Process Indicators | Examples |
---|---|
Patient initiation with the metabolic clinic i.e. through the government mental health clinic | Predominantly patients on atypical antipsychotics |
Enrolment process | No official paper work existed in initiating patients into the metabolic clinic service |
Consultation fee (eligibility for funded services vs fee-for service) | Mental health patients on atypical antipsychotics received the service free of charge as per the funding model |
Referrals and associated communication | Patients were referred to the Metabolic Clinic Service via staff at the government mental health service (psychiatrists, case managers) |
Service components provided by nurse practitioner vs pharmacist vs pharmacy assistant | Proprietor oversaw the operation of the metabolic clinic. The pharmacist who was next in charge was involved in promotional activities at the government mental health clinic. All staff were actively involved in referring patients to the metabolic clinic |
Mode of documentation | Patient biometrics were recorded in an Excel spreadsheet. The NP used the Good Practice® software to record information relating to consultations. Changes relating to medication and/or dosage were handwritten in patient specific files |