Best Practice Software

Putting the Puzzle Together – The Role of a Product Manager in Software Development

Blog Header Image - Shar

I often get asked what it is that I do for a living. Ordinarily, when I answer that I’m a Product Manager, most people give me a blank look – and I realise that I need to explain the role of a Product Manager – who we are, and what we do.

Product Management is an essential part of the software development process. While we might not be the captains of the ship, we have a hand in the steering of it. If you like puzzles and solving problems, then it’s possible that Product Management is a role you may enjoy.

Most of the time, I find myself trying to figure out how to get the puzzle pieces to fit together to create a viable release. Some days I feel like I am trying to squeeze that last item into the back of the car before a road trip.

Product Manager Car Stack
It can feel a bit like this sometimes.

We are the touch-point between the Commercial, Support and Development teams in our business.  We are listening out for industry news, looking forward to where we can take our product next. We are listening to our customers, looking to see what you need and what we might be able to do to make your working day easier.  Maybe there is a pain point in the software that needs some love. We’re constantly looking to find out if there something new in the marketplace that our users would like to see in our software, or if we can introduce something new to the market.

My favourite part of this job is solving a pain point for our Practice users and making a workflow easier for them to use. We take that pain point and see what is missing, or what we have that can be enhanced to improve outcomes.

Product and Feature Requests

Reviewing enhancement requests that our users send through is another significant part of my role.  On average, I receive 3-5 requests daily for feature enhancements, or for totally new features. Of these requests, some are straightforward, and it is clear as to what the user wants to achieve.  Other times, I know our software does what the user is asking for, so I assist by explaining the process.  Depending on the request, I might organise to speak with a Practice directly to better understand the issue.

Each enhancement request is reviewed by a wider team to see if the work is viable, and to determine how beneficial it would be to our user-base. At this point, the ticket is either accepted, and the feature is added to an upcoming release, or it may be rejected. It might also be bundled with a number of other similar requests to help enhance a feature overall.

From here, I organise meetings with the Development team and break the requested feature down into smaller, more bite-sized tasks.  The Development team look at it and figure out what needs to be done, and how long it will take to do it.

Then I start to arrange the puzzle pieces and work out which features are going to be included in an upcoming release.  A release is generally made up of a number of features – some requested by our users, others driven by government.  They can be time-critical, where we are required to build a feature to a deadline.  They also can be driven by environmental factors – like the current COVID-19 pandemic.

The challenge, then, is to work out the priorities of those items within the release. These are aligned with the following areas of our business:

Product Manager Graphic

I then do some more planning, and then just for something different, I plan some more.

Our development team then take the reins, and they work off the priorities set by the Product Manager.  The work is organised into two-week blocks that we call sprints.  We have a daily stand up meeting to touch base, update the team and look at any immediate priorities that have come up in the interim. There can be any number of sprints in a release.  Historically, we have had larger releases, but we are currently aiming to re-focus on shorter releases.

The Testing Cycle

Once we reach the end of the development period, we send a build out to a group of practices who install it in their Practice and put it through its paces in a live environment. They will let us know if any issues arise from the build.  We call this the Beta cycle.

This cycle can be short or quite extensive, depending on how many issues are identified in the beta build of the release. As we fix each bug in a build, we push a new beta build out to Practices until we’re confident that the release is functioning without issue.

The last stage before public release is to produce what is known as a Release Candidate (or RC for short). The RC process is generally quicker, as by this stage we hope to have all major kinks ironed out. This build is then a candidate for release.

While this is all happening, we are working with other teams within the business to make sure that our internal team is trained in any new features, our marketing for the release is on track, our sales and support teams are ready and our training is organised and documentation prepared.  The role of a Product Manager involves a lot of puzzle pieces.

I keep the team updated on the progress of our Beta/RC builds so that everyone is aware of when a release is scheduled.  Even with the best laid plans, I still need to juggle what makes it into the finished products. I need to balance time and resources to determine what can reasonably be included.  Sometimes, a feature might be more complex to implement than initially thought; other times we’ll have priorities change at very short notice – meaning we may have to bump a feature into our next build.

While this is all happening, I’m constantly looking forward to the next 3-6 months to see what is coming up and what needs to be planned for future releases.

So, what’s the takeaways from all of this?

