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QOF Update. Dr Dave Jeffery Primary Care Data Quality Manager and QOF Management Lead NHS Herefordshire EMIS NUG Conference Warwick 6th Sep 2012. QOF 2012-13 QOF 2013-14 CQRS. Leeds 7 th March 2012. Where is Hereford?. Clinical points 2011 from http://www.ic.nhs.uk/qof. QOF 2012-13.

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Dr Dave Jeffery Primary Care Data Quality Manager and QOF Management Lead NHS Herefordshire

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Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

QOF Update

Dr Dave Jeffery

Primary Care Data Quality Manager and QOF Management Lead

NHS Herefordshire

EMIS NUG Conference

Warwick 6th Sep 2012


Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

  • QOF 2012-13

  • QOF 2013-14

  • CQRS

Leeds 7th March 2012


Where is hereford

Where is Hereford?


Clinical points 2011 from http www ic nhs uk qof

Clinical points 2011from http://www.ic.nhs.uk/qof


Qof 2012 13

QOF 2012-13

reminders for last year = 2011-12

then this year = 2012-13

indicators retired: CHD13, AF4, QP1-5

indicators changed

new indicators inc Osteoporosis & PAD

changes to thresholds


And also

and also…

pounds per point increased

£130.51→ £133.76 (2.5%)

no square root adjustment to PF

no 5% cut-off

“maintain accurate register”

exemption exclusion persisting

exception expiring


Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/QOF/Pages/ChangestoQOF2013.aspx


Read codes business rules v23 www pcc nhs uk business rules v23 0

Read codes & Business Rules v23www.pcc.nhs.uk/business-rules-v23.0


Read codes business rules v23 www pcc nhs uk qof read codes v23 0

Read codes & Business Rules v23www.pcc.nhs.uk/qof-read-codes-v23.0


Changes to thresholds

Changes to thresholds

Those that were 40-90% - all lower thresholds raised to50-90%

Those that had upper threshold between

70-85% - all lower thresholdsraised to 45%

and changes to CHD6, CHD10, PP1, PP2, HF4, STROKE6, STROKE8, DM17, DM31, COPD10, BP5, MH10 and DEM2


Diabetes

Diabetes

DM 19 →DM 32: register of patients aged 17 years and over with Diabetes Mellitus, which specifies the type of diabetes where a diagnosis has been confirmed

Diagnosed by:

Fasting plasma glucose ≥ 7.0mmol/l or

2 hour plasma glucose ≥ 11.1mol/l or

IFCC HbA1c ≥ 48mmol/l (≡ 6.5%)

If too early to diagnose the specific type of diabetes, or

if the specific diagnosis is uncertain

code diabetes using the parent term C10Diabetes mellitus

update records when their type of diabetes confirmed


Diabetes new codes

Diabetes – new codes

Diabetes mellitus Type 1 (C10E%) or Type 2 (C10F%)

(excluding C10F8 Reaven's Syndrome = Metabolic Syndrome X)

C10 Diabetes mellitus

C109J Insulin treated Type 2 diabetes mellitus

C109K Hyperosmolar non-ketotic state in type 2 DM

C10C Diabetes mellitus autosomal dominant

C10D Diabetes mellitus autosomal dominant type 2

C10G% Secondary pancreatic diabetes mellitus

C10H% Diabetes mellitus induced by non-steroid drugs

C10M% Lipoatrophic diabetes mellitus

C10N%Secondary diabetes mellitus


Hba1c

HbA1c

DM 26, 27 & 28: now IFCC only

e.g. DM 26: The percentage of patients with diabetes in whom the last IFCC-HbA1c is 59 mmol/mol or less in the previous 15 months


Epilepsy

Epilepsy

EP 9: % of women with epilepsy under the age of 55 who are taking antiepileptic drugs who have a record of information and counselling about contraception, conception and pregnancy in the previous 15 months

Risk of congenital malformations 1.5%  6%

Register starts at 18 years so 18-55

Need to advise on all 3

Exception codes eg pregnancy


Mental health 10 16 last year mh 10 13 16 19 20 this year

Mental Health 10-16 last year →MH 10-13, 16, 19 & 20 this year

MH 10: % of patients on the register who have a comprehensive care plan documented in the records agreed between individuals, their family and/or careers as appropriate

new mental health remission exception codes, min 5 yrs

Recode for relapse


Asthma

Asthma

ASTHMA 3→ASTHMA 10: The percentage of patients with asthma between the ages of 14 and 19 years in whom there is a record of smoking status in the previous 15 months.

