Previser
 |   |   |   |   |   |   

Information for:

 

Dentists
sepline
Hygienists / Therapists
sepline
Oral Healthcare Funders
sepline
Academic Institutions
sepline
Patients

sepline

 

University of Birmingham Logo
 

 

Frequently Asked Questions

Click on a topic in the list below or scroll down to browse the associated FAQs on this page, then click the question to view the answer.
General

Data Required for Assessments

Periodontal Risk and Disease

Pricing and payment

Administrative
Security and Privacy
Technical

Troubleshooting

 

General Questions:
(view Answers)
Is the Patient information in the PreViser application compatible with my Practice Management Software?
What happens to the information I enter into PreViser - where does it go and what does it do?
What is the PreViser ID and how is it generated?
What if I work from more than one practice - do I have to have more than one PreViser account?
How does a hygienist or therapist use PreViser?
How should I handle a patient referred to me by another practice that has established a PreViser ID for that patient?
How often should I perform a Risk Assessment on a specific patient? (What is the recommended frequency?)
I don't see the answer to my question here - where can I get additional help and information?

Data Required for Assessments
(view Answers)
What smoking habits or products should I include in classifying my patients Smoking History in a Perio Risk Assessment? What about pipe smoking or chewing tobacco?
How do I determine the degree of diabetic control for a patient (as good, fair, or poor)?
What if a patient has implants - do I answer questions considering them as "teeth" or not?
What if I do not have a current set of radiographs (x-rays)?
What if I only have a poor-quality x-ray (radiograph) from the exam as a reference?
On the Patient Info screen, it asks me to characterize the condition of a specific type of tooth. My patient's teeth have varying levels of decay. Which option should I choose?
What if I don't know the answer to questions about the patient's family or snack habits - can I just leave that part blank?

Top

Periodontal Assessments

(view Answers)

Where do the active intervention guidelines come from that PreViser uses on their patient reports?
Why are pocket depth and radiographic bone height used when the standard pocket measurement is clinical attachment level?
Why is pocket depth and bone height not measured in 1mm increments?

When we introduce PreViser and a regular patient who we have been treatment for periodontitis for many years gets a high score, how doe we explain this to them?

Top

Periodontal Disease Score
(view Answers)

What does the periodontal disease score mean?

How was the periodontal disease score determined to be accurate?
How does PreViser fit in with the BPE?
Why does the disease score remain high after treatment for some patients?
How do I explain, without discouraging a patient, why their disease score remains high after treatment?

How can a patient have recession and a disease score of 1, which would mean they are healthy?

Top

Periodontal Risk Score
(view Answers)
What does the periodontal risk score mean?
How was the periodontal risk score determined to be accurate?
Why does the risk score remain high after treatment for some patients?
How do I explain, without discouraging a patient, why their risk score remains high after treatment?
Why is the risk score not what I think it should be?
How can a patient have gingivitis and be low risk?
How can a patient have many sites that bleed on probing and be low risk?
How can a patient have recession and be low risk?

Why is a plaque score not used to assess risk?

Why is a bacterial assessment not used to assess risk?
Why is genetics not used to assess risk?
Why is cigarette use the only form of tobacco used for risk assessment?
Why are some well known risk factors not used?
Why is tooth mobility not used to assess risk?

Why is the occlusion not used to assess risk?

Top

Pricing and Payment Questions:
(view Answers)
How much does it cost to use PreViser software?
What methods of payment can I use to pay my invoice?
Is there VAT charged on PreViser fees?
Is there a separate charge for each type of Risk Assessment (both Caries and Perio) for one patient?

 

Top

 

Administrative/Running PreViser Questions:
(view Answers)
Can I delete a Patient Record?
Can I delete a Risk Assessment?
What is the difference between the Cancel and Delete commands on some pages?
What is my username and password?
How do I change my password?
What if I forget my username or password?
What if I make a mistake while entering data, transmit it to PreViser then notice the error on the Treatment Option Plan report - can I correct it?
Why are some letters on the screens underlined?
How do I change the default information that displays on printed reports?
Why are recommended recall frequencies not shown on the patient report?