To fill the role of a Product Manager, you need to be able to balance many different requirements, and be acutely aware of your users to ensure you’re providing them with a product that they are happy to use.  The role of a Product Manager is a challenge, but if you’re cut out for it, a challenge well worth the effort.

Authored by:

Shar Trewben
Product Manager at Best Practice Software

Share this article:

Best Practice Software Community Partnership – Yotkom Medical Centre

Corporate Citizenship Yotkom Uganda

You can visit the Yotkom Medical Centre website at www.yotkom.com.

Many of our customers, partners and clients that we interact with on a daily basis are aware that Best Practice Software develops, maintains and provides training for a range of Practice Management Solutions and associated services – but many are unaware of our Community Partnership program, which ties in as part of our corporate citizenship activities.

Our Community Partnership program is designed to enable charitable community benefit through our vision of communities connected through medicine.

Today, we shine a light on a particularly special partnership.

Best Practice Software, in co-operation with Dr Andrew Wright, have been involved in a partnership with the Yotkom Medical Centre in Uganda for over 5 years.

Situated in the regional village of Kitgum, Yotkom means ‘health’ in Acholi, a regional language of northern Uganda and South Sudan. First opening its doors in October of 2005, Yotkom Medical Centre was formed as the result of an initiative headed by Australian doctor, Andrew Wright.

The district we serve has a population of approximately 300,000. People travel long distances to our facility because it has a reputation for excellence.

The clinic’s primary goal is to improve access to healthcare for locals and provide excellence in primary healthcare to such a resource-poor setting. The centre also focuses on building relationships and self-reliance within the community.

The Yotkom Medical Centre provides a range of services to the community, including an outpatient and emergency department that operates 24 hours a day, 7 days a week and is staffed by medical officers with comprehensive training. Approximately 15000 patients per year attend as outpatients. Surgical and orthopaedic procedures are undertaken in the clinic’s two operating theatres. Fifty inpatient beds are available for patients that require care in complicated cases. The centre operates a dental clinic and undertakes dental education and outreach to local schools and businesses.

Of special mention is the centre’s Maternal and Child Health facility. This opened in 2019 and serves to undertake antenatal care and education, as well as the assisting of natural births and the provision of safe caesarean section deliveries where required. Dr Wright points out that the clinic is making a significant impact on reducing child and maternal mortality in sub-Saharan Africa. They are a designated childhood vaccination centre and offer vaccinations for Hepatitis B and rabies. All patient fees are subsidised by donations received in Australia.

The clinic also proudly operates workshops for the community and other health workers, and they retain a compassion fund which is accessed to subsidise life-changing surgery for the clinic’s most disadvantaged patients.

As part of Best Practice Software’s corporate citizenship involvement, the Yotkom Medical Centre is provided with substantially discounted Bp Premier licences to use throughout the centre. The provision of software helps staff to improve record keeping and assists with the teaching of their junior clinicians. It provides access to the MIMS database and invaluable patient education materials.

The community in Kitgum is very poor and experiences a high rate of unemployment and subsistence living. Subsequently in 2020, the global COVID-19 pandemic has exacerbated these conditions of extreme poverty. Infectious diseases like Malaria, Tuberculosis and HIV remain common. Yotkom’s ongoing partnership with Best Practice Software through corporate citizenship activities, and the implementation of Bp Premier, helps clinic staff to collate patient information in an orderly fashion and improves the process of following up with patients’ post treatment, which is a significant undertaking, as many medical facilities in Uganda do not maintain any kind of patient record databases.

To provide ongoing support to the Yotkom Medical Centre, doctors, nurses and midwives regularly travel to the facility from Australia to share their skills and expertise. Information technology professionals also contribute their time to manage the centre’s technology platforms and software. Part of the service they provide is to teach the Ugandan clinicians skills in software operation, record keeping and online medical referencing.

Historically, Dr Andrew Wright travels to the clinic and lend his expertise in rural general practice and tropical medicine alongside the clinicians and support staff at Yotkom for six weeks at a time, three times each year. However, during COVID travel restrictions, he has been lending support in weekly ward rounds via video calling platforms. He remains diligent and is constantly seeking to improve opportunities for training, education and supervision for the Ugandan staff at Yotkom.

When speaking about the project work being undertaken at Yotkom in Uganda, and when advocating for the centre here in Australia, Dr Wright often shares how the strategic partnership with Best Practice Software’s corporate citizenship involvement has assisted the clinic with sustainability.