New exception:

137kRefusal to give smoking status

ASTHMA 6 → ASTHMA 9: The percentage of patients with asthma who have had an asthma review in the last 15 months that includes an assessment of asthma control usingthe 3 RCP questions


Asthma 9 questions in the last month

Asthma 9 questions – In the last month:

have you had difficulty sleeping because of your asthma symptoms (including cough)?

have you had your usual asthma symptoms during the day (cough, wheeze, chest tightness or breathlessness)?

has your asthma interfered with your usual activities e.g. housework, work/school etc?


Asthma 9 questions in the last month1

Asthma 9 questions – In the last month:

have you had difficulty sleeping because of your asthma symptoms (including cough)?

have you had your usual asthma symptoms during the day (cough, wheeze, chest tightness or breathlessness)?

has your asthma interfered with your usual activities e.g. housework, work/school etc?


Asthma 9 read codes

Asthma 9 – Read codes

Asthma annual review 66YJ 66YK 66YQ 66YR 8B3j 9OJA

90J2 Refuses asthma monitoring

(as before)

And the same day – answers to all 3 questions

So if repeat review?


Asthma 9 read codes1

Asthma 9 – Read codes

1) In the last month, have you had difficulty sleeping because of your asthma symptoms (including cough)? eg

Asthma disturbing sleep663N

Asthma not disturbing sleep663O etc

2) Asthma symptoms by day eg

Asthma daytime symptoms663q etc

3) Interference with activities eg

Asthma not limiting activities663Q etc


Asthma 8

Asthma 8

  • ASTHMA 8: % patients aged eight and over diagnosed as having asthma from 1 April 2006 with measures of variability or reversibility

  • If diagnosed < 8 yrs then come on to register?

  • Either carry out spirometry or PEFR within 3 months

  • Or use 8I2j Spirometry contraindicated

    (expiring)


Dementia

Dementia:

DEM 3 → DEM 4: The percentage of patients with a new diagnosis of dementia recorded between the preceding 1 April to 31 March with a record of FBC, calcium, glucose, renal and liver function, thyroid function tests, serum vitamin B12 and folate levels recorded 6 months before or after entering on to the register

i.e. not cumulative

Remember all tests within (before or after) 6/12 of diagnosis, one code from each group


Depression

Depression

DEP4 → DEP 6: In those patients with a new diagnosis of depression, recorded between the preceding 1 April to 31 March, the percentage of patients who have had an assessment of severity at the time of diagnosis* using an assessment tool validated for use in primary care

Change to prevalence calculation – now cumulative from April 2006

*within 28 days of the entry of the diagnosis which means up to 28 days after not before


Depression1

Depression

DEP 5 → DEP 7: In those patients with a new diagnosis of depression and assessment of severity recorded between the preceding 1 April to 31 March, the percentage of patients who have had a further assessment of severity 2-12 weeks (inclusive) after the initial recording of the assessment of severity. Both assessments should be completed using an assessment tool validated for use in primary care

Was 4-12 weeks


Atrial fibrillation

Atrial Fibrillation

AF 4: % with AF diagnosed after 1 April 2008 with ECG or specialist confirmed diagnosis

AF 3: The percentage of patients with atrial fibrillation who are currently treated with anti-coagulant drug therapy or an anti-platelet therapy

  • AF 5: The percentage of patients with atrial fibrillation in whom stroke risk has been assessed using the CHADS2 risk stratification scoring system in the preceding 15 months (excluding those whose previous CHADS2 score is greater than 1)


Atrial fibrillation1

Atrial Fibrillation

AF 6: In those patients with atrial fibrillation in whom there is a record of a CHADS2 score of 1, the percentage of patients who are currently treated with anti-coagulation drug therapy or an anti-platelet therapy

