Best Practice Software

2020 Mental Health | COVID-19 – A Year In Review

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Our mental health is something that we’re all aware of, but far too often we don’t do enough to look after it. Mental health during COVID-19 has been something that deserves far more attention than many of us have given it.

If someone asked you to list five words that described how you feel about the year 2020, what would you say? How different would they be, compared to describing your feelings about previous years? Maybe you cannot settle on five words, you keep swapping out one for another as you go through the extent of what has occurred this year.

Twelve months ago, Australia was in the midst of fighting the most extensive bushfires in recent times, colloquially known as Black Summer. The expanse of devastation and death of one billion wildlife animals generated worldwide support and acknowledgement. Australians and International supporters rallied to raise money to assist those affected by the bushfires and frontline firefighters were the heroes of our nation.  The resilient Australian spirit kicked in and individuals, families and communities faced the mammoth task of rebuilding and hoping to return to a normal life. Towards the end of the bushfires, storms and flooding affected some parts of NSW, which was a relief for those suffering from some of the still-burning fires, but introduced more stress for communities that were already exhausted by the bushfire crisis.

Within a month of the flooding and weeks of the final fires being extinguished, the World Health Organisation declared COVID-19 a global pandemic, and Australia began shutdown measures. Australians began living under strict lockdown rules and restrictions that have not been experienced in more than a century.  International travel to and from Australia was limited with many people still trapped overseas. People were afraid of being locked in their homes without food and supplies so supermarket shelves were stripped bare due to panic-buying.  Non-essential services were closed which led to economic and social stress; this saw the cessation of all forms of entertainment, sport, pubs, cinemas, and houses of worship.

Travel within Australia was restricted by internal domestic border controls which caused distress and further strain on mental health during COVID-19 for people separated from their family and friends. Businesses were encouraged to work remotely where possible, and online commerce escalated. Schools were closed and all students were introduced to eLearning which suited some but caused many students and families additional stress. Frontline health care workers became the new heroes of our nation, while acknowledging the efforts of everyone involved in essential services such as emergency personnel, teachers, food supply chain personnel, and cleaning services.

Healthcare organisations and aged care residences restricted entry to visitors, so much so that children could not visit patients, family could not visit their elderly family and women who had birthed were not allowed visitors, including the other parent of the newborn. Not only did these restrictions heighten the strain on mental health already being felt by those affected, but people were also afraid to go to healthcare organisations, in case they became infected themselves.

The Psychological Consequences on Mental Health during COVID-19

The following emotions and numerous others may be experienced by people during the COVID19 outbreak: anger, annoyance, anxiety, confusion, depression, distress, distrust, fear, frustration, helplessness, hopelessness, isolation, loneliness, panic, sadness, uncertainty, and worry.

  • People:
    • In affected communities following the Black Summer bushfires were in a heightened state of anxiety and struggled with additional uncertainty, and were prone to more stresses on mental health during COVID-19.
    • Are afraid of infection, either getting themselves sick or infecting others, especially the elderly and vulnerable.
    • Worry about not having enough information, or being given the wrong information, therefore high quality, factual information should be accessed from a trusted source.
    • Experience a variety of stressors, such as financial stress from losing or having reduced employment or retirees’ superannuation funds decreasing; limited social contact leads to feeling isolated, lonely, and not socially connected.
    • Who are isolated or quarantined, including the elderly and vulnerable population, feel combinations of any of the emotions, particularly depressed, confusion, frustration, anger, boredom, lonely and become worried about having inadequate supplies.
    • Those with pre-existing anxiety disorders, depression, post-traumatic stress or health anxiety are at risk of experiencing higher anxiety levels and poorer mental health during COVID19, and may require additional psychological support during this time.
  • Health care workers have experienced increased anxiety and can feel overwhelmed due to possible direct contact with affected patients, lack of personal protective equipment, increased workload, and changing their care delivery from in-person to telehealth.
  • Students impacted by changing to and from online learning, as well as individuals working remotely from home can experience distress, anxiety, frustration, uncertainty, confusion, worry and become depressed.
  • Families have faced numerous challenges including working remotely while supervising children and students, being geographically separated, or denied contact with elderly family members. Family events have been impacted such as weddings being postponed and being unable to attend funerals. Family and domestic violence, and child abuse has escalated due to increased household tension, cabin fever, isolation, increased alcohol consumption, and stress. The pandemic is another barrier for people who are exiting abusive relationships, where women and children are forced to remain in violent and unsafe homes.

Think back to those five feelings of 2020 that you identified earlier, and which would you swap out regarding your hopes of 2021? Have you replaced distress with acceptance; fear with determination; isolation with feeling connected; fear with hope; or are you stuck and not optimistic about the future?

Looking After Yourself and Coping With the Rest of 2020

1. Look after yourself physically and mentally
After a year of challenges and uncertainty as to when the pandemic will end, current life in Australia is the new normal. At any time, restrictions and health directions may be lifted or imposed so here are some practical things that you can do to help your mood and reduce stress levels. You’ll cope better if you place importance on getting quality sleep, eating healthy, exercising daily, attending to physical health issues, having regular periods of relaxation, ensuring regular self-care and reducing alcohol consumption.

2. Live in the present
The uncertainty of the future and concerns whether life will return to pre-COVID normal, can cause varying levels of distress. Focusing on living in the present and taking each day as it comes will reduce the distress about the future and increase appreciation for current activities.