The medical centre in Kitgum has an Australian flag flying at the entrance, and the entire community is aware of how Australian donors and organisations such as Best Practice Software are making a difference towards health issues in that part of the world.

Having Best Practice Software work so well in Uganda is a showcase, demonstrating to other medical institutions how the software is beneficial, and might spur them to consider utilising the same platform in their organisations.

While we here at Best Practice Software believe we provide all our customers and clients with a way to improve their day to day Practice function, it is especially rewarding to be able to assist incredibly worthy causes such as this as part of our corporate citizenship involvement. We congratulate Dr Andrew Wright and all the staff working hard to make the Yotkom Medical Centre a success, and we look forward to being part of this incredible endeavour for years to come.

If you are involved with a cause you believe may qualify for Best Practice Software’s Community Partnership program, you can get in touch with us here.

Share this article:

Queensland’s First eScript Issued Using Australia Digital Health Agency’s Fast Tracked ePrescibing Solution

Queensland's first escript hero image
Monday, 27 July 2020

PRESS RELEASE: Best Practice Software Takes Part in QLD’s First Electronic Prescription

Bargara, Queensland – Best Practice Software’s, William Durnford, has today taken part in Queensland’s first Electronic Prescription using ADHA’s fat tracked ePrescribing solution within Bp Premier. After completing a consultation with Grace Family Practice & Skin Care’s Dr. Preshy Varghese and receiving a token on his phone, Mr. Durnford then visited Pharmacist Campbell Gradon of Alliance Pharmacy in Bargara Central Shopping Centre in order to collect what was likely Queensland’s first eScript.

Since being introduced in Queensland on Saturday the 25th of July, patients around the state are now eligible to receive and collect prescriptions from participating Practices and pharmacies. This is especially important for Practices continuing to conduct telehealth consultations in response to the COVID-19 pandemic.

Best Practice Software has now also released the Jade SP3 update for Bp Premier, which contains Electronic Prescribing functionality. Practices using Bp Premier will be able to take advantage of the fast-tracked functionality after satisfying a short list of simple pre-requisites.

For more information on Electronic Prescribing, visit the Australian Government Department of Health’s webpage on Electronic Prescribing.

Watch Queensland’s first eScript being dispensed, and coverage of the event by Bundaberg Now news below.

Share this article:

Bp Premier Jade SP3 and ePrescribing is now available!

Bp Premier Jade SP3

The Jade SP3 release for Bp Premier is now available, which includes ePrescription functionality. However, by default, the functionality is turned off.

What’s included in Jade SP3:

  • Fast tracked ePrescribing functionality
  • National Immunisation Program changes as per 1 July 2020
  • COVID-19 related improvements including:
    • Additional fields in History and Examination tool
    • Improved Medicare billing for COVID-19 related items and incentives
    • COVID-19 at-risk Search utility script

Click here to review the Jade SP3 release notes.

As stated above, ePrescribing functionality is turned off by default once Jade SP3 is installed. In order to take advantage of the functionality, you will need to do ensure you’ve completed the following:

  • Register with eRx and ensure that your providers are registered with eRx
  • Download and install Jade SP3
  • Download and install the ePrescribing utility.  Enabling the functionality requires the utility to be downloaded, however, prior to downloading the utility, Practices will be prompted to acknowledge:
    • eScripts are a legal form of prescription in all states except Queensland, where approval is currently pending
    • The Practice has confirmed there are pharmacies near them that are ePrescription compatible, and the patient is aware they must select a participating pharmacy
    • Bp Premier eScripts is currently only compatible with eRx Prescription Exchange Service (PES), therefore, to use Bp Premier eScripts, prescribing Doctor(s) need to be registered with eRx PES. MediSecure PES integration for ePrescriptions will be supported in a future Bp Premier release
    • If an IT team member is installing the software, the Practice Doctors are aware of the above
  • Review our free enablement materials and train your team:

In addition, the Australian Digital Health Agency has provided access to free eLearning courses at training.digitalhealth.gov.au.

The eLearning courses include three modules:

1.    Introducing electronic prescriptions
2.    Using electronic prescriptions
3.    Preparing for electronic prescriptions

The courses have been accredited by the Pharmaceutical Society of Australia, Royal Australasian College of Physicians and Australian College of Rural and Remote Medicine. Practitioners completing the courses can claim CPD/PDP credits/points upon successful completion of each module.