Top

Security and Privacy Questions:
(view Answers)
How is medical information stored and transmitted by PreViser kept confidential, private, and secure?
What part of my patients' information does PreViser store?
Am I complying with the requirements of the Data Protection Act?
How or where else is all this information used - do you sell my patients' information to third parties?
Can other clinicians or practices view my patients' information at their locations?
How do I assure the patient that their personal information will remain private and confidential?

Top

Technical Questions:
(view Answers)
What hardware or other equipment do I need to use PreViser at my practice?
What are the system requirements to run the PreViser application?
Does PreViser plan any updates to the software?
How do I get upgrades from PreViser?
How do I find what version of PreViser I have installed?
How do I know if I have the most recent version of PreViser?
What kind of computer do I need in order to use PreViser? Can I use a Mac?
My Internet connection uses the same line as the main office phone. Will the phone be unavailable whenever I have the PreViser application open and running?
I like Netscape more than Internet Explorer. Can I use that as my browser instead?

 

Top

 

Troubleshooting Questions:
(view Answers)
I got an error message while I was using PreViser - what should I do?
Why was I told to visit PreViser Support and shown that menu when I didn't click the Support button?
I can't print from PreViser - what should I do?
When I print out the patient reports, the colours on the risk score chart do not appear as they do on the screen.

 

Top

 

 

General Answers:

 

Is the Patient information in the PreViser application compatible with my Practice Management Software?
At this time, the PreViser software is built to run as a stand-alone application. This is due in part to the fact that each practice uses a unique combination of systems and software.

This means that you may use PreViser's tools no matter which practice management software system you use. However, to save time and effort, remember you do not need to enter each Patient's full contact information (address, phone, etc) into the PreViser application, so you are not required to maintain extensive information in multiple databases.

In the future it is possible that PreViser's functionality might be bundled into the toolset of practice management software, but at this time they are separate and therefore compatible with any management program you may be using.

What happens to the information I enter into the PreViser application - where does it go and what does it do?
All of the individually identifiable Patient details (name, address, etc) remain in your local data file behind your office's firewall. The numerical data you enter for a Risk Assessment, along with the patient's PreViser ID, is encrypted and sent over the Internet for risk calculation at PreViser's central servers (also behind firewall protection). The calculated information is then re-encrypted and sent back over the Internet to your practice where it is re-identified to the specific patient and can be viewed or printed in the form of a Treatment Option Plan.

What is the PreViser ID and how is it generated?
When you create a new Patient Record, the system automatically generates and assigns a random alphanumeric code to that Patient, which identifies that Patient's health information as belonging to that unique individual. You do not generate that ID; the system will assign a unique ID at the time you Save the new record.

The alphanumeric PreViser ID is the only identifying tag which is transmitted over the Internet for risk calculation to PreViser's servers. This allows the program to remain compliant with the Data Protection Act by de-identifying the data being transmitted. The PreViser ID is also used in the case of referring a patient's clinical risk assessment history from one provider to another.


What if I work from more than one practice - do I have to have more than one PreViser account?
No, you can use the same account name to access PreViser at both locations. However, you would need to install the PreViser application at both locations, which means each system would run behind its own firewall and maintain a separate data file of patient records.

See the "Running PreViser" page in the "Getting Started" section of the User's Guide for more information.

How does a hygienist or therapist use PreViser?
PreViser is ideal for use by hygienists or therapists because it provides direct personalised biofeedback for patient education and motivation. Hygienists are key to educating and motivating patients about common oral diseases and empowering patients to perform home care. PreViser builds upon these principles of empowering patients by providing validated, evidence based risk and disease scores. Whilst the diagnosis and treatment planning of patients remains the legal responsibility of the dentist, hygienists and therapists interpret treatment plans in the light of changing patient behaviour and clinical outcomes and PreViser augments this process by providing the platform from which a hygienist or therapist can implement their motivational and clinical skills. It also helps them provide feedback to patients about progress in managing their health and risk factors for common oral diseases and reinforces the messages they are trying to get across to patients. It also ensures that their patients have had a basic history, risk assessment and periodontal examination and provides treatment guidance.