A simple mindfulness exercise is to notice what you are experiencing right now, whether it is doing a task or doing nothing, and using all of your five senses: sound, sight, touch, taste, and smell.

Take a few slow breaths and ask yourself:

What can I hear? (for example, clock on the wall, car going by, music in the next room, my breath)

What can I see? (for example, this table, that sign, that person walking by)

What can I feel? (for example, the chair under me, the floor under my feet, my phone in my pocket)

What can I smell? (for example, flowers in the room, air freshener, the soap on my hands)

What can I taste? (for example, my tea, a cracker, a grape, nothing)

Think of these answers to yourself slowly, one sense at a time and you will be mindfully present.

3. Allow yourself to grieve for what has been lost or what you wish you had
Border closures, restrictions on gatherings and physical distancing requirements mean a lack of freedoms that we took for granted pre-COVID. For many, this means separation from family and friends, an inability to travel, being unable to celebrate events how you would like, and feel lonely, isolated and disconnected.  It is normal to feel sad during this time as grieving for the loss of something or someone confirms that it, or they, are important to you.

4. Be flexible and creative
This year the Christmas and holiday period will not be the same as previous years due to COVID restrictions. At any time, restrictions and new health directions are enacted so expectations need to be flexible, which may be difficult to accept. Identify what is the most significant aspect of this time or event and find a way to maintain it. This might require some creative problem-solving such as moving an event outside, have multiple smaller gatherings or include a digital option.

Everyone has been affected by the challenges of 2020, either directly or indirectly, so people need to acknowledge that everyone is feeling a degree of stress. It is important to not expect too much and be kind to yourself, also, think about what you value in life. Be kind and tolerant of others as you do not know how they have been affected by this year. If you maintain good physical and mental health during COVID-19, and accept the future for what is, the resilient Australian spirit will cope with adversity.

If at any point you feel overwhelmed and unable to cope, please contact Lifeline (13 11 14), Beyond Blue (1300 22 4636), your local GP, or a mental health professional for support and assistance.

Authored by:

Gina Clement Avatar Picture

Gina Clement (MProfPsych, MMid, BNsgInform, DipHlthSc(Nsg)
Provisional Psychologist and Product Manager at Best Practice Software

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SQL Server Express and You – Planning a Smooth Transition to Full SQL

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Recently, our Support team received a number of calls relating to an issue with Bp Premier’s SQL Server Express component, which can result in a very large, unexpected expense for Practices. As such, we felt it was important to flag this scenario with our customers.

Experiencing either performance issues, warning messages about low diskspace or a notification from Microsoft about the need to upgrade their SQL Server Express licence, several Practices contacted our Support team to seek an explanation and guidance on how to resolve the issue. Upon further investigation, we found that some Practices have outgrown their free SQL Server Express licence that comes packaged with your Bp Premier installation, requiring an upgrade to Microsoft’s SQL Server Standard Edition or even their Enterprise edition. Depending on the Practice’s size and licensing requirements, this can be anywhere from $4,000 to $14,000.

To find out how you can reduce the risk of being stuck with a large, unexpected and unwelcome bill – read on.

SQL Server Express edition, included with your Bp Premier installation, has a limit of 10GB of storage for a single database. For Practices in this situation, an upgrade to SQL Standard edition will allow for your patient database to exceed the 10GB limit, and allow for the the use of 4 sockets / 24 cores from 1 socket / 4 cores and an increased Buffer Pool Memory from 1410MB to 128GB.  In simple terms, SQL Standard edition will allow you to utilise far more of your server’s processing power.
 

However, upgrading from SQL Server Express is not as simple as flicking a switch, there are considerations you will need to make to ensure you are prepared for a smooth transition.

Given the costs involved with the move to SQL Server Standard Edition (or “Full SQL), a proper succession plan is vital to the smooth operation and transition of your systems.  The key part of this is to know your current limitations and track your Practice’s growth against these to identify your target time frame.

The key metrics to be aware of that effect Bp Premier when used with SQL Express are:

  • 1GB maximum memory used by the SQL Server Database Engine
  • The maximum size of each relational database is 10GB (this refers to the BPSPatients database)
  • The limit on the buffer cache for a single SQL instance is 1MB of RAM
  • The relational database engine is restricted to the lesser of 1 socket or 4 cores

Please note these limitations are governed by Microsoft for this free edition of SQL Server.  As this version suits the needs of a vast majority of sites Best Practice chooses to ship and deploy this for your Practice to assist in the reduction of costs.

The following actions will help you determine if you have a need to upgrade to “Full SQL”:

Monitoring and tracking of performance:

You may want to speak with your IT regarding monitoring your Express instance during your busy periods, to track your performance.

Database size:

By monitoring your back-up sizes for the “BPSPatients” file, you can plot out your Practice’s growth over a period of time and work out an average growth rate, as well as when you would expect to hit your limitations.

When planning for an upgrade to “Full SQL” due to file size growth, you should ensure that you allow enough time before you reach the file size restriction to avoid any downtime for your Practice. As a rule of thumb, you should aim to upgrade with at least 20% of your file size restriction remaining.  It would be recommended to seek advice on costs for “Full SQL” and allow for this in your budget so that funds may be available should you reach this limitation.