Important information about Jade SP3 fast track and fully conformant ePrescribing: 

The Department of Health initiative, in response to the COVID-19 pandemic, required us to fast track a simplified version of ePrescribing in order to bring the functionality to market quickly, to safeguard the health of GPs, their staff and patients.  Our Fast Track version of ePrescribing has been delivered in Jade SP3.

The government has set an end date of 30th September for Fast Tracked ePrescribing to cease operating. Software vendors who delivered Fast Tracked have been encouraged to have their Fully Conformant software version of ePrescribing available by this date. Our Fully Conformant version of ePrescribing will be delivered in our Saffron release. When the 30th of September is reached, ePrescribing in Jade SP3 will cease to work. Practices will need to upgrade to Saffron to continue using ePrescribing.

Cost of SMS eScripts:

As part of Fast Track ePrescribing, the government will cover the cost of eScript SMS messages.  Once Full Conformance is achieved, the government will cease funding eScript SMS messages.  Our Saffron release will utilise our Bp Comms functionality to send eScript SMS messages to the patient and the cost per message will be $0.04 per message.

An important note about our Prescription Exchange Services (PES) integration:

Best Practice Software has been working towards ePrescriptions with the two Prescription Exchange Service (PES) vendors, eRx and MediSecure, for close to a year.  It is our expectation that both PES will be supported in due course, each solution requiring scoping, co-design, development by both parties, testing, conformance and certification. It is by no means a small undertaking.

We had to balance the government’s request to deliver the Fast Track ePrescribing solution, high end-user value and our own resource capacity, which meant we needed to focus on a functional solution with one PES before undertaking the second.

Our team made the decision to fast track the PES we were furthest ahead with, which was eRx. Working with the MediSecure PES remains a high priority and we anticipate having the functionality to send ePrescriptions via this platform in a future release.

eScripts are currently only available for use when both Jade SP3 and the utility are installed. This means that you can still install Jade SP3 without the utility and take advantage of the other improvements we have made in this release. It’s important to note that Jade SP3 without ePrescribing enabled does not restrict the Practice from using MediSecure.

A helpful resource for your Practice

To communicate the important information about this change amongst your Practice, you may wish to consider using the internal messaging function available within Bp Premier.  This can be accessed anywhere in the system by opening the ‘Utilities’ menu and selecting ‘Messages’, or by simply clicking the F8 shortcut key. Any messages sent through this platform will display a notification within Bp Premier when the recipient next logs in.

Support is available!

For further information on anything covered above, contact our Software Support team on 1300 40 1111 (in Australia), or 0800 40 1111 (in New Zealand), selecting Bp General Products (Option 1 / 1) at the menu.
Share this article:

Using Bp Premier Reports to Diagnose Your Practice’s Financial Health

Bp Premier Reports

We all know that the end of financial year can be pretty stressful and this year, 2020, with everything that it has delivered, may be even more taxing (excuse the pun!).

If you are buried in paperwork trying to collate the information your Practice or doctors need for end of year reporting, understanding which reports you require will be of critical importance.

Using the reports available in Bp Premier can help you diagnose the financial health of your Practice.  Below is a quick guide explaining the reports your team can use daily, through to more advanced reports ideal for longer-term financial reporting.

Just like completing a patient’s consultation, with reporting you can investigate financial information, diagnose areas of concern and prescribe changes to improve your Practice’s efficiency and profitability.

Reports for Reception and Front Offices

Your reception team can generate and review the following reports daily.

ReportUse for
Appointment (by user)
  • Information about all appointments within date range.
  • Shows status of appointment (should be either invoiced or paid by the end of the day)
  • Check that each appointment has at least 1 invoice created
  • Doctors can check if they have billed for all services by using Service Count column
  • Review Did Not Attend appointments
  • Summary available on the second page
Work Done by Provider by DateEasy to read report outlining the patients seen and billed for a particular day. Doctors can review their billings are correct before ending the day.
Daily Takings ReportEnables the team to balance the register by outlining cash and EFT payments.  Report will also outline any payments received by Direct Credit (Medicare Payment runs) or cheque.

 

Reports for Practice Managers, Owners and Billing Offices

It is recommended that the management team generate and review the following reports weekly or monthly.

ReportUse for
Appointment Statistics (Individual location)
  • Appointment count
  • Patients who did not attend
  • Appointment duration
  • Average minutes per patient per appointment
  • Average wait time

These reports can be configured for each provider, or show totals for the entire Practice.

