The New EMIS HOOF Wizard (October 2009)
What is the EMIS HOOF Wizard?
The HOOF Wizard is a rich text document which, when opened up in EMIS LV (like PMA report Templates), will take you through the steps needed to complete the form, help with relevant information, pull the patient data out of EMIS together with your responses and then create the form.
It attempts to explain what you should be doing so that it holds your hand all the way through the process.
I obtained the information from the NHS Primary Care Contracting Home Care Oxygen website and by phoning up and quizzing some suppliers. I also received lots of help from participants in discussions in the Respiratory Diseases forum of Doctors Net UK.
Another useful website is The British Paediatric Respiratory Society Website
I hope you all find it useful and not too verbose. Let me know, you can find my email address either on Doctors Net UK or by going to my website's home page.
You need to read this section carefully
The new form is prettier, but its layout is more complex, so it's rather slow to load in EMIS. There may be long pauses at times, depending on how fast your server is.
The new form has lots of check boxes. This means that your answers to the EMIS text prompts in the wizard have to be converted into boxes like this: x or ¨.
The only way to do this is by way of Microsoft Word data fields. Your answers to the prompts are converted to the appropriate box (x or ¨) using Word's in-built data fields.
The trouble with using Word data fields is that while they read the data correctly, they only display their result when requested to. This means that when you use the new HOOF wizard, the result may look like a terrible mess when EMIS presents the completed form to you on screen, with lots of boxes checked, seemingly inappropriately!
In fact, all your answers have been converted properly, you just need to tell word to display the results by updating the data fields.
There are two ways to do this:
Manually Updating Your Form
1. Once the form has displayed on screen, click anywhere on it, press the two-key combination Ctrl+A (press both keys at the same time).
2. You should see the form invert it's colours so that white areas become black.
3. Right-click with the mouse anywhere on the form.
4. A menu will pop-up. One of the menu options will have a red exclamation mark next to it:
! Update Field
5. Select this option. The screen will flash briefly, indicating that the fields have been updated.
6. Left-click with the mouse anywhere in the document. You now should have a form which appears to be correctly completed.
Automatically Updating Your Form
This involves installing a tiny program into your Microsoft Word which automatically updates any data fields when any document is opened up. This means you don't have to bother with the above shenanigans.
This program is called HoofMacro.bas and can be downloaded by right-clicking here and choosing to save the file to your desktop as HoofMacro.bas.
It's very simple to install, and installation instructions can be viewed by clicking here or downloaded by right-clicking here and choosing "save as a pdf file".
Latest changes to the HOOF Wizard
It's all change again at the good old Department of Health.
Do they spend their time going round in circles or what? Not content with having devised the most horrible form for prescribing the breath of life, they then follow it up with a second version that's even more horrible! Have they nothing better to do?
Luckily I'm on the case and I've managed to convert the new Home Oxygen Order Form to EMIS LV format. Other changes include:
1. I've done some research on the use of Home Oxygen and have taken the opportunity to make the new HOOF Wizard more self-explanatory. The new HOOF Wizard contains a mini tutorial in the Long Term Oxygen Therapy section which explains about the use of different valves in getting the percentage of oxygen right. I do hope that you find this useful and not too long-winded.
2. I 've produced a web-based version of this which goes into this rather confusing subject (for us non-specialists) in more detail. It discusses the different valves, their colour-coding and the differences between nasal cannulae and masks and how this all relates to oxygen percentage and flow rates.
3. Feedback from users has been useful and one of the requests was to have a shortened version of the HOOF Wizard specifically for Short Burst Oxygen Therapy, as this is the commonest prescription in primary care. I have done this, and it has the Ambulatory, Long Term Oxygen Therapy prompts and the mini-tutorial stripped out so it's much quicker to complete.
