PROCESS OVERVIEW
MDT Process Flow
Getting started
Click for more information on each MDT type
Peer
Type of MDT
Team Lead
PROCESS OVERVIEW
MDT Process Flow
Getting started
Click for more information on each MDT type
Peer
Type of MDT
Team Lead
Peer MDT
Start Over
Back 1 Step
Consensus reached by clinicians?
Complex MDT
NO
YES
Contact Team Lead
Consult via email
SCHEDULE TL MDT
IMPORTANT
Team Lead MDT
Start Over
Back 1 Step
Consensus reached by clinicians?
Complex MDT
YES
NO
Gather more info
Consult via email
Case review
Case Review
Start Over
Back 1 Step
Consensus reached by clinicians?
NO
YES
Consult with the Clinical Lead
Start Over
Back 1 Step
Consensus reached by clinicians?
Contact TL assigned to contract to discuss.
Reach decision
NO
YES
Consensus reached
Start Over
Back 1 Step
Follow QC Guidance
Publish Follow contract requirements
Process Overview
Start Over
Back 1 Step
COMPLEX TRIPOD MDT To avoid delay complex cases requiring additional expertise can be taken with the agreement of TL to a Tripod Complex MDT slot, where all the TLs from the observation clinician’s tripod review a case with the assessing clinicians in 45-minute slots.
CONSENSUS NOT REACHED BY CLINICIANS Consensus is not reached (either disagreement or lack of evidence). Next steps might include one or more of the following i) Gather more information ii) consult with other Team Leads or Clinical Leads.
CONSENSUS NOT REACHED BY CLINICIANS Consensus is not reached (either disagreement or lack of evidence). Initial and obs clinician's TL can offer support via email or may recommend a face-to-face MDT. Contact TL with a clearly documented rationale for their involvement. ** Emails to/from the Team Lead should be copied into Progress Notes **
Consensus not reached
Either disagreement or inconclusive due to lack of evidence.
PEER MDT There will be a range of reasons why clinicians may arrange a TL MDT,
- They are a trainee
- New to the company
- Recently trained in ADOS/ADIR/ADHD
- Feel that the co-occurring conditions or differentials identified are not within their skill set.
PEER MDT There will be a range of reasons why clinicians may arrange a TL MDT,
- They are a trainee
- New to the company
- Recently trained in ADOS/ADIR/ADHD
- Feel that the co-occurring conditions or differentials identified are not within their skill set.
PEER MDT Clinicians with TL approval (completed competencies) can hold Peer MDTs, covering straightforward cases and complex cases with differential diagnoses.
MDT Types
The peer MDT should take place on the same day as the ADIR where clinicians are free to meet. It should take place no later than 7 calendar days after the ADIR where both clinicians are in work. If clinicians' working pattern, sick leave or annual leave will create a delay then the clinician in work should liaise with their team lead for alternative options.
The ADIR clinician should book an MDT appointment by:* Reviewing availability of the assessing clinicians and team lead on Google Calendar, and sending a Google Meet invitation. The invitation should include the client’s Panacea code & link, and a brief summary (e.g. observation indicative, ADIR not indicative).* Using the ‘Autism Assessment tab’ on Panacea and selecting ‘MDT’ to include the date of the MDT and clinicians involved. This will create a record in Progress Notes and enable the team lead to complete the MDT summary which will pull through to the automated report. * There is also the option to book into the Complex MDT slot with tripod leads or have a consultation session with a clinical lead.
PEER MDT Clinicians with TL approval (completed competencies) can hold Peer MDTs, covering straightforward cases and complex cases with differential diagnoses.
CONSENSUS REACHED BY CLINICIANS Following a Peer MDT when the outcome is agreed upon and a review/further escalation is not required, the clinician who completed the MDT tab should add the diagnosis via the diagnosis tab choosing ‘autism/no diagnosis’ and ticking ‘formal’. Then follow the usual QC process.
Could we have a short video of KB or SC explaining when each MDT should be used?
Please see MDT guidance for full details on MDT preparation requirements and links to useful tools.
Could we have a short video of KB or SC explaining when each MDT should be used?
Please see MDT guidance for full details on MDT preparation requirements and links to useful tools.
CONSENSUS REACHED BY CLINICIANS Following a TL MDT when the outcome is agreed upon and a review/further escalation is not required, the clinician who completed the MDT tab should add the diagnosis via the diagnosis tab choosing ‘autism/no diagnosis’ and ticking ‘formal’. Then follow the usual QC process.
The ADIR clinician should book an MDT appointment by:* Reviewing availability of the assessing clinicians and team lead on Google Calendar, and sending a Google Meet invitation. The invitation should include the client’s Panacea code & link, and a brief summary (e.g. observation indicative, ADIR not indicative).* Using the ‘Autism Assessment tab’ on Panacea and selecting ‘MDT’ to include the date of the MDT and clinicians involved. This will create a record in Progress Notes and enable the team lead to complete the MDT summary which will pull through to the automated report. * There is also the option to book into the Complex MDT slot with tripod leads or have a consultation session with a clinical lead.
Optional info
See if there is relevant info in the SOP that would fit here. If not remove this pop up.