Banking (grouped by date)Reconcile your banking batches recorded in Bp Premier against the business banking accounts. Check all EFTPOS transactions, Medicare Payments and Direct Debits have reached the bank account.

Online Claiming

(Batches including services and payments)

Review claiming batches during a set date range. Outlines services claimed, claims paid and adjustments made to claims.
Payment by Account (grouped by payment created date)Can be used to pay your doctors and will show only services/accounts that have been paid during the date range selected.
Services by Account (grouped by service created date)Can be used to pay your doctors and will show all services billed during the date range selected.
Cancelled Appointments

Available from the Appointment Book > View > Cancelled Appointments. Outlines any appointments that have been cancelled, cut or moved for a particular date range.

May help to identify those patients who frequently cancel their appointments.

Reports for Revenue Cycle Management

How is your Practice performing during the revenue cycle?

The following reports can identify whether;

  • Claims are being paid in a timely fashion
  • Medicare Rejections are being reviewed, corrected and resent
  • Insurance providers are paying you for key procedures
  • Your Practice is facing potential issues with written-off or cancelled accounts
ReportUse for
Debtor’s Report

Review weekly or monthly to outline any overdue or outstanding accounts.

The way to use this report is to monitor the outstanding amounts from 90 days ago (or longer) and follow up diligently on any amounts considered significant.

Cancelled and written off invoicesReview monthly to identify repeat errors that may require additional staff training, or possible theft by reversing cash payments and writing off the account.
Held Accounts by Account TypeReview weekly for accounts still on hold.  Can be used to indicate which accounts need to be finalised and processed.
Patient Contact and Billing StatisticsThis report provides statistics on patient contact hours, a count of services performed, average fee per hour, services per hour and fee per service plus dollar values of fees billed.

Reports for Financial Reporting

Use the following reports to audit your Practices’ financial information in more detail.

ReportUse for
Transaction Report (grouped by item)

A combination of work performed, and payments received. Providing a single report that can be used to pay providers for work done or fees taken.

Can be used to review MBS items billed during a date range.

The report can;

  • Outline how many of each MBS item has been billed
  • Assist doctors with identifying possible billings, which could then lead to increased billings
  • Outline how many custom items have been billed, and assist with stock checks.  For example; influenza immunisations billed versus how many are still on hand
Shared Health Summary Upload

Is your Practice participating in the Practice Incentive Program (PIP)?

Review each month to help ensure you’re on target to hit your quarterly PIP quota and receive the relevant payments.

Total Vaccines Report

Check monthly or as needed to outline what immunisation or vaccines have been provided to patients and uploaded to AIR.

Assists with completing stocktake reviews, stock on hand and ordering control.

Days Away by ProviderThis report shows the dates that a provider has been away from the Practice. The report also shows the dates that the Practice has been closed.
Patient – New Patients Added in Date RangeReview how many new patients have visited the Practice in a set date range.

Want more information?

See the following resources on Bp Premier reporting.

Webinars & Best Practice Software Vimeo Channel

Knowledge Base Articles – Available Directly through Bp Premier by Selecting Help > Online

  • Reporting
  • Banking Reconciliation

Guides (Access via Knowledge Base)

  • Bp Premier Report Reference
  • Bp Premier Appointment Book Guide

And don’t forget to always…

  • Investigate financial information,
  • Diagnose areas of concern, and
  • Prescribe changes to improve your Practice’s efficiency and profitability.

Authored by:

Belinda Bazant
Training and Deployment Lead at Best Practice Software

Share this article:

World Asthma Week…During a Pandemic

World Asthma Day

You’ll likely not even notice the passing of World Asthma Week this year, but if you don’t, you certainly wouldn’t be alone.

In light of the COVID-19 pandemic, promotion of this year’s event, normally observed between 1-7 September, has been cancelled. Whether you’ve missed the recent changes to asthma management, or are curious as to how COVID-19 affects it, we’ve put together a few helpful links.

Did you know that statistically, 1 in 10 Australians are asthmatic?

While it remains unclear whether asthmatics are at increased risk of contracting COVID-19, we do know that asthma symptoms are worsened by respiratory viruses. The 2019 GINA report states that even patients with few interval symptoms can have severe or fatal exacerbations. As we fight to flatten the curve of the COVID-19 pandemic, patients are relying upon informed medical advice now more than ever.