Should you need to upgrade your SQL Server version or edition, you can refer to the relevant online knowledge base article titled Upgrade SQL Server. For more information on Microsoft’s SQL Server pricing, visit their product page.

Authored by:

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Scott Everist
Support Leader at Best Practice Software

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My Health Record for Specialists: A Co-designed Approach With ADHA

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Best Practice Software is in the final phases of getting ready to release My Health Record functionality for specialists through Bp VIP.net – a software solution that serves the needs of medical specialists such as ophthalmologists and cardiologists.

During 2019, the Australian Digital Health Agency (ADHA) invited leading software vendors for specialists to co-produce design improvements to their experience with My Health Record (MHR).  Bp VIP.net was accepted as a software vendor to participate in joint workshops organised by the ADHA to improve MHR functionality and overall usability for all specialists in Australia.

The end-result of the collaboration is a dedicated Bp VIP.net software release for My Health Record functionality, due for public release in early 2021.

The media release published by the ADHA is available here.

From Understanding Specialist Workflows to Improving User Experience and Patient Discovery

One of the key drivers behind the My Health Record for specialists initiative, and for software vendors to participate in joint workshops, was to increase a joint understanding of specialist needs. The goal of the joint understanding is to improve overall My Health Record functionality with software vendors and to avoid disrupting specialist and Practice workflows by providing a better user experience.

Taking this approach, Best Practice Software wanted to streamline all integration points in Bp VIP.net to My Health Record to ensure ease of access for viewing, accessing and downloading patient records. With the design improvements, we also wanted to ensure the same streamlined approach for uploading clinical documents back to My Health Record. This will ultimately lead to improving the overall shared electronic patient record in Australia and bettering the care of patients.

One of the long-term goals for the ADHA is to continue to increase the overall uptake of My Health Record amongst medical specialists. As the uptake for MHR has been significant over the years through our Best Practice GP software, Bp Premier, we also needed to ensure an integrated design approach for specialists. This ultimately leads to offering a great user experience to all users of Bp VIP.net software. Access to electronic patient records through MHR has been streamlined in all relevant specialist’s features to blend into existing Practice workflows. The release provides access to new MHR functionality while minimising disruption to Practices and increasing ease of access and uploads to MHR.

Patient discovery is another crucial aspect for a successful MHR user experience. One of the outcomes of the My Health Record design process, has led to helping specialists identify whether a patient has a MHR and whether they are actively participating in the program. Bp VIP.net users can easily identify patient participation through improved MHR status updates in the software.

When is This Becoming Available for Specialists?

Bp VIP.net is in the final stages of development and are getting ready for general release in the beginning of 2021, to offer specialists an integrated and seamless experience with My Health Record.

Offering a great user experience has been at the heart of the design process, while ensuring a safe and secure approach to managing patient privacy and consent to MHR. Improved healthcare outcomes have already been proven by the uptake of MHR and the improved functionality for specialists will hopefully keep us moving in the right direction with the technology available to all of us today for managing a shared health record.

Authored by:

Henry Vesander Blog Author Image

Henry Vesander
Product Management Leader at Best Practice Software

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Best Practice Software Community Partnership – Matthew Talbot Primary Health Clinic

Community Partnership Matthew Talbot Collage

If you are an avid reader of our website blog, or are subscribed to our Evolution newsletter, you would remember that back in August we shone a light on a community partnership that Best Practice Software is engaged in with the Yotkom Medical Centre in Uganda.

Today we’re doing something similar – looking at one of the Best Practice Software community partners who is doing incredible work in and around their community, and this one is a little closer to home.

For the past eleven years, Best Practice Software has been involved in an ongoing community partnership with the Matthew Talbot Primary Health Clinic and hostel, located in Woolloomooloo, Sydney. The Matthew Talbot Primary Health Clinic is a Practice that exists to support homeless men in and around the Woolloomooloo locality. For many years, the area has been a hotspot for homeless activity, with around 100 men living in the available crisis accommodation. The clinic’s patients sleep rough or reside locally in unstable, unreliable accommodation.

The clinic is a non-government organisation run by the St Vincent de Paul Society. Their staff consists of their nursing team, a general practitioner, two psychiatrists, an optometrist, and a roster of visiting clinicians and allied health professionals. Nurse Manager, Julie Smith, stresses the importance of the work that the clinic performs.

“The homeless are not served well by mainstream healthcare services. Typically, they die 25 years before an average Australian. They experience higher rates of mental illness, metabolic disease, chronic illness, and cancer. Accessing healthcare is difficult. We provide advocacy and break down those barriers to receiving a service wherever we can.”

community partnership matthew tablot Julie bill
Nurse Manager Julie Smith with Bill, one of the clinic’s beloved patients.

The clinic offers several essential and preventive health services including specialist clinics in smoking cessation, metabolic health, Hepatitis C, and chronic disease management. A point of pride for the clinic is their work in assisting patients with their NDIS funding applications, of which they have been involved in nearly 100. Of these 100, not a single application has been knocked back, meaning that once housed, the patients are able to access lifelong help and support, which in-turn sustains their tenancies and is instrumental in preventing their relapse into homelessness. For these people, these successful applications mean that their homelessness is effectively ended.

Julie explains that the core ethos behind the Matthew Talbot Primary Healthy Clinic is to help those who have trouble helping themselves.

