Programme in Viso
At the moment, it is not possible to issue prescriptions in Viso. Please follow your standard procedure to issue a prescription. Viso can be used to notify and confirm a medication change with a patient and track medication adherence.
- Don’t forget to confirm in Viso that a prescription has been issued (you will be automatically prompted to do this). Confirming prescription creation will alert your patient to update their medication reminders in Viso and trigger the timing of the next Measurement Week (see "How is the start of a blood pressure measurement week determined?" in "The Review Cycle in Hypertension Plus" section).
The medication list available at the treatment plan creation phase in Viso is based on your local ICS formulary. While you will be able to select any medication in the “All Medications” screen, these will not be taken into account for the Hypertension Plus treatment plan. If you wish to add medications not currently listed, please request the change to the Viso Service Team.
Treatment plans recommended by Viso can be fully customized. Deleting the recommendation in the “Class” field will enable you to select from all available hypertension medications in your local formulary. You may choose to set each step manually, or to modify an individual step. When modifying a step, always make sure to review the subsequent steps. Click [Recommend] to update the recommendation automatically, or continue to edit manually. To reset a manually modified step, click [Recommend].
Viso will recommend a new titration step when the result of the patient’s blood pressure week is above target. The Action Card "Next medication Step Recommended" will be displayed in the Dashboard. Once the HCP Approver has confirmed the next titration step a message is sent to the patient to agree to the change. When the patient agrees to the medication change, the Action Card "Create Prescription" will be displayed in the dashboard. The HCP approver must confirm the creation of the prescription. This sends an alert to the patient that their prescription is available.
When the patient has collected their prescription, they confirm receipt and update their medication schedule in the Viso app. The patient will now follow their new medication plan and the titration step display in the Dashboard is advanced to the next step in the plan.
When a patient rejects a recommended step, they are required to enter the reason for the rejection, which need to be reviewed by the HCP in the "Patient Rejected Medication Step" action card. If no further action is taken, the patient will continue their current medication until a further change is made and agreed to by the patient. If no change is made, the patient will be prompted to start their next Measurement Week 28 days after their previous measurement week began. If blood pressure is still above target at the next Measurement Week, then Viso will again recommend moving to the next titration step.
The HCP can choose to edit the titration plan and send a new recommendation to the patient (for example, to address concerns on symptoms or side-effects). The patient then has the option to approve or reject this updated recommendation in the normal way.
If a change in medication is required, but the patient does not accept the change through the app, contact the patient to resolve. You can send a contact request through the Viso system, or contact the patient in your normal way.
When a patient reaches the end of their 3-step plan, Viso will recommend the creation of a new 3-step plan. For patients where an automatic recommendation can be made, the recommended steps will be displayed (see "More About Creating Titration Plan"). When an automatic recommendation cannot be made, the HCP can manually define the next steps in the plan.
- For patients where recommendation is possible, Viso can make recommendations up to and including NICE treatment Step 3. Further steps (if desired) must be created manually.
Patients who are stable with a blood pressure below target will continue on their current medication. Viso will prompt them to monitor their blood pressure and remind them to take medication. If, in a subsequent measurement week, the patient is no longer on target, then Viso will recommend creation of a new treatment plan.
HCPs can make a new treatment step manually. Choose medication from the drop-down list and customise the new treatment steps without recommendations.