The GINA report is a twice-yearly reviewed strategy document for asthma management based off the best available evidence, and it has been updated annually since 2002. The organisation endeavors to provide educational resources and scientific evidence to advance asthma treatments.

GINA’s two primary goals are to improve symptom control, and to protect patients from the risks of severe flare ups and asthma related deaths. An excellent resource to consider before continuing through this article is the GINA website, and their accompanying podcast.

Considerations for shortages in medications

The Therapeutic Goods Administration recommended back in March that while there are no current national medication shortages, there would be no need to stockpile more than two weeks of Medication in the unlikely event of a patient being quarantined.

Prior shortages in local pharmacies were not caused by an interruption in the supply of medication but in panic buying. While pharmacies have now returned to allowing up to two relievers per purchase, a second wave of COVID-19 cases could cause stockpiling to resume and so limit access to Salbutamol. Monitor the Medication Shortages Information Initiative for updates on any shortages as they present and talk to patients about the risks of stockpiling medication.

Maintain asthma action plans

Maintaining an asthma action plan is critical in helping patients to better identify worsening symptoms and manage their condition. It also provides evidence of taking Salbutamol should they misplace their labeled puffers, and be asked to provide evidence of requiring the medication by a pharmacist. The action plan should contain instructions to continue taking inhaled or oral corticosteroids as usual – but also what to do in the event of an emergency and when to seek medical help. Guided Asthma self-management education and skills training is covered on page 79 of the GINA 2020 full report.

Where possible, avoid Nebulizers in the workplace

Nebulizers have been identified as being able to transmit viral particles up to 1 meter. This could risk transmission to other patients and healthcare workers. The GINA report instead recommends to “deliver short-acting beta2-agonist for acute asthma in adults and children, use a pressurized metered-dose inhaler and space with a mouthpiece or tightly fitting face mask if required“. It also recommends  limiting spacers to a single patient, and encourages families to not share their medical devices (puffers, spacers, masks); more information is available on page 17 of the GINA 2020 full report.

Save the date – 2020 International COPD and Asthma Conference

There will be a two-day collaborative conference with Global Initiative Chronic Obstructive Lung Disease (GOLD) and Global initiative for Asthma (GINA) on November 16 & 17 of this year. The event will be hosted virtually and contain educational material applicable to all healthcare providers. Click here for more information.

The COVID-19 pandemic is particularly worrying for those already living with respiratory conditions. While the risk cannot be totally negated, careful planning, responsible management of medication, remaining up-to-date with the latest health recommendations and, of course, good social distancing practices can minimise the impact that COVID-19 has on those living with asthma.

Authored by:

Emma Sinnott
Support Specialist at Best Practice Software

A note to the reader: This article is light reading on topics you may be interested in and does not substitute for your own independent research. Some links may become out of date, so please check for updates before actioning any advice.

Share this article:

Software Updates: Debunking Myths and Concerns

Debunking Software Myths

As a support team, we understand many of the challenges faced by Practices in order to keep current with software updates. In fact, at time of writing, only 36.4% of Bp Premier customers are running on Jade SP2, the latest version of the software.

All too often we hear similar reasoning as to why Practices aren’t taking the important step of updating their software. Today we’ll go through a few of the common myths and concerns we get surrounding updating Bp software, and provide some insight into why they may not always be correct.

Myth: Software Upgrades Cost Money!

While occasionally true in rare instances, such as a Practice needing an IT professional to assist with an upgrade, the majority of users should be capable of installing an update with the assistance of a simple upgrade document which is available on our Knowledge Base. Our software updates also come at no cost to your Practice – they are completely free!

Most of the time, the only thing an update requires is a bit of patience, and the following of a step-by-step guide.

Myth: An Update Isn’t a Priority – It Can Wait for a While.

Again, this is true in some cases but it’s important to make an informed decision. By regularly reviewing the Release Notes available on our Knowledge Base, you’ll be able to identify the features, fixes or regulatory changes which may positively benefit your Practice. It’s important to note minor issues may not be listed in our release notes.

Leaving or not prioritising updates can end up burning more time in a variety of ways. You may miss out on things like Medicare adjustments, bug management or new features and functionality. The best course of action is to stay up to date and have the latest drug update installed.

Myth: Only Need to Patch My Software Once.