AF 7: In those patients with atrial fibrillation whose latest record of a CHADS2 score is greater than 1, the percentage of patients who are currently treated with anti-coagulation drug therapy


Atrial fibrillation2

Atrial Fibrillation

AF 6: In those patients with atrial fibrillation in whom there is a record of a CHADS2score of 1, the percentage of patients who are currently treated with anti-coagulation drug therapy or an anti-platelet therapy

AF 7: In those patients with atrial fibrillation whose latest record of a CHADS2 score is greater than 1, the percentage of patients who are currently treated with anti-coagulation drug therapy


Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

What?

CHADS2 = clinical prediction rule for estimating the risk of stroke in patients with AF

GRASP-AF = Guidance on Risk Assessment and Stroke Prevention in Atrial Fibrillation

PRIMIS+ = Primary Care Information Services www.primis.nhs.uk

CHART = Care and Health Analysis in Real Time

MIQUEST = Morbidity Information Query and Export Syntax


Atrial fibrillation 5 6 7

Atrial Fibrillation 5, 6 & 7


Af 5 6 7 choice of intervention

AF 5, 6 & 7 - choice of intervention


Atrial fibrillation3

Atrial Fibrillation

AF 6: In those patients with Atrial Fibrillation in whom there is a record of a CHADS2score of 1, the percentage of patients who are currently treated with anti-coagulation drug therapy or an anti-platelet therapy

AF 7: In those patients with Atrial Fibrillation in whom there is a record of a CHADS2 score of greater than 1, the percentage of patients who are currently treated with anti-coagulation drug therapy


Atrial fibrillation codes

Atrial Fibrillation – codes

38DECHADS2 score + value

does include dabigatrin - guidance confusing

otherwise same as eg CHD 9 re anticoagulants and antiplatelets:

Aspirin prophylaxis contraindicated8I24

Warfarin contraindicated8I25

Clopidogrel contraindicated8I2K

Dipyridamole contraindicated 8I2b


Smoking denominator for 5 6 now includes peripheral arterial disease

Smoking: Denominator for 5 & 6 now includes Peripheral Arterial Disease

SMOK 3 → SMOK 5: patients with specific diseases have smoking status last 15/12

SMOK 4 → SMOK 6: patients with specific diseases who are smokers advised to stop

RECORDS 23 → SMOK 7: all pts > 15 years have smoking status recorded last 27/12

(new) SMOK 8: the percentage of patients aged 15 years and over who are recorded as current smokers who have a record of an offer of support and treatment within the preceding 27/12

diseases

all pts


Smoking 6 and 8 advice or script from v23 no need to record both

Smoking 6 and 8: advice or scriptfrom v23 – no need to record both

  • SMOKE 6: The percentage of patients with any or any combination of the following conditions: CHD, PAD, stroke or TIA, hypertension, diabetes, COPD, CKD, asthma, schizophrenia, bipolar affective disorder or other psychosis who smoke whose notes contain a record that smoking cessation advice or referral to a specialist service, where available, has been offered within the previous 15 months.

  • SMOK 8: the percentage of patients aged 15 years and over who are recorded as current smokers who have a record of an offer of support and treatment within the preceding 27/12

  • 8IEMNRT declined


Peripheral arterial disease 1

Peripheral arterial disease (1)

PAD 1: The practice can produce a register of people with peripheral arterial disease

codes same as CVD – PP1:

G73 G73z% (except G73z1) Gyu74

Patient unsuitable 9hS0

Informed dissent 9hS1


Peripheral arterial disease 2

Peripheral arterial disease (2)

PAD 2: The percentage of patients with peripheral arterial disease with a record in the preceding 15 months that aspirin or an alternative anti-platelet is being taken

codes same as CHD 9:

Aspirin prophylaxis contraindicated8I24

Clopidogrel contraindicated8I2K

Excluded if warfarin prescribed or Anticoagulant prescribed by third party 8B2K


Peripheral arterial disease 3

Peripheral arterial disease (3)

PAD 3: The percentage of patients with peripheral arterial disease in whom the last blood pressure reading (measured in the preceding 15 months) is 150/90 or less