“Supporting and advocating on behalf of people who have difficulty assisting themselves is an important way that we can create and sustain safer and healthier communities. In our hostel, we have a substantial Case Management team who provide comprehensive social welfare services. We partner with them every day and we are instrumental in providing the treating doctors with reports and supportive letters that are crucial elements in obtaining the right benefits or access to housing services.”

To further assist those who are impacted by homelessness, in addition to the medical support and advocacy for housing, the Matthew Talbot Primary Health Clinic also has an onsite learning centre. The centre welcomes those struggling with homelessness, and the wider community.

“It’s a place where you can learn, gain qualifications, meet people, make new friends and obtain assistance.”

The centre’s COMPEER program, which is an initiative backed by Vinnies, is a program that matches community members with people who have a mental illness, but who would benefit from having regular friendships within the community. The centre also provides supportive services for refugees and homeless families, and they run programs which keep homeless children connected to education, which is something that many displaced children struggle with.

While the clinic does offer medical support services, the entire initiative is so much more, aiding with a holistic approach to health, both for individuals and the wider community. Health is very much connected to all aspects of homelessness and being able to assist those in need by considering all aspects of where they may be struggling is crucial to long-term success.

As part of the community partnership agreement, Best Practice Software proudly provides the Matthew Talbot Primary Health Clinic with significantly discounted Bp Premier licences, which benefits the clinic’s staff, but more importantly, allows the clinic to provide, in many cases, lifesaving care and assistance to its patients and the wider community.

Here at Best Practice Software, we are proud to be an integral part of the work that all our customers are undertaking. Though it is especially important that we take steps to assist those who are helping the most vulnerable in our communities, Best Practice Software is particularly proud to have maintained such an important and valuable community partnership with the Matthew Talbot Primary Health Clinic and look forward to continued partnership.

To find out more about the Matthew Talbot Primary Health Clinic, visit their section of the St Vincent de Paul website.

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

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Active Areas of Implementation for ePrescribing

ADHA Active Implementation Areas ePrescribing

UPDATE: Please note as of January 2020, all Practices can begin using ePrescribing. ePrescribing has been turned on by default with our latest release, Saffron.

In partnership with the Australian Digital Health Agency (ADHA), Best Practice Software has been gradually rolling out Active Areas of Implementation for ePrescribing since August.

The table below provides a comprehensive list of all suburbs that have been deemed Active Implementation Areas for ePrescribing by the ADHA, as of 15 October.

This means that Practices within these areas are able to download the ePrescribing Utility File from our download page  and begin using eScripts within your Practice.

Active Areas of Implementation for ePrescribing

ion Region Definition of Active Geography Population
 Victoria n/a  All of Victoria  6,460,675 
Australian Capital Territory n/a  All of ACT  420,960 
New South Wales Armidale  The Armidale Regional Local Government Area  29,059
Newcastle  The suburb of Mayfield in Northern Newcastle  9,314
South Coast

The suburbs of: Bomaderry, North Nowra, Nowra, South Nowra, Terara and West Nowra. The suburb of Moss Vale & The Municipality of Kiama. 

 21,209
 Sydney The LGAs of: Bayside, Blacktown, Burwood, Camden, Campbelltown, Canada Bay, Canterbury-Bankstown, Cumberland, Fairfield, Georges River, Hornsby, Hunters Hill, Inner West,
Ku-ring-gai, Lane Cove, Liverpool, Mosman, North Sydney, Northern Beaches, Parramatta, Penrith, Randwick, Ryde, Strathfield, Sutherland Shire, Sydney, The Hills Shire, Waverley, Willoughby, Woollahra.
 4,574,994
 Queensland Central Highlands The Central Highlands Regional Local Government Area  29,650
 Brisbane  The suburbs of Camp Hill and Inala  31,669
 Bundaberg  The suburb of Bargara  7,485
Central Highlands The Central Highlands Regional Local Government Area 29,650
Brisbane The suburbs of Camp Hill and Inala 31,669
Bundaberg The suburb of Bargara 7,485
Townsille The suburb of Garbutt, Rowes Bay and Belgian Gardens 7,107
Hervey Bay and Marborough The postcodes of 4655, 4650, 4662 and 4659 79,355
 Townsville The suburbs of Garbutt, Rowes Bay and Belgian Gardens  7,107
South Australia  N/A  All of South Australia  73,836
Western Australia Metro Perth  The suburbs of Port Kennedy and Woodlands  17,922
Country WA The Kalgoorlie/Boulder Local Government Area and the Shire of Denmark  35,904
 Tasmania  Northern Tasmania The Central Coast,
Launceston and Devonport Local Government Areas
 81,974
Northern Territory Northern NT Palmerston City  33,695
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Getting Started with ePrescribing in Your Practice

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Getting started with ePrescribing in your Practice is an exciting prospect – but there are a few things you need to know.

With the Communities of Interest initiative changing into Active Implementation Areas and extending to General Practices and pharmacies across all of Victoria and the ACT, and continuing to extend across our other states and territories, you might be poised and ready to take advantage of Electronic Prescribing.

Firstly, you need to ensure your Practice is in an Active Implementation Area. This ensures that you have the right support throughout your journey, and that your Patients have a participating Pharmacy near them so that they can have their eScript dispensed.  A list of current Active Implementation Areas can be found here.