Patching occurs in a combination of data updates and product updates, and is the fluid process of updating ever-changing security and regulatory requirements, in addition to bug fixes. We suggest patching as often as possible to ensure your system has the latest features, information and fixes.

Myth: It’s Only a Small Update, So It’s No Big Deal If I Miss It.

Small or large, all updates should be reviewed to see how they may benefit your Practice. Remember that an update may look small, but could make a meaningful difference to the day to day functioning of your Practice.

A good example of this is our upcoming Jade SP3 update. While Service Pack (SP) updates are typically fairly small, SP3 includes ePrescribing functionality, which is anything but minor! If you were to dismiss SP3 as ‘only a small update’, you’d be missing out on this crucial functionality.

Myth: Nobody is Available to Help Me Upgrade!

Best Practice Software offers a variety of update documentation on our Knowledge Base. For any additional update queries, our Support team is here to help.

We have 53 Support Specialists spread across three locations that are ready and willing to assist you with updating your software, or to help resolve any issues you encounter along the way. On average, our Support Specialists answer 8,759 enquiries each month, so you’re in very capable hands!

You can contact our Support teams by calling us at 1800 401 111 or emailing support@bpsoftware.net.

What is Sunsetting?

Best Practice Software regularly provides new releases of our software. These new releases include mandated regulatory requirements and a range of software improvements including updates to functionality and security, and fixes to known software issues.

However, regular software releases present an increasing challenge to our Support team who continue to support customers using older versions of Bp Premier.

As a result of this, we have introduced sunsetting – which is ending support for previous versions of our software in an effort to remain knowledgeable on up-to-date versions.

If you have any further questions regarding updating your software, please get in touch.

Have a question? Need assistance with a software update? Call us on 1800 401 111 or email support@bpsoftware.net.

Authored by:

Michael Toulsen
Lead Support Specialist at Best Practice Software

Share this article:

Time to Take Your Blood Pressure Pills!

Blood Pressure Medication

Historically, when single dose blood pressure medications were commenced, patients were advised to take them in the morning. This is because blood pressure follows our natural sleep cycle and dips when we are sleeping and rapidly rises in the morning when we get up. It was thought that taking medication in the morning would provide the most benefit as it would reduce that initial increase in the morning.

At the end of 2019, the results of a large study that looked at bedtime dosing of blood pressure medication were published in the European Journal of Cardiology [1]. The study looked at 19,000 patients in Spain in a primary care setting, and it compared the cardiovascular outcomes between those who took their medication at night and those who took it in the morning, with a mean follow up of just over 6 years. The study found a significant improvement in the outcomes of those who took their medication at bedtime with a reduction in the number of heart attacks, strokes, and heart failure in that group.

The study itself was quite comprehensive and had a good follow up period of 6 years. It is important to note that they only included patients in the study if they did not have any history of pre-existing kidney failure, heart failure, retinopathy, abnormal heart rhythms or alcoholism, and they did not include shift workers. They also did not include pregnant patients or those with secondary hypertension. The authors split the groups in half and had one group take all of their medications in the morning, and the second group take all of their medications before bed. 

Patients’ blood pressure control was monitored during their GP visits in addition to doing an annual 48-hour ambulatory blood pressure test. This test involves wearing a blood pressure monitor for 48 hours with BP check every 20 – 30 minutes to get a good picture of the blood pressure fluctuations over a 48 hour period.

The authors found that those taking their medications at night had overall better control of their blood pressure in addition to needing fewer medications to keep to the recommended targets. The study also found that there was a 45% reduction in cardiovascular events such has heart attacks, angina, strokes and heart failure in the group who took their medications at night. Moreover, they did not find any adverse events to occur in that group.

There have been some other smaller studies that have also looked at morning versus bedtime dosing of blood pressuring lowering medications [2], which showed better blood pressure control without any adverse effects of taking blood pressure medications at night. However, there have been a number of small ophthalmological studies that have shown a detrimental effect for those with certain eye conditions if their night-time blood pressure drops too low [3], or if they take their blood pressure medications at night [4].

To date, there have not been any changes to the current Cardiology or Heart Foundation guidelines to routinely recommend changing patients over to bedtime dosing. However, for some patients the benefits would clearly be substantial.

Before changing over to bed-time blood pressure medication dosing, it would be a good idea to discuss with your GP or Cardiologist if this is suitable for you.

