Shared Care Agreement and Drug Monitoring Frequency

Patients who you decide to manage through DMARDs Manager (NHS Scotland) should be allocated a shared care agreement and have their drug monitoring frequency recorded. Assigning this information assists in monitoring the patient more effectively by identifying those who are not receiving regular blood tests for example.

Shared Care Agreement

To set a shared care agreement:

  1. Run the DMARDs Manager (NHS Scotland) Practice Report, see Running the DMARDs Manager (NHS Scotland) Practice Report for details.
  2. Once complete, the DMARDs Manager (NHS Scotland) practice report displays various cohort lines. Look for lines that state Shared Care Agreement Absent, there may be multiple indicator lines for different drugs:

  3. Expand a cohort line stating Shared Care Agreement Absent to view the patients. Select a patient and select Show Template from the toolbar, alternatively right click on the patient and select Show Template :

  4. The DMARDs Manager (NHS Scotland) Clinical Template displays with the patient's current DMARDs medications selected. Select either Shared Care Protocol Drugs A-K or Shared Care Protocol Drugs L-Z depending on the patient's current DMARDs medication:

  5. Select Codeset to open the Codeset Codes screen:

  6. Select Apply next to the clinical term 8BM5 - Shared care prescribing and then select the DMARDs medication from the Comments list:

  7. Select OK to close the Codeset Codes screen and add the shared care prescribing agreement to the clinical template.

Allocating a Drug Monitoring Frequency

Patients on DMARDs medication require regular monitoring. To allocate a patient's recommended drug monitoring frequency:

  1. From the DMARDs Manager (NHS Scotland) Clinical Template, select Codeset next to the monitoring frequency required:

  2. The Codeset Codes screen displays, select Apply next to the clinical term 66c0 - DMARD monitoring and then select the correct monitoring frequency from the Comments list:

  3. Select OK to close the Codeset Codes screen and add the monitoring frequency to the clinical template:

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