How should I handle a patient referred to me by another practice that has established a PreViser ID for that patient?
When you receive that Patient's records, look for the PreViser ID, then create a new Patient Record in your own system by entering that ID on the blank Patient Details screen. You can then fill in the patient's personal information and have access to the Risk Assessment history. See the tutorial and documentation on creating a new Patient records for more information.

How often should I perform a Risk Assessment on a specific patient? (What is the recommended frequency?)
You can perform Risk Assessments on a patient as often as you wish. You might consider making it an annual part of the patient's care routine. Also, if the patient has a change in health or some event affects their oral health, their risk score may change, so you may wish to incorporate a new Risk Assessment in connection with any oral health change or major treatment.

I don't see the answer to my question here - where can I get additional help and information?

  • You can look at the Quick Start Guide, available here in the Support section, or from the software itself by clicking the Support button at the top and selecting from that menu
  • You may look through the Users Guide, accessible from the software itself by clicking the Support button at the top and selecting from that menu.
  • You may click on any term on the screens within PreViser to pop up context-sensitive help for that specific term.
  • If you don't find what you need, you may also contact us by email (support@previser.co.uk) or phone for a response during regular business hours.

We welcome your suggestions and ideas regarding our Support resources, so that we can continue to improve our service to you. Please submit your thoughts by email to support@previser.co.uk.

Top

Data Required for Assessments Answers:

What smoking habits or products should I include in classifying my patients Smoking History in a Perio Risk Assessment? What about pipe smoking or chewing tobacco?
For PreViser use, based on current research, a "smoker" is limited to cigarette smoking. Other forms of tobacco could be deleterious but there is insufficient evidence at this time to include them in a Risk Assessment. Therefore, do not include cigar or pipe smoking, chewing tobacco, or other activities in classifying a patient's "Smoking History." If the patient has ever smoked a cigarette, you should choose "Former Smoker."

Note this is different than the questions you are asked for an Oral Cancer Risk Assessment, where you are asked separately about various types of tobacco use.

How do I determine the degree of diabetic control for a patient (as good, fair, or poor)?
See the explanation on the Diabetes Classification here

What if a patient has implants - do I answer questions considering them as "teeth" or not?
No, you should not use measurements of pocket depth for implants in data entered for the periodontal risk assessment tool. Only pocket depths for teeth are to be entered.

What if I do not have a current set of radiographs (x-rays)?
Radiographs do not need to be taken at your office; they simply need to be available for your reference. If you are seeing a patient on referral from another office, you should have the radiographic records transferred. You do not need a full-mouth set of radiographs; only bitewings are required for accurate risk and disease assessment scores. If this is a patient of record in your office, you should refer to the most recent radiographs available.

What if I only have a poor-quality x-ray (radiograph) from the exam as a reference?
We recommend that you go back and use a previous x-ray, the most recent available.

On the Patient Info screen, it asks me to characterize the condition of a specific type of tooth. My patient's teeth have varying levels of decay. Which option should I choose?
Select the option that indicates the most extreme level of decay or damage to any tooth of that type. For example, if one tooth is sound and another is carious, you should select 'carious'.

What if I don't know the answer to questions about the patient's family or snack habits - should I leave that part blank?
This is important information to calculate the risk score for this age group, so you will need to obtain this information from the patient or parent or guardian during the exam. The question about snacks between meals is one of the required fields to complete the Risk Assessment.

Top
Periodontal Assessments

Where do the active intervention guidelines come from that PreViser uses on their patient reports?
The list of active interventions is derived from the literature and what is taught in dental schools. As PreViser is used it will calculate what works best using actual data and update the report accordingly

Why are pocket depth and radiographic bone height used when the standard pocket measurement is clinical attachment level?
Pocket depth and radiographic bone height are used because they are predictors for disease progression and indicators of current disease activity. Clinical attachment is time consuming and difficult to measure and is not a treatment outcome used in general or specialised practice. The principle treatment outcome measures are reduction in probing pocket depth and improvement in radiographic bone level and density.