Authored by:

Dr. Fabrina Hossain
Clinical Advisor at Best Practice Software

 

References

[1] https://academic.oup.com/eurheartj/advance-article/doi/10.1093/eurheartj/ehz754/5602478
[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4091949/
[3] https://pubmed.ncbi.nlm.nih.gov/8172267/
[4] https://pubmed.ncbi.nlm.nih.gov/22424547/

Share this article:

AutoMed Systems: Embracing Practice Processes of the Future

Automed Practice Future

AutoMed Systems: What is the Practice of the future?

At a recent webinar conducted in June 2020, 50% of GP-owner attendees indicated that they currently earn less than their subcontractors.

The 5 challenges confronting every Practice Manager today are;

  1. Solvency
  2. Making General Practice the central point of health delivery
  3. The rebate freeze while Practice costs continue to increase by up to 30%
  4. Incursions by pharmacists, health funds and recent popup Telehealth “providers” that remove your patients from comprehensive, quality and continuing healthcare.
  5. The increasing demands for patient education, and involvement in their health care

Is the answer for the GP to work faster, or charge more?

No. The answer is to embrace technology.

The patient journey begins with making a complex, accurate appointment online or via phone, which includes all the necessary resources in the correct sequence with pre-payments where required, and simultaneously being able to provide health information and Practice marketing.

By using integrated caller identification, staff costs can drop by $2 per appointment. Having patients book online, arrive via a concierge and using a comprehensive kiosk will decrease staff requirements by up to 50%, or $120K per annum for a medium sized Practice.

15% of all data is incorrect leading to failed communication, extra staff costs and legal risks.

A kiosk needs to check all demographic data, in multiple languages and be able to process payments efficiently. This eliminates the need for patients to return to the desk to pay for Gap fees, consumables and vaccines, halving staff requirements.

Moving from bulk billing to private billing can be costly with the increase in front desk demands, whereas a billing kiosk can perform the function at no additional cost. Loyalty schemes via the kiosk can increase gross income by up to $80k with just a $10 patient contribution.

AutoMed Systems provides the ability to communicate with patients via a fixed price SMS solution leading to better informed and engaged patients, better utilisation of time and resources, and decreasing DNAs by 90%. One DNA daily adds up to $15k per FTE.

Technology must be flexible, provide access to new services such as Tele/video consultations, eRx, loyalty programmes, vaccination management and include reporting tools to assist with accreditation.

In short, the practice of the future must be flexible, sophisticated, up to date with IT and be completely supported by a reliable and reputable Australian based support team – which is exactly what AutoMed Systems prides themselves on being.

Please contact support@automedsystems.com.au for more information.

Share this article:

Cataract Surgery Self-Auditing is Here with Index Health!

Cataract Surgery Image

Consider the following within the context of auditing your Cataract Surgery history. After examining a 63-year-old patient with a cataract, you discuss the option of surgery.

You include an obligatory statistic informing them of risk. You quote a statistic of 1/400 for the possibility of worse vision. Your patient recoils, exclaiming, “that seems a bit high!”

You now doubt yourself, and question your rate – can it really be that high?

You begin to suspect that your patient is questioning our ability as a surgeon. Do one in 400 of your patients really lose two or more lines of BCVA? Do some patients have a greater likelihood of BCVA loss? Can you identify them?

Are you able to provide a patient with a risk which is specific to their presentation? Is it acceptable to provide patients with a general figure, or can you provide them with a figure that relates to your surgery?

Is your complication rate improving?

We live in a era of data analysis – we have apps to track our heart rate, exercise, diet and sleep. We measure, and then we re-measure – with the aim of improving.

As surgeons, we take great pride in our work. But to improve we need to be able to objectively assess our progress. We are not in a competition. But without analysing our results, we cannot improve. Many of us look at audit as an onerous task, sifting through patient files and entering data into a spreadsheet. But it doesn’t need to be this way. Self-auditing can be a seamless part of your professional growth.

Index Health, in partnership with Best Practice Software, now have an integrated cataract surgery self-audit tool for Bp VIP.net.

When using our tool, your results will not be shared, your privacy will be maintained and we adhere to all Australian privacy laws.  Index Health with Best Practice Software can be seamlessly integrated into your Practice, with minimal changes to your workflow.

Start using our Index Health cataract surgery self-audit tool, and begin assessing your progress today.

For more information see the Index Health website or contact Index Health at ben@indexhealth.com.au

Share this article: