Electronic Frailty Index (eFI) Calculator

The Vision+ electronic Frailty Index (eFI) Calculator checks a patient's record to assess and score their frailty level. The score can be used to predict if a patient is at greater risk of care home admission, hospitalisation or mortality. Use this tool to identify patients who would benefit from further assessment.

eFI Calculator Scoring

Score	Risk
0 - 0.12	Fit
0.13 - 0.24	Mild Frailty
0.25 - 0.36	Moderate Frailty
> 0.36	Severe Frailty

Accessing the eFI Calculator

1. From Consultation Manager, select Vision+ from the floating toolbar and select Calculators - Other - electronic Frailty Index:

   

2. The electronic Frailty Index (eFI) Calculator displays:

   

Using the eFI Calculator

Home Tab

From the Home tab:

• Save & Close - Select to save the calculator and generated score to the patient's record.

• Codeset - Enter a code for the selected line.

• Show Indicators - Select to display the patient's Alert Indicator without opening Consultation Manager.

• Undo Last Entry - Deletes the previous entry.

• Indicator Logic - Select to display the rules behind the calculator.

• Default Date - Defaults to today, update if required by entering a new date or selecting from the calendar.

• Previous Tab / Next Tab - Moves between the Calculator tabs.

Calculator Tabs

Select from:

• History - Displays the clinical information from the patient's record.

  See Viewing the History Tab for details.

• electronic Frailty Index - The main calculator tab, complete as required.

• electronic Frailty Index evidence - Displays further information about the calculator.

Completing the Calculator

To complete the electronic Frailty Index (eFI) Calculator and score your patient:

1. Any relevant data from the patient record automatically populates.
2. Populate the calculator with any additional information required:
   • History:
     • A blue arrow displays if the row contains none or one relevant clinical term.
     • A red arrow displays if the row contains more than one relevant clinical term.

     • To close the History screen, select Close . The window can also be resized using the Resize option.

   • Codeset - Codeset takes you to the Codeset Codes data entry screen, where codes can be chosen from pre-defined list.
   • Undo Last Entry - Select to delete the clinical term previously entered on that line during the current session.
3. Select Save & Close to save the calculator and generated score to the patient's record:

   

4.  The appropriate clinical term saves to the patient's record: