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Overview
ACORN - Assessment of Clinical Oral Risk and Needs This guide is to support the detailed guidance issued by Welsh Government on the 22nd May 2020.”
The NHS Wales Payor has a revised tick box on Payor File: “Auto chart NHS Risk Service on COT creation”. It is on by default and will automatically add “NHS Risk Assessment” service to planned UDA COTs if a patient has not been assessed by the same provider in the previous 12 months.
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NHS Risk Assessment service (as before) will be automatically added to NHS UDA COT for patient who have not been assessed by the same provider in the previous 12 months:
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An NHS Risk Assessment will NOT be automatically added to a NHS UOA (orthoorthodontic) COT:
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Double clicking In order to fill out the ACORN questionnaire you will need to double click the service icon or ticking the NHS Risk Assessment Service will launch ACORN questionnaire with . There are four tabs - Exampleas shown below:
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Ticking' Urgent Care' will alter the form questions to represent the urgent assessment as requested by the NHS. Equally, ticking ‘Patient is endentulous’ or ‘Patient is under 12’ will alter the questions that need to be answered on the form dynamically. See full details of tab/question changes at the end of this document.
Relevant History
The three ‘Yes, No or Unset' buttons will send ‘Amber’ or ‘Green’ status in the claim XML.
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Behaviours and Protective Factors
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EXACT will default the high sugar and tobacco questions if these have been previously answered by the patient in their medical history. See full details in the Medical History section of this document below.
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Clinical Findings
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If all the questions leading up to an overall score have been answered, EXACT will attempt to default the overall score if it can. This will only happen the first time the form is filled in for the patient, and can be overriden overridden at any stage.
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Perio Health
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The patient’s most recent BPE will be pre-populated on the form, so please ensure a BPE is completed before completing the assessment. These scores can be altered if necessary.
Warnings
Warnings will be displayed to user if there is missing data required to be sent with the FP17W claim when trying to tick NHS Risk Assessment complete.
Course of Treatment - Unticked Risk Assessment Treatment Item
Warning if ticking Course of Treatment complete without completing the ‘NHS Risk Assessment’ service:
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Appointment - Unticked Risk Assessment Treatment Item
Warning if completing Appointment:
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Service - Incomplete Risk Assessment
Warning if ticking Service below - Incomplete Risk Assessment dialog appears with missing sections Relevant History, Clinical Findings and Perio Health:
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NOTE: the Incomplete Risk Assessment warning will be revised and display what is still missing e.g:
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Edit Chart Service Item
Edit Risk Assessment
You If you need to access the edit screen again you can access ‘Edit Risk Assessment’ button from Edit Chart Item EGscreen shown below:
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Or - from Tooth History on Uncharged Treatment EG:
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Medical History
If your practice uses Fixed Medical History ‘Default’ or ‘Advanced’, some options will pre populate. It will answer Amber on Behaviours and Protective Factors tab e.g.
Using the Advanced Fixed Medical History form, we tick ‘Lots of fizzy/acidic drinks’ for a patient:
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On an NHS course of treatment, mark the NHS Risk Assessment service as complete. NOTE: Behaviours and Protective Factors tab pre populates Yes answer (Amber) for “Consumes… fizzy drinks etc…” question e.g. below (user can change the answer to No if desired):
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Workflow for Patients Under 12yrs old.
Relevant History tab - under 12’s
The “Patient is under 12” tick box will automatically be ticked when completing ACORN questionnaires for patients under 12yrs old e.g.
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Behaviors and Protective Factors - under 12
Behaviours and Protective Factors - under 12’s
The ‘Periodontal Health Specific Risks Age 12+ Only' section is NOT displayed for under 12 e.g.
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Perio Health tab - under 12’s
The BPE section(s) will not be displayed for under 12 patient EG:
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View Risk Assessment - completed, TCd claims
Read only answers ticked (or text entered) will be visible for completed (or TCd) claims when choosing 'View Risk Assessment” from Tooth History or Edit Chart Item. Chosen Yes, No or Unset answer buttons will have a coloured edge. See examples below.
Relevant History
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Behaviours and Protective Factors
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Clinical Findings
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Perio Health
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