Why is pocket depth and bone height not measured in 1mm increments?
The measurement of pocket depth has been shown to only be accurate to within a 2mm range of +1mm to -1mm 90% of the time when done by calibrated and experienced clinicians. While the distance from the cemento enamel junction to crestal bone can be measured on a radiograph, the true condition may not be accurately revealed because a radiograph is a 2 dimensional image of a 3-dimensional entity and the demineralised bone of an active periodontal lesion is below the threshold of radiographic sensitivity. Because of the inaccuracy and variation of clinical measurements for pocket depth and the limitation of radiographic images, evidence of disease progression typically requires a change of 2-3mm. Therefore, diagnostic categorisation and decision making is more consistent and accurate when they are based on a 2mm instead of a 1mm increment, This concept, in part, underpins the pocket depth banding within the BPE examination. Because PreViser does not require measurement in 1mm increments does not mean that this is acceptable for a comprehensive periodontal charting.

When we introduce PreViser, and a regular patient who we have been treating for periodontitis for many years gets a high score, how do we explain this to them?
A high risk score does not mean that the patient has significant disease, because the two are quite different measures. It is quite possible that a periodontally healthy patient may still have a high risk score

A high disease score in a patient you have been managing for many years is also possible for several reasons, including poor motivation/compliance, poor biological response to treatment, failure to control risk factors etc. The disease score is an objective numerical score aimed at providing patients with a reliable and accurate benchmark to improve upon or maintain. It is not a measure of disease "activity", more of disease "experience". As bone loss is one key driver of the disease score and does not reverse significantly with successful treatment, it is possible that a periodontally healthy patient may have a higher disease score than you expected. The descriptive diagnosis provided by PreViser is only valid for untreated patients. For treated patients, what is important is reducing the score to as low a value as possible. Patients can still have a "reduced but healthy periodontium" but their periodontal health score may still not be low due to historically lost attachment.

Top

 

Periodontal Disease Score

What does the periodontal disease score mean?
The periodontal disease score is a composite of the severity (e.g. health, gingivitis, mild, moderate, and severe periodontitis) and extent (on a sextant basis) of disease experience.

How was the periodontal disease score determined to be accurate?
The disease score was shown to be accurate and valid by using the statistical strength of agreement with actual periodontal status determined using values of alveolar bone height obtained from digitised radiographs

How does PreViser fit with the BPE
The BPE utilises probing pocket depth thresholds of 3.5mm and 5.5mm to reflect what research as shown to be important landmark probing measures of 3mm (health is regarded as <3mm) and 5mm (a site >5mm has been shown to be more likely to progress and be unstable). The 0.5mm difference reflects the limit of our ability to visually discriminate when reading from a probe. However, research has also shown that the repeatability of probing is no better than 2mm. Therefore BPE scores of 0,1,2 or 3 reflect health to mild pocketing at worst and are recorded simply as ‹5mm by PreViser. The 5-7mm PreViser score and the >7mm category reflect moderate and severe disease respectively i.e. equate to a BPE of 4.

In practical terms therefore, when a code 4 BPE is registered for a sextant, it is necessary to record the worst pocket depth in that sextant to discriminate between moderate and severe pocketing, as the BPE does not allow that distinction. PreViser therefore requires a slightly higher level of detail than a BPE.

Why does the disease score remain high after treatment for some patients?
The disease score may remain high after treatment since bone loss is often permanent. It may also remain high when pocket depth is not reduced. Lowering the disease score requires that one or more sextants have less bone loss or shallower pockets at the worst site.

How do I explain, without discouraging a patient, why their disease score remains high after treatment?
The disease score is indicative of the past history of disease and does not accurately predict either future periodontal deterioration or the successfulness of treatment especially when preventive interventions are applied. The disease score is formulated from the worst pocket dept and bone level in each sextant. For example, hypothetically, a patient's perio condition could improve at all sites except the worst site in every sextant. Whilst unlikely, the disease scores would remain the same when clearly a detailed chart would show otherwise. It is important that clinicians assess treatment outcomes using detailed 6 point periodontal charts. PreViser is not intended to be an outcome measure of treatment but to illustrate to patients improvements in their disease status.