Notes to usersSome practices have experienced forms returned due to failure to fill in the flow-rate in the Short Burst Oxygen section. This is an error on the part of the oxygen suppliers. When oxygen is given via ventimask (which is how short burst oxygen should usually be given) the flow rate is always 2 litres per minute and does not have to be specified. You could always phone up the suppliers and talk to the supervisor who will agree that this is the case or just enter "2" when this question comes up in the wizard.
This is work in progress and I would appreciate any feedback. I have developed this specifically for EMIS LV version 5.0. Feedback from users is that it does not work with the GUI version of EMIS (GV) or PCS. For these practices and non-EMIS practices There is an editable electronic version of the HOOF form. At the very least you can store it on your system and print out this version prior to filling it out by hand.
There is also an editable electronic version of the HOCF (home oxygen consent form).
I have no connection with EMIS, however they have put this website as a link in their on-line handbook.
I have tested this on my own surgery system and it works well. Most other practices that have downloaded it have not had any problems with the form. One practice noticed that when they filled the form out their terminal hung when trying to save it as an attachment. This was probably due to the way their system was configured. The worst that happened was that they had to end the EMIS terminal software and re-start it on the affected machine. However please note that you use this at your own risk (see the disclaimer below).
You can also download the HOCF wizard which automatically generates the required consent form.
What to do
1. Download the HOOF Wizard by clicking here which takes you to the bottom of this page.
2. Copy the HOOF Wizard to your EMIS server
3. Click on My Network Places and you should see your server show up. It will probably show up as something like "EMIS 367" or some such. Find the MS Word User Documents folder on the server. If you use the PMA templates to fill out your insurance medicals that's the folder you need. Copy the HOOF Wizard to that folder.
4. Open the HOOF Wizard with the current patient.
As for PMA reports. If you aren't used to this then:
1. Open the patient you want to obtain oxygen for in consultation mode.
2. Press F3
4. Press WP
5. Press W
6. Press K
You should then be able to select the HOOF Wizard from a windows file selection box.
Be patient: the HOOF Wizard will take some time to load!
5. Go through the pop-up questions.
6. Email me to let me know what you think!
Note for the more technically minded:
Your surgery details will be inserted from EMIS. However, If you want to you can open the file up Microsoft Word and insert other details such as PCT or health board and your fax number and name.
You need to be careful when doing this: when you open up the document to edit it, it looks a mess at first sight but that's just because the EMIS mail merge codes get in the way. They are stripped out when the wizard is complete.
Make sure that you don't alter anything that says ~[some text here] as it messes up the way EMIS handles the document. However, if you want to add things which are usually prompted for, such as PCT name (not available in EMIS), fax number or your name, then you will need to entirely delete the relevant ~[Free Text: ] tag which asks for this and insert your own text.
The best way to do this is to open up the HOOF wizard in windows notepad, replace the whole ~[Free Text: ] tag with your boiler-plate text, then save the changes, making sure to save it with extension .rtf and being careful to make no other changes.
If you have any problems please email me as this can be fiddly!
Please read the disclaimer below. If you agree to this click on the accept button to download the HOOF Wizard.
THE AUTHOR MAKES NO REPRESENTATIONS OR WARRANTIES WHETHER EXPRESS OR IMPLIED (BY STATUTE OR OTHERWISE) RELATING TO THE PERFORMANCE, QUALITY MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OF THE HOOF WIZARD. THE AUTHOR SHALL BE IN NO WAY LIABLE IN RESPECT OF ANY COSTS, CLAIMS, LOSSES, LIABILITIES, DAMAGES AND EXPENSES INCURRED DIRECTLY OR INDIRECTLY IN RESPECT OF THE USE OF THE HOOF WIZARD.
You can also download a simple rich text editable version of the HOOF form by clicking this link which may make life easier for those who cannot use the HOOF wizard.
You can also download a simple rich text editable version of the HOCF form (the consent form) by clicking this link.
Return to instructions
The EMIS HOOF Wizard was created by
Dr Ian Rubenstein
Eagle House Surgery
291 High Street
Enfield Middx EN3 4DN