prescribe the required inhaler.
The window at the bottom will list current and past relevant medications. Right click on any drug to issue, re-prescribe or make a repeat. For more details on how to use a Formularies, please refer to our Formularies Support Article.
Inhaler Technique Template - The Inhaler Technique Review template allows you to record a full review and contains links to videos showing inhaler & spacer device technique which can be used during a face to face appointment or sent to a patient remotely by copying a link and forwarding by text/email.
Care Plans - To learn more about creating a care plan, please see our Create an Ardens Care Plan Support Article for more details.
Exacerbation and Follow up Tabs
The Exacerbation tab allows you to record an assessment with useful dropdown boxes and numerical fields. Links to useful tools such as NEWS2, Emergency Observations and Vitals and Lifestyle. An Impression section to record the Exacerbation severity and a Management section to record next steps, with links to useful templates and resources on the righthand side.
The Notes tab on the template has a free text box at the bottom for Agreed self-management plan. Anything you write in here will pull through in to the Ardens care plan if using.
Located in the bottom right corner of the template are other useful links such as:
The Follow-up (calendar icon) - allows you to add a SystmOne recall, view pending appointments, book an appointment using the appointment ledger.
Create a task button (clipboard & pencil icon) - allowing you to quickly send a patient task.
Red Star button - This will open the QOF Asthma template for the current year with tabs to see previous if required. Exception codes are available at the bottom of the template and a view of the patients current QOF Alerts.
Resources Tab
To learn more about using the Resources tab, please see our Using the Resources Tab Support article for more details.
Respiratory Reports
Ardens Respiratory reports can be found Clinical Reporting in the Arden's Ltd folder under Conditions | Respiratory.
These reports are separated under the sub headings explained below:
Activity Last Month - These show patients that have had a review, a Respiratory diagnosis, or an exacerbation in the last month.
Alerts - These are looking at best practice reviews that might be useful to do such as patients that are on certain respiratory medications, or exacerbation follow ups required.
Care Finders - These can be used to improve the prevalence of your respiratory registers. Please see our Case Finder Support Article for more information.
Performance Indicators - These reports are useful to see how many patients require Respiratory reviews for different areas such as NO ACT recorded within the last 13 months, or no Care Plan in the last 13 months.
Registers - This folder gives you are list of respiratory registers along with broken down lists of patients with certain ACT values, meds issued or not issued etc.