How can a patient have recession and a disease score of 1, which would mean they are healthy?
Periodontitis is the loss of attachment caused by inflammation typically due to bacteria. While facial recession includes loss of attachment, it may or may not have been due to inflammation from bacteria (most facial recession is caused by toothbrush trauma) and therefore is not described by the disease score. However, recession at interproximal sites, which should be consistent with radiographic bone loss, would be reflected by the disease score.

Top

 

Periodontal Risk Score Answers

What does the periodontal risk score mean?
The periodontal risk score predicts the potential for future bone and tooth loss due to periodontitis

How was the periodontal risk score determined to be accurate?
The risk score was shown to be accurate and valid by comparing the actual periodontal status of 523 subjects followed for 15 years to a risk score calculated by PreViser. The outcome measures included mean bone loss, percentage of sites with bone loss, percent of tooth loss and percentage of subjects with tooth loss.The association between the risk score and actual periodontal deterioration observed over a period of 15 years was unusually strong with p values ‹0.0001.

Why does the risk score remain high after treatment for some patients?
The risk score is not the sum of individual factors where treatment that eliminates one risk factor will always lower the risk score. Risk assessment is complex, as risk is dependent on the presence, strength, and interactions of risk factors. These factors manifest different and variable weights and the interaction of factors is non-linear and may be synergistic or antagonistic

How do I explain, without discouraging a patient, why their risk score remains high after treatment?
A high risk score only means that the potential for disease is high. The discouraged patient who refuses treatment will typically validate their expectation of doom. This can be contrasted with the patient who commits to treatment that typically experiences an excellent outcome. The risk score is a poor predictor of treatment success. It is a good predictor that disease will progress without treatment.

Why is the risk score not what I think it should be?
Because no standard objective method exists to determine risk, risk factors are not consistently used or weighted and human nature imparts bias because of emotions and a recollection limited to the most recent patients resulting in assessments that are variable and inconsistently accurate. A PreViser assessment on the other hand uses standardised observations and measurements that result in consistent scores. Risk assessment is complex and risk is dependent on the presence, strength and interactions of risk factors. These factors manifest different and variable weights and the interaction of factors is non-linear and synergistic or antagonistic.

How can a patient have gingivitis and be low risk
While gingivitis precedes periodontitis , gingivitis is not an accurate predictor of periodontitis and therefore a patient with some gingivitis many or may not be at low risk. Over 90% of the UK population have some gingivitis but only 10-15% will go on to develop significant periodontitis. PreViser uses factors other than gingivitis that have been shown to predict the loss of attachment

How can a patient have many sites that bleed on probing and be low risk?
Bleeding on probing is a measure of inflammation but is not an accurate predictor of attachment loss and therefore a patient with bleeding on probing may or may not be at low risk. PreViser uses factors other than bleeding on probing that have been shown to accurately predict the loss of attachment

How can a patient have recession and be low risk?
PreViser's risk score only predicts a deteriorated status due to periodontitis and the score does not predict recession due to causes other than periodontitis. Therefore a patient with no risk factors that are used by PreViser to determine periodontitis risk and where recession is the only periodontal pathology would be low risk.

Why is a plaque score not used to assess risk?
All patients accumulate plaque but a minority develop periodontitis. The threshold of plaque accumulation required to cause damage in one patient is different to that in another. Plaque scores measure quantity and not quality of plaque and are very difficult to standardize for all dentists and hygienists. They do not measure sub gingival bacteria, provide no information about pathogenicity, and a patient can invalidate it with atypically good oral hygiene just prior to the evaluation.

Why is a bacterial assessment not used to assess risk?
No method has been accepted where clinicians can accurately correlate the results of bacteriologic testing with disease progression. It is recognised that almost 50% of periodontal bacteria cannot be cultured and pathogens are found at healthy sites and are sometimes absent from diseased sites. Furthermore, bacteriologic testing is not routinely performed by clinicians. Surrogate measures of bacteria, which include pocket depth, furcation involvements, subgingival calculus and oral hygiene, are part of the risk assessment input data.