Secondly, at this stage, the Electronic Prescribing functionality (which is only available in the Jade SP3 and Jade SP4 versions of Bp Premier) is turned off by default. You’ll need to download a utility to switch it on and that utility is currently available for download on our website for those in an Active Implementation Area. Visit us here and type in your postcode to find out if that’s your Practice. If your practice is not within an Active Implementation Area, or you aren’t sure, please get in touch with the Australian Digital Health Agency to register your interest in being included.

Lastly, in Jade SP3, the Prescription Exchange Service that is supported is eRx. You’ll need to be on the latest version and have that enabled in Bp Premier. Fear not those who use Medisecure, this is on our roadmap for release in the near future.   

So, you’re on Jade SP3, are in an Active Implementation Area, use eRx, have downloaded and run the utility and you’ve got eScripts configured as per the steps on our Knowledge Base (Help> Online > Search “Electronic Prescribing” for more info)… What next? Before getting started with ePrescribing, you’ll need some key pieces of information inputted for both Prescribers and Patients before you see the eScript button enabled. They are as follows;

  • Prescriber No.
  • AHPRA No.
  • HPI-I
  • HPI-O
  • Patient IHI (patient demographics)
  • Provider’s Title (user record)

You’ll also need to make sure you’ve selected your Patients preferred token method from within their demographic under “eScript Token,” shown below.

Getting Started with ePrescribing

We’ve got some comprehensive documentation on the set up and use of Electronic Prescribing, as well as multimedia clips and frequently asked questions on eScripts, available to you right now on the Jade SP3 Knowledge Base, which you can access from with Bp Premier’s Help menu.

With Electronic Prescribing continuing to evolve, and exciting developments on the horizon, like the Active Script List, the team at Best Practice are committed to helping you with your Electronic Prescribing journey every step of the way.

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Active Ingredient Prescribing: What Does It Mean For You?

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Prescribing medication by its active ingredient will become mandatory from February 2021. This change is part of the government’s 2018-2019 Electronic Prescribing Budget initiative that was legislated in 2019 under the National Health (Pharmaceutical Benefits) Amendment (Active Ingredient Prescribing) Regulations 2019. The aim of this regulation is to improve patient understanding of the medications they take in addition to promoting the uptake of generic and biosimilar medicines that would support a long term viable and sustainable market for these medications in Australia.

The regulation mandates the inclusion of the active ingredients on all PBS and RPBS prescriptions with the exception of:

  • Handwritten prescriptions
  • Paper-based medication charts in residential aged care settings
  • Medications with four or more active ingredients
  • Vaccines
  • Custom preparations and prescriptions generated through a free text function within prescribing software
  • Over the counter items
  • Non-medicinal items such as dressings and food supplements
  • Medications determined by the Secretary for practicality and safety reasons

Brand names can be included in the prescription if it is considered to be clinically necessary by the prescriber; however, the active ingredient must be listed first as per the regulation. Furthermore, software is prohibited from automatically including the brand name by default. It is therefore up to the prescriber to include the brand name on the prescription.

Why is this change being implemented?

There are numerous benefits to prescribing by active ingredient rather than brand name. First, generic prescribing enables patients to identify the pharmaceutically active ingredient (the international nonproprietary name) of their drug and thereby have a better understanding about the medications they take.

Second, it will reduce the risk of patients accidentally taking the same medication as a result of a prescribing or dispensing error due to being unaware that the brand name is not a unique identifier of their medication.

Third, it will allow the dispensation of any suitable equivalent generic should their brand of medication not be available at the pharmacy and subsequently reduce delays in supplying medication to the patient.

It is envisaged this change will increase the uptake of generic and biosimilar products which would reduce the out-of-pocket cost to the patient and the PBS.

How might this change the way I prescribe medications?

From a prescriber’s perspective, there are some changes in our workflow. When prescribing a new medication, we can still search by brand name or the active ingredient.

Prescribing a new medication by brand name

If we wish the patient to have a specific brand, then we have to check the “Print brand name on scripts” check-box and un-check the “Allow brand substitution” check box. This will convey to the pharmacist that the brand name on the script is what should be dispensed and brand substitution is not permitted.

Prescribing a new medication by active ingredient name

If we are satisfied that there is no clinical need for the patient to be on a particular brand of medication then we can search and select the drug by the active ingredient name. The options to “Print brand name on scripts” and “Allow brand substitution” will not be selectable as it is superfluous information since we have chosen to prescribe a generic medication.

Providing a prescription for a patient’s existing medication by brand

During the roll out of the software update for active ingredient prescribing, if a patient’s medication has previously been declared as not allowing brand substitution, then it will be set to “Print brand name on scripts”. This is because a prescriber has previously decided and recorded that the patient must be on the recorded brand of medication. In such cases the brand name will be printed on the script and the workflow for the doctor will not change.

However, if “Allow Brand Substitution” is checked (meaning that a generic brand can be dispensed), then the “Print brand name on scripts” will not be flagged. This is because, it has not previously been declared that the patient must be on that brand of medication. As per the regulation, software vendors cannot default to printing brand name on scripts in such cases. This may potentially become an issue to doctors who have, for example, previously prescribed “Micardis”, but have declared that brand substitution is permitted. In these cases, the brand “Micardis” will not be printed on the script and therefore the patient will be dispensed a generic Telmisartan rather than Micardis.