For PAD 3 and PAD 4 only, newly registered & newly diagnosed is last 9 months of QOF year not 3 months (PAD 2 is 3 months)

O/E – BP reading246%

BP procedure refused8I3Y

Max tol antihypertensive Rx8BL0


Peripheral arterial disease 4

Peripheral arterial disease (4)

PAD 4: The percentage of patients with peripheral arterial disease in whom the last measured total cholesterol (measured in preceding 15 months) is 5.0 mmol/l or less

codes same as CHD 8 eg

Max tolerated lipid-lowering Rx8BL1

Adverse reaction to statinU60CA

etc


Osteoporosis 1

Osteoporosis (1)

DES discontinued but…

OST 1: The practice can produce a register of patients:

1) aged 50-74 years with a record of a fragility fracture after 1 April 2012 and a diagnosis of osteoporosis confirmed on DXA scan, and

2) aged 75 and over with a record of a fragility fracture after 1 April 2012

Includes men

DES was 65-74 yrs


Osteoporosis 2

Osteoporosis (2)

OST 2: The percentage of patients aged between 50 and 74 years, with a fragility fracture, in whom osteoporosis is confirmed on DXA scan, who are currently treated with an appropriate bone-sparing agent

< 75 years need scan to confirm


Osteoporosis 3

Osteoporosis (3)

OST 3: The percentage of patients aged 75 and over with a fragility fracture, who are currently treated with a bone-sparing agent

> 75 years no need to scan


Osteoporosis 4 ost 2 read codes

Osteoporosis (4) – OST 2Read codes

Fragility #N331N or N331M

Earliestpositive DXA scan with either:

Specific mention of osteoporosis

eg 58E4 Forearm DXA scan result osteoporotic

Or non-specific code + value of T-score < -2.5 eg 58E2 Forearm DXA scan T score

+ value < -2.5

OsteoporosisN330

Plus appropriate script


Osteoporosis 5 ost 3 read codes

Osteoporosis (5) – OST 3 Read codes

Fragility #N331N or N331M

Plus appropriate script only

– no need for osteoporosis code or scan in

patients over 75 years


Organisational domain

ORGANISATIONAL DOMAIN

  • Records 23 →Smoking 7

  • Education1 →Education11:

    There is a record of all practice-employed clinical staff and clinical partners having attended training / updating in basic life support skills in the preceding 18 months


Quality and productivity 1

Quality and productivity (1)

Prescribing

Referrals

Emergency admissions

Internal review, external review

Using care pathways


Quality and productivity 2

Quality and productivity (2)

  • Q: QP pathways, do these have to be new ones?

    See FAQ 4 in the QP supplementary guidance:

  • A:The short answer is no.

    Practices will be required to undertake an internal and external review. In doing this practices will need to consider the data afresh to determine whether improvements that need to be made can be delivered through following the existing pathways more closely, whether the existing pathways developed in 2011/12 require amending or whether alternative pathways should be developed.


Quality and productivity 3

Quality and productivity (3)

QP1-5 retired but…


Quality and productivity 4

Quality and productivity (4)

Indicators QP 6–8 REFERRALS

(21 points)

Indicators QP 9–11 EMERGENCY ADMISSIONS

(27.5 points)

Indicators QP 12-14 A&E ATTENDANCES

(28 points)


Qp 12 a e attendances

QP 12 A&E ATTENDANCES

The practice meets internally to review the data on accident and emergency attendances provided by the PCO no later than 31 July 2012. The review will include consideration of whether access to clinicians in the practice is appropriate in light of the patterns on accident and emergency attendance.


Qp 12 a e attendances1

QP 12 A&E ATTENDANCES

explore reasons for patients’ attendances

any emerging patterns

consider available care pathways

consider capability and access within primary care

older patients with co-morbidities at high risk of admission (>65)

children with minor illness/injury (<15 years) and

frequent re-attenders that could be dealt with in primary care

consider same day access to clinicians

compare this & the level of A&E attendances

can improvements be made to avoid inappropriate attendances


Qp 13 a e attendances

QP 13 A&E ATTENDANCES

The practice participates in an external peer review with a group of practices to compare its data on accident and emergency attendances, either with practices in the group of practices or practices in the PCO area and agrees an improvement plan firstly with the group and then with the PCO no later than 30 September 2012.