Why is genetics not used to assess risk?
Approximately 50% of periodontitis is believed to be explained by genetics. However periodontitis is a complex disease and not currently explained by one gene: it is polygenetic and we don't understand what the genetic risk factors for periodontitis are. Moreover, a genetic predisposition to periodontitis does not mean a patient will definitely develop it. However, PreViser accommodates genetics by assessing the outcome of genetic predisposition to periodontitis, i.e. it accounts for the severity and extent of periodontal disease experienced for a given patient age. Historical attachment loss is one of the best predictors of future attachment loss and a young patient with 50% attachment loss will be assigned a higher score than an older patient with the same disease status and medical / dental history.

Why is cigarette use the only form of tobacco used for risk assessment?
Even though tobacco use is associated with several oral conditions, cigarette use is the principal type where research has quantified risk with the amount of tobacco used.

Why are some well known risk factors not used
PreViser uses risk factors that have sufficient weight to change a 5-level risk score and that can be easily and accurately measured without special testing or delayed results. The non-use of a risk factor only means that it is not needed for an accurate determination of risk on a 5-level scale for most patients.

Why is tooth mobility not used to assess risk?
Mobility is a symptom of the loss of supporting bone, excessive occlusal force, short root length, or a combination of these conditions. Of these three conditions, the loss of supporting bone from the bone crest is used. Other causes of tooth mobility include pupal lesions, trauma and orthodontics. Hence tooth mobility relates to many conditions other than periodontitis, which reduces its value as a factor to determine the risk for periodontitis.

Why is the occlusion not used to assess risk?
As there is no universal agreement regarding the effect of the occlusion on periodontitis or how to measure it, occlusal factors do not meet PreViser's requirements for use

Top
Pricing and Payment Answers:


How much does it cost to use PreViser?
The cost is £200 per month for a 1-2 dentist practice and £300 per month for a 3-4 dentist practice for unlimited access to the entire suite of Previser products. This is the only cost you will incur from for using the PreViser software.

What methods of payment can I use to pay my bill?
You can pay by standing order or Paypal

Is there VAT charged on PreViser fees?
At present, Oral Health Innovations is not registered for VAT. We will let you know when this situation changes.

Is there a separate charge for each type of Risk Assessment (both Caries and Perio) for one patient?
No. Your monthly charge allows you unlimited use of the entire suite of PreViser products.

Top

Administrative /Running PreViser Answers


Can I delete a Patient Record?
That depends on whether the patient has a finished Risk Assessment in that record. You can delete a Patient Record if that patient does not have any history of Risk Assessments in that record. If there is at least one completed Risk Assessment in that patient's record (as shown on the right side of the Patient Details screen), then you cannot delete that record.


Can I delete a Risk Assessment?
You can delete a Risk Assessment while it is Unfinished (before you click the Finish button and transmit it to PreViser). After you click Finish, the PreViser web service calculates the risk and returns a Treatment Option Plan, which is part of the patient's permanent records in the PreViser system and cannot be deleted.


What is the difference between the Cancel and Delete commands on some pages?
Clicking Cancel merely exits the page without making any changes to the information. This is a good option if you have opened the wrong record or no longer need the record open, since you do not risk changing or losing data.

Clicking Delete indicates you want to permanently and completely remove that information (i.e. an entire Patient Record or unfinished Risk Assessment). Usually if you click Delete, a message will ask you to confirm that you really do wish to delete that record.


What is my username and password?
When your practice downloads PreViser technology, you create you own active username and password, which we will confirm to you via email. Your Account login name will stay the same, but you can change your password if you wish (see instructions below). Once you enter your username and password on the Options page and click Save, you do not have to enter it again or log in each time you open the application.

How do I change my password?
You can change your password by completing two steps:

1. Make the change on PreViser's system: Email us at PreViser.co.uk and inform us of your new password.

2. Make the change on your system: From the Home page, click on the Options button to display the Options Main Menu with your Account Info displayed. Enter your new password and click Save to update your login information.

Note that if your password is changed on your computer, but not in PreViser's records, you will not be able to use the application correctly, as the system will not recognize your new information.

What if I forget my username or password?
If you forget your username or password, you can go to the "Forgot Password" page online, most easily accessible via the myaccount page. Simply enter your email address there and we will send you your user information immediately by email. Note that this must be the email address we have associated with your user account.

