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QOF 2008

QOF 2008. RBW 11/08. Summary of 2008 Changes. No new disease areas 8 domains have been updated Asthma, AF, CKD, COPD, Depression, Pall Care, Smoking, Stroke/Tia 58.5 QOF points reallocated to reward patient satisfaction with access In some areas the guidance has changed, not the indicator.

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QOF 2008

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  1. QOF 2008 RBW 11/08

  2. Summary of 2008 Changes • No new disease areas • 8 domains have been updatedAsthma, AF, CKD, COPD, Depression, Pall Care, Smoking, Stroke/Tia • 58.5 QOF points reallocated to reward patient satisfaction with access • In some areas the guidance has changed, not the indicator

  3. Points removed • Hollistic care, speaking to clinicians, access a receptionist, openning hours, induction training, sterilisation, job adverts, fraud prevention, injectable neuroleptics, patient survey

  4. SOPHIEs • Changes not confirmed until middle of QOF year!! • SOPHIEs not up to date

  5. Asthma • RCP 3 questions to be used as part of the asthma review process • Difficulty sleeping? • Symptoms during the day? • Interfered with usual activities? • Effective from December 1st 2008

  6. Atrial Fibrillation • % diagnosed after 1/4/08 with ECG or specialist • Confirmation within 3/12 of diagnosis.

  7. CKD • ACEi or ARB for those with hypertension AND proteinuria.

  8. COPD Diagnosis after 1/4/08 by post bronchodilator spirometry

  9. Depression • New guidance • Questions should be asked as part of a consultation (ie not posted)

  10. Palliative Care • Now irrespective of age Meetings restructured recently

  11. Mental Health • No indicator change • Guidance updated • Face to face • Physical review • Care plan

  12. Stroke/TIA • Refer for further Ix within 1/12 of diagnosis • Or up to 3/12 before the diagnosis was entered Previously 12/12

  13. Smoking • Current – every year • Ex-smokers – 3 consecutive QOF years • Non smokers – yearly to 26

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