The review should include, if appropriate, proposals for improvement to access arrangements in the practice in order to reduce avoidable A&E attendances and may also include proposals for commissioning or service design improvements to the PCO.

(8 points)


Qp 14 a e attendances

QP 14 A&E ATTENDANCES

The practice implements the improvement plan that aims to reduce avoidable accident and emergency attendances and produces a report of the action taken to the PCO no later than 31 March 2013.

(14 points)


Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

QOF 13-14

V


Qof 2013 14

QOF 2013-14

?

  • COPD: % with COPD and MRC Dyspnoea Scale ≥3 at any time in the preceding 15 months, with a record of oxygen saturation value within the preceding 15 months

  • COPD: % with COPD and MRC Dyspnoea Scale ≥3 at any time in the preceding 15 months, with a subsequent record of an offer of referral to a pulmonary rehabilitation programme


Heart failure and mi

Heart Failure and MI

  • % of patients with heart failure diagnosed within the preceding 15 months with a record of an offer of referral for an exercise based rehabilitation programme

  • % of patients with an MI within the preceding 15 months with a record of a referral to a cardiac rehabilitation programme


Diabetes1

Diabetes

  • % of male patients with diabetes with a record of being asked about erectile dysfunction in the preceding 15 months

  • % of male patients with diabetes who have a record of erectile dysfunction with a record of advice and assessment of contributory factors and treatment options in the preceding 15 months


Cancer

Cancer

  • % of patients with cancer diagnosed within the preceding 15 months who have a review recorded as occurring within 3 months of the practice receiving confirmation of the diagnosis


Hypertension

Hypertension

  • % aged under 80years old with hypertension in whom the last recorded blood pressure (measured in the preceding 9 months) is 140/90 or less

  • % aged 80years and older with hypertension in whom the last recorded blood pressure (measured in the preceding 9 months) is 150/90 or less


Depression2

Depression

  • % with a new diagnosis of depression in the preceding 1 April to 31 March who have had a bio-psychosocial assessment by the point of diagnosis

  • % with a new diagnosis of depression in the preceding 1 April to 31 March who have been reviewed within 10-35 days of the date of diagnosis


Depression3

Depression

  • The biopsychosocial analysis will be divided into 16 ‘themes' including a patient's symptoms, any alcohol and substance use, suicidal ideation and any family history of mental illness.

  • GPs will also have to look at the quality of interpersonal relationships, an assessment of social support, living conditions, any employment/financial worries and have a discussion over treatment options


Rheumatoid arthritis

Rheumatoid Arthritis

  • The practice can produce a register of all patients aged 16 years and over with rheumatoid arthritis.

  • % with rheumatoid arthritis in whom CRP or ESR has been recorded at least once in the preceding 12 months.

  • % with rheumatoid arthritis aged 30-84 years who have had a cardiovascular risk assessment using a CVD risk assessment tool adjusted for RA in the preceding 15 months. (QRISK2 DJ)

  • % with rheumatoid arthritis aged 50-90 years who have had an assessment of fracture risk using a risk assessment tool adjusted for RA in the preceding 15 months. (FRAX score DJ)

  • % with rheumatoid arthritis who have had a face to face annual review in the preceding 15 months.


Retired indicators

Retired indicators

  • Cancer 3: % with cancer, diagnosed within the preceding 18 months, who have a patient review recorded as occurring within 6 months of the practice receiving confirmation of the diagnosis

  • CHD10: % with CHD who are currently treated with a beta-blocker

  • CKD2. % on the CKD register whose notes have a record of BP in the preceding 15 months


Retired indicators1

Retired indicators

  • DEP1. % on the diabetes register and/or the CHD register for whom case finding for depression has been undertaken on 1 occasion during the preceding 15 months using two standard screening questions

  • DEP6: In those patients with a new diagnosis of depression, recorded between the preceding 1 April to 31 March, the percentage of patients who have had an assessment of severity at the time of diagnosis using an assessment tool validated for use in primary care