What if I make a mistake while entering data, transmit it to PreViser then notice the error on the Treatment Option Plan report - can I correct it?
You may make corrections to a report within 90 days of originally transmitting it to PreViser. To do this, while viewing that report in Print Preview format, click the "Correct this Report" button at the top. A cloned version is now listed with Unfinished status, and you may correct the errors on it.

Why are some letters on the screens underlined?
An underlined letter indicates a keyboard shortcut (or access key). Clicking the ALT key and that letter together allow rapid data entry. On some screens, clicking ALT plus the underlined letter will place the cursor in that box for numerical data entry, and on some screens clicking ALT plus the underlined letter will automatically select that choice (place a check in the box).

How do I change the default information that displays on printed reports?
On the Options page, you can control the default settings for printed reports. If you change your phone number, for example, you can alter your Account Information on this screen and the updated data will appear on reports created after that, regardless of when the report was created. On the Options screen you also determine the default settings (e.g. whether to include treatment recommendations and website links). You can also make limited changes for a specific report on the Printing Options screen, where you can select whether to change the default settings.

Why are recommended recall periods not shown on patient reports?
Recommended recall periods are provided in the Clinical Report, but, based on feedback from our users, have now been excluded from the Patient Report. Exact recall periods cannot be generalised and are dependent on the patient's risk status and their effectiveness and motivation towards home care. Reports in Clinical Format will always include a recall recommendation so that you can see this information, but you can exercise your clinical judgment on what you communicate to your patients without having it printed on the Patient Reports you give them.

Top

Security and Privacy Answers:

How is medical information stored and transmitted by PreViser kept confidential, private, and secure?
Private health information is encrypted before transmission. Firewalls should be used to prevent intrusion into the application. See the Security and Medical Privacy topics in the User's Guide for more information.

What part of my patients' information does PreViser store?
Only two things: one, any Treatment Option Plans associated with that individual, and two, the PreViser ID which is the only piece of identifying information linking that individual to their health data.

Am I complying with the Data Protection Act?
That's up to you to monitor. The PreViser RiskCalculator is designed to be in compliance with the Data Protection Act in that data which is transmitted has been de-identified. However it is clearly your responsibility to ensure that data procured with the RiskCalculator is secure in your practice.

How or where else is all this information used - do you sell my patients' information to third parties?
Oral Health Innovations Ltd and PreViser do not sell or share any individual patient data with other parties. Only the de-identified clinical components of a Risk Assessment are retained on PreViser's database. Insurance carriers may be informed of aggregated results and statistics and aggregated data may also be used for research purposes. Apart from that, the specific information is not shared with other individuals or organizations.

Can other clinicians or practices view my patients' information at their locations?
No. All patients' protected health information and records are located only on the computer where they were entered, and users at each location can only access information regarding their own patients.

How do I assure the patient that their personal information will remain private and confidential?
Explain the way the PreViser application protects their privacy by not transmitting any identifiable information. All information identifying them remains securely on your local hard drive.

Top
Technical Answers

What hardware or other equipment do I need to use PreViser at my practice?
The basic set of hardware required to make best use of PreViser technology includes: Desktop Computer, Monitor, Handheld Computer (optional), Printer, Firewall, and Cabling. Since your practice will store sensitive information on your computer system, PreViser requires that firewall protection is installed at your office.

What are the system requirements to run PreViser?

REQUIRED:
- Windows operating system (any of 2000/XP/Vista)
- Microsoft Internet Explorer 6.0 (or greater)
- 32 MB RAM (or better)
- Pentium processor
- Super VGA (800 x 600) or higher-resolution monitor with 256 colours or better
- 10 MB Hard drive space or more
- Dial-up or Dedicated Internet connection

RECOMMENDED:
- Colour or Black and White Printer
- Super VGA (1024 x 768) or higher-resolution monitor with 16,000 colours or better
- Dedicated Internet connection

Does PreViser plan any updates to the software?
Yes, PreViser plans to release frequent system updates and feature enhancements over the next two years. Updates to software in your office should have minimal impact on support. We desire that system updates happen seamlessly for you.

How do I get upgrades from PreViser?
When PreViser makes any upgrades to the software or services we provide you, we will notify you by email and indicate any action steps necessary to take advantage of these improvements.