Providing a prescription for a patient’s existing medication by active ingredient

This scenario should not change the workflow of the doctor as the active ingredient will be printed.

How might this change affect my patients?

It is very important that we have a discussion with our patients regarding the upcoming changes and how it can affect their medications. This is especially if they are taking brand medications and we wish them to continue to do so.

Below are some examples of a typical prescription showing branded medication, and the same prescription showing only the active ingredient.

Active Ingredient Prescribing Sample Prescription

Authored by:

Dr Fabrina Avatar

Dr Fabrina Hossain
Clinical Advisor at Best Practice Software

 

To keep up to date with Active Ingredient Prescribing, and to be notified when further information and training materials are available, please sign up to our Educate Newsletter.

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Building Upon Bp Premier with Development Services

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Before prescribing software became commonplace, general practitioners would spend much of their consultation writing out patients’ prescriptions on paper – but the thought of a GP doing this for all their consultations now is a distant memory. Prescribing software like Bp Premier enables doctors to create prescriptions with just a few clicks and take advantage of features like automatic checking for drug interactions.

Workflows such as prescribing, requesting and reviewing pathology investigations for patients, and sending appointment reminders are universal to medical Practices, so they are well-supported in off-the-shelf software like Bp Premier. Our software enables Practices to report on their doctors’ billings so that they can be paid appropriately, and view various statistics useful for running a Practice.

But many Practices have unique requirements for workflows or data extraction that cannot be catered for in off-the-shelf software. For example, producing an extract of client information for a specialised piece of third-party software your Practice uses, reporting in a specific format to a third party other than Medicare (for example, a private contract), or exporting data to a business intelligence package for your Practice. For Practices handling these steps manually via data entry, spreadsheets or even paper, time spent on this may quickly add up.

Medical Practices without an in-house IT team (or even those with an in-house team) may require a Bp Premier expert to assist with custom workflows or data requirements in a more automated fashion. Best Practice Software’s Development Services team is available to build custom reports, integrations or software addons for your Practice, to help you really get the most out of Bp Premier. The team has many years’ experience and intimate knowledge of Bp Premier, including how the product supports your business every day. They are best placed to advise you on how to meet any custom requirements your Practice may have.

This team draws on their knowledge and expertise to develop queries, templates and reporting functionality to enhance the application while still utilising its key functions within your clinic. Our business analysis and software development expertise will allow us to manage your project from inception through to completion, and our services are competitively priced. We can reduce double handling of data, additional data entry and other points of friction within your Practice’s specialised processes through customised reports and software to meet your Practice’s needs.

How Our Development Services Team Can Assist

For Practices without specialised database administration resources to manage their Bp Premier server, we can also provide assistance with proactive performance optimisation and regular maintenance to keep your Bp Premier database running smoothly and efficiently. We can also assist Practices when converting from another system to ours, when Practices merge and require one database, or if a Practice wishes to extract a subset of data into another Bp Premier instance. These are all part of our Premium Conversions service.
Our Development Services team has successfully partnered with Practices on:

  • Custom integrations to retrieve data from, and store data in, third party systems, removing manual work required by the Practice to update these systems
  • Custom reports and data extractions for Practices with various specialties who need to track patients with certain conditions and procedures
  • Assisting Practices’ IT teams with migration of their databases to a new hosting provider
  • Assisting multi-site Practices who have sold one of their sites to another provider with extracting data specific to that site to be provided to the buyer
  • Regular maintenance on a Practice’s database to boost performance

Depending on what your Practice requires, our services can be quoted at an hourly rate, or a fixed price for your project. If your Practice is looking for a way to enhance its processes, data analysis, clinic templates or reporting, speak to our team today – you can contact us at developmentservices@bpsoftware.net.

Authored by:

Thomas Clarke

Thomas Clarke
Project Manager for Innovation and Development at Best Practice Software

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User Centred Design: How Practice Management Software is Developed

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If you’re like us, you may have noticed that over time software has progressively become simpler and easier to use. But have you ever stopped to consider why?

Historically, software development followed a top-down design, starting with a general concept then working towards specific needs afterwards. Recently though, companies have started to adopt a bottom-up philosophy, instead starting with, and focusing on, the specific needs of users and developing a solution to meet those needs. In short, software developers have started to adopt a principle known as user centred design.

This approach is core to how we develop at Best Practice Software; it’s how we came to be; we are designed by a Doctor, for Doctors.

A great software experience can only happen with a thorough understanding of the people using the product.

As the name implies, user centred design ensures that our users are at the heart of software we create. By involving users early and often within our development process, we know our design and development decisions are based on the needs and wants of the people who use our software.

User experience designers are the voice of the customer throughout the software development process. We gather knowledge about our user base and test throughout development to verify our assumptions. Software can become cumbersome and frustrating to use without comprehensive testing and input from users.

A core principle is that our products must be simple, logical, and understandable to all our users. We hold regular discussions with a range of customers to ensure we’re supporting practitioners from various disciplines. We began development of our next-generation, cloud-based product after extensive customer discussions and workshops. The brief of these sessions was simple; empathise, connect, and understand the needs of all who work in a busy practice, and what they desire in a cloud-based solution.

There are so many roles within a modern Practice, and we recognise that simply having a list of Practice roles doesn’t mean we know everything about Practices and their staff. Everyone has different life experiences, so two people working in the same role will have different ways of performing similar tasks. Understanding this is key to user centred design, as well-designed software needs to cater to the needs and ability of both of these groups of users.