  • DEP7: In those patients with a new diagnosis of depression and assessment of severity recorded between the preceding 1 April to 31 March, the percentage of patients who have had a further assessment of severity 2 - 12 weeks (inclusive) after the initial recording of the assessment of severity. Both assessments should be completed using an assessment tool validated for use in primary care


Retired indicators2

Retired indicators

  • DM10: % with diabetes with a record of neuropathy testing in the preceding 15 months

  • DM2: % with diabetes whose notes record BMI in the preceding 15 months

  • DM22: % with diabetes who have a record of estimated glomerular filtration rate (eGFR) or serum creatinine testing in the preceding 15 months


Retired indicators3

Retired indicators

  • EPILEPSY6: % aged 18 years and over on drug treatment for epilepsy who have a record of seizure frequency in the preceding 15 months

  • BP4: % with HT in whom there is a record of the BP in the preceding nine months

  • BP5: % with HT in whom the last BP (measured in the last 9 months) is 150/90 or less

  • Records 11: The BP of patients aged 45 years and over is recorded in the last 5 y for at least 65% of patients

  • Records 17: The BP of patients aged 45 years and over is recorded in the last 5 y for at least 80% of patients


Qmas replacement cqrs calculating quality reporting service

QMAS replacement = CQRSCalculating Quality Reporting Service


Cqrs introduction

CQRSIntroduction

Generic calculating tool that is quick to change

Go Live – Financial Year 2013/14

Training on CQRS will be provided through a variety of routes – see CQRS website for more details

QMAS will remain operational until the end of July 2013

5 years historic QMAS data archived on CQRS

GPES goes live Jan 2013

Data from GPES to CQRS at least monthly

All EMIS practices must be streaming to EMIS Web to populate GPES


Future business needs why change 1 of 3

Future Business Needs – Why change (1 of 3)

  • The Health and Social Care Act

    • NHS Commissioning Board (NHSCB or NCB)

    • Clinical Commissioning Groups (CCGs)

    • Commissioning Outcomes Framework to hold CCGs to account (COF)

    • Make the QOF more related to achieving quality outcomes

    • Allow the NCB to commission services from GP practices

    • Allow CCGs to commission services themselves

  • The existing arrangements to calculate performance and payments do not support these proposals.


Future business needs why change 2 of 3

Future Business Needs – Why change (2 of 3)

NICE development of Quality Indicators

NICE are now responsible for the development of clinical indicators for the QOF and the COF.

The NHS Information Centre (NHS IC) will be involved in their development.

Any NICE recommended indicators not negotiated into the national QOF will be available to be used locally as local quality indicators = LQIs


Future business needs why change 3 of 3

Future Business Needs – Why change (3 of 3)

Opportunities provided by GPES

GPES being introduced by the NHS IC will extract and aggregate patient based data from GP systems in a more flexible way than at present. GPES may be used to provide data for the calculation of other payments to GPs and CCGs. May support more complex quality indicators.

The NHS IC will provide additional information for the COF from e.g. Hospital systems.


Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

  • Financial Year 13/14: replace QMAS and manual systems with a flexible system that calculates achievement and related payments to GPs and CCGs for:

  • QOF

  • LQIs

  • COF

  • national & local enhanced services (ESN & ESL)

  • Where:

  • the data is available in GP clinical systems (via GPES) or can be collected and provided via NHSIC

  • flexible means it can be changed relatively easily and quickly in response to changes


What are the benefits for users

What are the benefits for users?

Substantial time savings for both COs and Service Provider organisations in the automation of recording, checking, submitting and approving achievement for the services supported by CQRS.

Potential, if all present clinical LESs are supported to save each CCG and GP practice 50 and 100 days respectively.


What are the benefits for users1

What are the benefits for users?

If a CO created a service to improve local health inequalities and it used CQRS to support it, a CO in another part of the country could re-use or adjust that service.

The system is available for longer periods of time –at the beginning of the financial year.

In addition, we have listened to user comments about QMAS service and have incorporated them into the requirements of CQRS.