COMPLEX MDT To avoid delay complex cases requiring additional expertise can be taken with the agreement of TL to a Tripod Complex MDT slot, where all the TLs from the observation clinician’s tripod review a case with the assessing clinicians in 45-minute slots.
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Transcript
PROCESS OVERVIEW
MDT Process Flow
Getting started
Click for more information on each MDT type
Peer
Type of MDT
Team Lead
PROCESS OVERVIEW
MDT Process Flow
Getting started
Click for more information on each MDT type
Peer
Type of MDT
Team Lead
Peer MDT
Start Over
Back 1 Step
Consensus reached by clinicians?
Complex MDT
NO
YES
Contact Team Lead
Consult via email
SCHEDULE TL MDT
IMPORTANT
Team Lead MDT
Start Over
Back 1 Step
Consensus reached by clinicians?
Complex MDT
YES
NO
Gather more info
Consult via email
Case review
Case Review
Start Over
Back 1 Step
Consensus reached by clinicians?
NO
YES
Consult with the Clinical Lead
Start Over
Back 1 Step
Consensus reached by clinicians?
Contact TL assigned to contract to discuss.
Reach decision
NO
YES
Consensus reached
Start Over
Back 1 Step
Follow QC Guidance
Publish Follow contract requirements
Process Overview
Start Over
Back 1 Step
COMPLEX TRIPOD MDT To avoid delay complex cases requiring additional expertise can be taken with the agreement of TL to a Tripod Complex MDT slot, where all the TLs from the observation clinician’s tripod review a case with the assessing clinicians in 45-minute slots.
CONSENSUS NOT REACHED BY CLINICIANS Consensus is not reached (either disagreement or lack of evidence). Next steps might include one or more of the following i) Gather more information ii) consult with other Team Leads or Clinical Leads.
CONSENSUS NOT REACHED BY CLINICIANS Consensus is not reached (either disagreement or lack of evidence). Initial and obs clinician's TL can offer support via email or may recommend a face-to-face MDT. Contact TL with a clearly documented rationale for their involvement. ** Emails to/from the Team Lead should be copied into Progress Notes **
Consensus not reached
Either disagreement or inconclusive due to lack of evidence.
PEER MDT There will be a range of reasons why clinicians may arrange a TL MDT,
PEER MDT There will be a range of reasons why clinicians may arrange a TL MDT,
PEER MDT Clinicians with TL approval (completed competencies) can hold Peer MDTs, covering straightforward cases and complex cases with differential diagnoses.
MDT Types
The peer MDT should take place on the same day as the ADIR where clinicians are free to meet. It should take place no later than 7 calendar days after the ADIR where both clinicians are in work. If clinicians' working pattern, sick leave or annual leave will create a delay then the clinician in work should liaise with their team lead for alternative options.
The ADIR clinician should book an MDT appointment by:* Reviewing availability of the assessing clinicians and team lead on Google Calendar, and sending a Google Meet invitation. The invitation should include the client’s Panacea code & link, and a brief summary (e.g. observation indicative, ADIR not indicative).* Using the ‘Autism Assessment tab’ on Panacea and selecting ‘MDT’ to include the date of the MDT and clinicians involved. This will create a record in Progress Notes and enable the team lead to complete the MDT summary which will pull through to the automated report. * There is also the option to book into the Complex MDT slot with tripod leads or have a consultation session with a clinical lead.
PEER MDT Clinicians with TL approval (completed competencies) can hold Peer MDTs, covering straightforward cases and complex cases with differential diagnoses.
CONSENSUS REACHED BY CLINICIANS Following a Peer MDT when the outcome is agreed upon and a review/further escalation is not required, the clinician who completed the MDT tab should add the diagnosis via the diagnosis tab choosing ‘autism/no diagnosis’ and ticking ‘formal’. Then follow the usual QC process.
Could we have a short video of KB or SC explaining when each MDT should be used?
Please see MDT guidance for full details on MDT preparation requirements and links to useful tools.
Could we have a short video of KB or SC explaining when each MDT should be used?
Please see MDT guidance for full details on MDT preparation requirements and links to useful tools.
CONSENSUS REACHED BY CLINICIANS Following a TL MDT when the outcome is agreed upon and a review/further escalation is not required, the clinician who completed the MDT tab should add the diagnosis via the diagnosis tab choosing ‘autism/no diagnosis’ and ticking ‘formal’. Then follow the usual QC process.
The ADIR clinician should book an MDT appointment by:* Reviewing availability of the assessing clinicians and team lead on Google Calendar, and sending a Google Meet invitation. The invitation should include the client’s Panacea code & link, and a brief summary (e.g. observation indicative, ADIR not indicative).* Using the ‘Autism Assessment tab’ on Panacea and selecting ‘MDT’ to include the date of the MDT and clinicians involved. This will create a record in Progress Notes and enable the team lead to complete the MDT summary which will pull through to the automated report. * There is also the option to book into the Complex MDT slot with tripod leads or have a consultation session with a clinical lead.
Optional info
See if there is relevant info in the SOP that would fit here. If not remove this pop up.
COMPLEX MDT To avoid delay complex cases requiring additional expertise can be taken with the agreement of TL to a Tripod Complex MDT slot, where all the TLs from the observation clinician’s tripod review a case with the assessing clinicians in 45-minute slots.