Table 2

Key requested features of FHT, with illustrative quotes

Key featureExample quotes
Ability to track number of patients at risk of CKD‘[B]ecause people who are likely to have the highest number of risk factors … are the group of patients that we are most likely to be able to do something meaningful for by knowing who they are and capturing who they are. Especially in clinics with small numbers of doctors, yet with too many patients, being able to focus on the patients where we are able to make the most meaningful difference is going to be really helpful’. (Session 2, GP, zoom, rural and metropolitan)
Automated patient recall‘Reminder and recall systems in practice software is inadequate…people are slipping through’. (Session 2, PN, zoom, rural and metropolitan)
Elements to fit within workflow‘When you’re in this you want to be in action mode. You’ve got your data, you’ve got your information, you know what you want to do and all of a sudden your clinical decision making says “ok, what is my strategy, which do I do next, when do I do it what do I have to do and what order do I need to do it”’. (Session 3, GP, face to face, metropolitan)
Ability to filter data through a range of lenses‘What’s really good about that, it came up in the group discussion, a smaller practice with perhaps less enthusiasm for this, you can actually drill down and get quite small numbers to begin with that allows people to get their feet wet with looking at the key issues and looking at trying to change behaviours or introduce medications, and as you grow in confidence you can start softening your filter and capturing a wider group’. (Session 5, GP, zoom, rural)
Incorporation of QI cycles‘Could you have a print out so that when you have your monthly meetings you can say this is where we started, this is where we are now and of course this is going to help with QI?’ (Session 1, PN, face to face, metropolitan)
Links to information, including national guidelines and patient information‘If it has the list of identified things and the list of identified assessment, that’s what I would use at a glance. We all know what recommended assessment for CKD is, but when we get down the line to people on the orange or red action plan then definitely, you forget how often to check for … so having that list pop up quickly rather than clicking through is probably more efficient’. (Session 6, GP, face to face, metropolitan)
Relevant patient pathology results displayed in graphical/visual format to facilitate review‘… but if you did have BP that was green, ACR which was yellow, and the eGFR was red, and you clicked on it, you would see what the last one was, and a trend came up, it would be really helpful to look at the trend’. (Session 1, GP, face to face, metropolitan)
Ability to focus on conditions relevant to individual practice profiles‘My initial thought to that is, what I think you’ve got there for general practice is excellent. Because what you are doing is you’re identifying one of four groups you can allocate that patient to. I think that behind that there is an opportunity for people with a particular interest to refine their search, such as HIV, but to your bread and butter general practitioner that would be of less importance’. (Session 5, GP, zoom, rural)
Ability to track their own practice’s activities over time and potentially to review their activity against that of like practices (benchmarking)‘That’s the helpful part of it– seeing your own practice change’. (Session 1, PN, face to face, metropolitan)
  • FHT, Future Health Today; GP, general practitioner; QI, quality improvement.