User story overview

User story - overview

World exclusive!

The screens have been kindly supplied by the CQRS supplier, Vangent.

These screens are currently in development.

The Reporting screens have been mocked up as this functionality is still in development.

Lets log in…

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27 November, 2014


Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

Log-In Page: Displays news & alerts and allows for Help on forgotten password or User ID, also CQRS Help Desk contact information.

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Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

Logged-in. Displays any new tasks and messages related to that user. Can click on link in Summary column to jump directly to the task / message detail.

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Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

Participation Management – My Services. Allows the Provider to view the services they are participating in. Status = “Offered”. Can Accept or Reject each one.

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Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

The Achievement tab displays service current, max & forecast and can drill-down to indicator level. Can display in Points or Pounds. Link top right allows the user to automatically generate a detailed achievement report

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Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

The Reports tab allows the user to view and generate reports within multiple categories. The Reports category defaults to Achievement and displays the various reports available to run.

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Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

CQRS Achievement Reports – currently in Mock-up format

Aspiration Exception/Exclusion Population Patient Set Prevalence Achievement Composite Achievement

Report Run Date: dd/mm/yyyy

Exception/Exclusion Report

Service Provider Name

Payment Year: <xxxx>

Payment Type: <xxx>

PMCS: <xxx>

Page # of #

PMCS: QOF 2011/2012

Clinical

Domain

Disease

Register

Total # of

Exceptions

Exception

Rate

Total # of

Exclusions

Exclusion

Rate

Asthma

200

11

0.5%

21

1.2%

Cancer

143

8

1.2%

12

1.5%

CHD

275

12

0.7%

15

0.9%

COPD

118

4

0.6%

18

1.3%

Diabetes

178

6

0.8%

9

1.1%

Epilepsy

98

0

0.0%

5

0.4%

The Exception/Exclusion Report allows the user to view, by clinical domain, the disease register, number of exceptions and exclusions and the rates. Can drill down to indicator level to display charts.

Drill down to indicator level on next slide →

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Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

CQRS Achievement Reports

Aspiration Exception/Exclusion Population Patient Set Prevalence Achievement Composite Achievement

Report Run Date: dd/mm/yyyy

Exception/Exclusion Report

Service Provider Name

Payment Year: <xxxx>

Payment Type: <xxx>

PMCS: <xxx>

Page # of #

PMCS: QOF 2011/2012 Domain: Clinical

CHD

Indicator/Description

Disease

Register

Total

Denom

Total # of

Exceptions

Exception

Rate

Total # of

Exclusions

Exclusion

Rate

CHD 01

112

80

11

0.5%

21

1.2%

CHD 02

143

95

8

1.2%

12

1.5%

CHD 03

275

188

12

0.7%

15

0.9%

CHD 04

118

97

0.6%

18

1.3%

4

The Exception/Exclusion Report allows the user drill down to the indicator level with the option to display the data in graphic format.

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Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

CQRS Achievement Reports

Aspiration Exception/Exclusion Population Patient Set Prevalence Achievement Composite Achievement

Service Provider Name

Payment Year: <xxxx>

Payment Type: <xxx>

PMCS: <xxx>

Contractor Registered Population: <xxx>

Report Run Date: dd/mm/yyyy

Page # of #

Example of a Registered Population report in graphical format

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Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

CQRS Achievement Reports

Aspiration Patient Exception Population Patient Set Prevalence Achievement Composite Achievement

Example of a practice level achievement report drilled down to indicator level. Can display in data or graph form & points or pounds.

85

85


Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

CQRS Achievement Reports

Aspiration Patient Exception Population Patient Set Prevalence Achievement Composite Achievement

Example of a practice level achievement report drilled down to indicator level. Can display in data or graph form & points or pounds.

86

86


Qof updates

QOF updates

  • PCT clusters

  • 5% audits

  • QOF Management Guides vols 3 & 4 recently updated:

    www.pcc.nhs.uk/qof-management-guide


Dr dave jeffery primary care data quality manager and qof management lead nhs herefordshire

EMIS Web problem: the pop-ups only calculate to 3m look ahead when most practices want them set to end of year.


Thank you

Thank you

[email protected]


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