This is one of the many challenges User Experience (UX) designers face. By talking with people, learning their workflows, pain-points, and daily tasks we begin to get an understanding of what they need to perform their job, and how we can help them achieve that.

A person is so much more unique and complex than their job.

To truly understand our customers and follow the principles of user centred design, our software must support the person, not just perform tasks they need to do. Getting to know the person beyond the keyboard doesn’t come from having a discussion, it comes from the shared experience. A significant, and enjoyable part of being a UX designer is venturing into the real world and visiting our users in their Practices; we observe, we ask questions, we share, we empathise to better understand our customers.

“What is a good day for you?”, “what happens on a bad day?”, and, “what makes those days good/bad?” might seem like odd questions to ask people, but they’re incredibly valuable for a few reasons:

  • These stories give us better insight into the environment as a whole
  • We learn about their frustrations, and what causes them
  • We learn what makes people happy (after all – the goal of a UX designer is to help people and make their lives easier through clever software design!)
  • They provide a window into our users’ worlds

“Show us how you last performed that task” turns that window into a door. We can learn to understand why that task is needed, how that task fits into a persons’ day, what information they had or did not have, where that information came from, whether their current method caused any frustration or interruption, providing significant context and life detail.

Only by gathering and merging these different perspectives of our customers are we able to develop the understanding and empathy necessary to design software which supports people.

Our first task when designing user-centred software is to create maps and workflows of the problems we wish to solve. These provide us with a solid foundation for our designs. Layout, interactions, and the ‘meat’ of the designs all follow once we have a solid understanding of the people we’re supporting.

How to be person-first, the next steps: prototype testing, goal setting, and testing again!

The medical industry is evolving, and the needs of the people working in it are complex. It’s imperative that we deliver functionality that is needed and will improve the lives of the people using our software. So, UX designers test throughout the product development process.

Testing and user centred design go together, as through this we ensure we don’t make assumptions, which ultimately reduces the need for rework.

Reducing reworking is important. We verify that our designs will stand up to real-world use before ‘code hits paper’ by testing and simulating real-world scenarios. Observing customers using paper prototypes exposes the strengths and weaknesses in proposed workflows. To the UX designer, paper prototypes are fantastic tools which cut to the heart of the task, testing the workflow without any distractions.

Development uses an agile approach which is well-suited to regular iterative test and improvement rounds. We run small regular sessions to have customers demonstrate how they perform tasks. This feedback loop helps to check our assumptions, confirm we’re aligned with our customers, and are providing valuable solutions to solve their task-related challenges.

Even when our software has been released into the wild, we recognise that there is always room to improve. We employ a diverse range of tactics to get feedback which is fed back into development:

  • Repeating our, “show us how you perform this task”, tests
  • Visiting Practices and observing how they are using our now-released software
  • Talking with support and collecting user feedback
  • Reading forums, emails and other online comments

As a UX designer, it’s a joy to know that we’re making a difference in people’s lives. We relish the opportunity to talk with those who use our software, and to hear if there are areas where we can make a difference (and if there are any areas in which we already have!). That’s the beauty of user centred design.

Authored by:

rachel gareth

Gareth Chainey & Rachel Hunt
User Experience Designers at Best Practice Software

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Marketing Your Practice: Four Simple Tips to Help You Get Started

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Marketing your Practice is an important step in ensuring you’re well-known in your local community, but the prospect of undertaking marketing efforts may seem a little confusing at first. A quick Google search of the term immediately inundates you with a flood of acronyms that serve to confuse more than clarify – you’re not quite sure what they mean, whether they apply to you or how you’re supposed to use the information to assist your Practice.

Are you B2B or B2C? Do you need SEO? Should you know your Practice’s CPC for your PPC? Do you need to research CTAs? Can you implement CRO? Do you need to call in an expert, or can you DIY? (Ok, I’m pretty sure most people know that one).

Marketing is an area that is crucial to the success of any business – GP clinics included. You could be operating a Practice with no wait times, the world’s friendliest doctors and a lollipop given out with every consultation, but that is all ultimately meaningless if you aren’t letting your community know that you exist.

So where do you start?

Google My Business

When it comes to making sure people know your Practice exists, Google My Business is a great place to start. Have you ever searched for a service or product, and your Google results have provided a list of nearby businesses including their phone number, opening hours and location on a map? These are Google My Business listings.

A recent study into Google My Business (GMB) insights found that on average, businesses were discovered by their Google listing 1,009 times each month, so it’s a no brainer when it comes to an easy-to-implement, but essential, marketing measure.

GMB listings aren’t only to let potential clients and patients know that you exist, but also the services you offer, reviews from patients and clients, your address, what your business looks like, and even how much a visit might cost them. When you go through the setup process, you’ll be asked all of these questions (except for the ratings which will come from your patients/clients), and it’s important you answer as many as possible.

When it comes to deciding which businesses to display in search results, Google operates on three primary metrics; proximity, relevance and prominence.

Proximity is fairly self explanatory – Google will prioritise listings for a business 5km away over one that is 30km away. For this reason, it’s important that you accurately list your Practice’s address.