How do I find what version of PreViser I have installed?
To check which version you are running:

1. Open the application
2. On the top toolbar click Help and select About PreViser RiskCalculator from the drop-down menu
3. The window that pops up lists which version of the RiskCalculator you have installed (for example, "version 3.059).
4. Click "OK" or the exit button to close that dialog box.

How do I know if I have the most recent version of the OHIS?
To check if you are running the most current version of the software:

We will inform you when any upgrades are released and available, by email at the address you provided to us when you downloaded the application.

You may also verify that you are running the most recent version at any time, by comparing the version you have installed to the version available to download at www.previser.co.uk. To do this, check which version you are running (see the instructions above), then go to www.previser.co.uk and click Products to find out the currently available version of the software.

Higher numbers indicate a newer version, so if you are running version 3.059 and version 3.064 is available at www.previser.co.uk, you may upgrade. (Note: Please carefully follow the instructions there, so that you do not uninstall and lose your data in this process.)

What kind of computer do I need in order to use PreViser's products? Can I use a Mac?
PreViser can be operated either through a PC (a Windows-based operating system with Microsoft's Internet Explorer browser (version 6.0 or greater) installed) or a Mac.

My Internet connection uses the same line as the main office phone. Will the phone be unavailable whenever I have the PreViser application open and running?
No. The application resides primarily on your computer, so you will not be online during the entire session from when you open the application. You will only need to connect to the Internet briefly for transmitting a Risk Assessment.

I like Netscape more than Internet Explorer. Can I use that as my browser instead?
Yes. You can use any browser you like. However, you must have Internet Explorer (version 6.0 or greater) installed on your computer, as the PreViser RiskCalculator software uses some of its technical components for navigation and using the application.

Top
Troubleshooting Answers

I got an error message while I was using PreViser - what should I do?
The error message itself will likely indicate what the issue might be, so reading the message may tell you what you should do to resolve the problem. A few common causes of problems:

  • Check your Internet connection. If you are not connected and online, you may get an error message when you try to access parts of PreViser that require this connection (e.g. transmitting to PreViser for a Risk Calculation, etc.). If there is a problem with your Internet connectivity, you may need to contact your Internet Service Provider.
  • Did you change your username or password on the Options page? If you change this account information without contacting PreViser, your account information on our servers will not reflect any changes you have made, and you will not be able to use certain features of the application. Or, if you input your password with Caps Lock on or made some other typing error, you may need to correct your password.
  • Check the system requirements above or at PreViser.co.uk/support to ensure you are running the application with all the required hardware and software.

Why was I told to visit PreViser Support and shown that menu when I didn't click the Support button?
The system may display the Support menu for you upon repeated problems or errors, prompting you to access help. You may do so, or use the Home button on the toolbar to navigate back to the Home page (or whatever area you wish to access next).

I can't print from PreViser: what should I do?
The problem is likely a hardware issue rather than the PreViser software. Review this printer troubleshooting checklist:

  • Is the printer turned on?
  • Is there paper in the printer, and is it the correct type?
  • Is the paper jammed?
  • Is the lid closed tightly?
  • Is the printer out of toner?
  • Is it plugged in? Check all cables and plugs and make sure they have snug connections, at the back of the printer and the outlet.
  • Is that printer set as your computer's default printer?
  • Are you sending the printing request to the correct printer?

 

When I print out the patient reports, the colours on the risk score chart do not appear as they do on the screen.

This can be solved by adjusting your browser settings.

  • Open internet explorer
  • Click Tools
  • Select Internet Options
  • Click the 'Advanced' tab
  • Scroll down to the Printing section and tick the box that says 'Print Background Colours and Images'
  • Click OK

 

Do you have a suggestion for this page? Please send your ideas to support@previser.co.uk

Top



Read our media release on the Prep Panel trial

Do you have a Periodontal Health Policy for your practice?

 

What is PreViser
What is PreViser?
   
Explore
Explore the Technology
   
Install
Install & Try PreViser Version 3.0
   
Cost of risk assessments
Cost of Risk Assessments
   
PreViser
What Practitioners Think
   
free trial
Newsletter