Relevance is Google determining how relevant your business is to the searcher’s needs, and this comes into play with the descriptions and services you have included in your GMB listing. For example, if someone searches for ‘medical practice skin check’, but you haven’t included the terms ‘skin check’ in your services or business description, your relevance to the search term wouldn’t be as high, so it’s important to mention all relevant services that your Practice offers. Try to be thorough with your keywords and include as many relevant variations as you can think of.

Prominence is the third, and trickiest metric to get correct. Prominence relates to things like the number of reviews your Practice has, whether or not other websites refer back to your website or business name (this is known as backlinking, a very powerful, but advanced marketing concept), and how well-known your brand is in the local community. The easiest way for you to boost your prominence without delving into advanced marketing techniques is to consistently ask your patients and clients for feedback via Google Reviews. This will also help combat any negative reviews you may receive, with a more balanced view of all the happy patients and clients you serve.

If Google can see your Practice is an active business that is generating positive feedback from patients and clients, it more confidently displays your GMB listing in search results as it will recognise you as a local business that communicates trust and authority.

We’ve only just scratched the surface of Google My Business here, and if you are interested in finding out more, there are no shortage of resources online. In the meantime, if you haven’t yet set up a Google My Business listing for your Practice, you can get started here. In addition, it may also be worthwhile to list your Practice on Maps Connect, Apple’s version of Google My Business. You can get started with Maps Connect here.

Social Media

That’s right, social media has a practical use beyond sharing cat pictures and reconnecting with your high school class of ’87.

Even though social media encompasses a wide range of platforms, the most far-reaching of them (and easiest to market on) is most definitely Facebook. A lot of businesses still write Facebook off as unnecessary – but the reality is far from it. According to a social media statistics report from January 2020, there are approximately 15 million active Australians on Facebook, which is 60% of the country’s total population!

If you’ve ever used Facebook in a personal capacity, chances are you’re familiar with how to create a profile – the good news is creating a profile for a business is much the same. Be thorough with your Practice’s services, opening hours and location, and use well-lit photos that show your Practice or clinic off in its best light.

One feature available on Facebook, that isn’t available on Google, is the ability to post content to engage with your patients, clients and local community. Brainstorm some ideas with your team for fun and engaging posts that will get people commenting, liking or sharing your content.

The secret here is varying your content and personalising it. Many successful Practices and clinics share things like feel-good stories, staff photos or videos, health awareness days and healthcare news. Your content doesn’t have to look like it’s fresh off the desk of a graphic designer – unpolished photos and videos can often outperform expertly produced content, as it’s showing your business is authentic.

The number one thing to remember when it comes to social media marketing is that it’s a slow process. You need to work at building your online community and be patient – display a poster in the reception area asking patients to follow or have your reception staff ask, offer a small one-time discount for becoming a follower, and use the functionality within Facebook to invite those who like your posts to also like your page. Even those of us who specialise in marketing accept that it can take a while to see results!

Your Practice Management System

A rarely used feature that can really set your Practice apart from your competition is utilising the communication functionality that comes built-in to your Practice Management System. This could include SMS and/or mobile phone apps and can often be automated. What better way to provide exceptional customer service and strengthen your Practice-patient relationship, than with proactive health awareness messages, helpful health summaries or factsheets, and health reminders?
 

Your Own Website

Google and Facebook are all well and good, but if your website isn’t up to scratch, the other platforms aren’t going to do you any favours as they both request your website’s URL when setting up your GMB listing or Facebook company page.

Google in particular cares a lot about your website’s performance. It wants to know that if it’s recommending a website as part of a search result, that the website will help and inform visitors. In addition, consistency between your website and other online profiles is essential in conveying a strong and cohesive message to your local community.

If your Google My Business profile mentions that your Practice offers skin checks as a service, but that isn’t mentioned anywhere on your website, Google is going to be less likely to recommend your business for skin checks.

In addition to consistency, your website’s performance is going to be a significant factor in how likely other services are to recommend your business, and also affects patient and client retention. If your website has online booking functionality but is slow to load, has broken links or doesn’t work properly on mobile, you’re going to lose a lot visitors before they’ve had a chance to book an appointment.

A site like GTMetrix is helpful to determine how well optimised your website is. While a lot of the terminology used in the results may not make sense to you, it will give you an easy to understand score on an A to E scale for overall performance and efficiency. If your website isn’t performing as well as it should, it would be worth investing the time and money to improve it.

But What About All Those Acronyms You Mentioned at the Start? Don’t I Need to Know All About Those?

Not really. While those acronyms and abbreviations begin to step into the territory of advanced marketing, the basics are straightforward and can be achieved by just about anyone.
 
The best advice for marketing your Practice to your potential patients and clients is to put yourself in their shoes:
 
  • If you were looking for a Practice, what information would you want to see in a Google My Business or Safari Maps Connect listing?
  • If you were to follow your local Practice’s Facebook page, what type of content would keep you engaged with them?
  • Visit your own Practice’s website. Be honest and objectively assess whether it offers a pleasant user experience.
  • If your Practice uses a Practice Management System that supports SMS, app messaging or email integration, what kind of notifications would keep you engaged with them?
One of the golden rules of marketing is to make yourself known, and relate to your audience. This is true no matter what industry, field or discipline you’re trying to promote.
 
So before you make any change, post or update – stop and think ‘is this something my audience needs or wants to see?’
 
Authored by:
 
 
Louis Valenti
Marketing Specialist at Best Practice Software
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