status quo of quo vadis? - KCE
status quo of quo vadis? - KCE
status quo of quo vadis? - KCE
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
110 Quality development in general practice in Belgium: <strong>status</strong> <strong>quo</strong> or <strong>quo</strong> <strong>vadis</strong> ? <strong>KCE</strong> Reports 76<br />
ORGANISATIONAL DOMAIN<br />
Records and information<br />
Records 3<br />
1 point<br />
Records 8<br />
1 point<br />
Records 9<br />
4 points<br />
Records 11<br />
10 points<br />
Records 13<br />
2 points<br />
Records 15<br />
25 points<br />
Records 17<br />
5 points<br />
Records 18<br />
8 points<br />
Records 19<br />
7 points<br />
Records 20<br />
12 points<br />
Records 21<br />
1 point<br />
Records 22<br />
11 points<br />
Information for patients<br />
Information 3<br />
1 point<br />
Information 4<br />
1 point<br />
Information 5<br />
2 points<br />
Information 7<br />
1.5 points<br />
Indicator<br />
The practice has a system for transferring and acting on information about patients<br />
seen by other doctors out <strong>of</strong> hours.<br />
There is a designated place for the recording <strong>of</strong> drug allergies and adverse reactions<br />
in the notes and these are clearly recorded.<br />
For repeat medicines, an indication for the drug can be identified in the records (for<br />
drugs added to the repeat prescription with effect from 1 April 2004). Minimum<br />
Standard 80%.<br />
The blood pressure <strong>of</strong> patients aged 45 and over is recorded in the preceding five<br />
years for at least 65% <strong>of</strong> patients.<br />
There is a system to alert the out-<strong>of</strong>-hours service or duty doctor to patients dying at<br />
home.<br />
The practice has up-to-date clinical summaries in at least 60% <strong>of</strong> patient records<br />
The blood pressure <strong>of</strong> patients aged 45 and over is recorded in the preceding five<br />
years for at least 80% <strong>of</strong> patients.<br />
The practice has up-to-date clinical summaries in at least 80% <strong>of</strong> patient records.<br />
80% <strong>of</strong> newly registered patients have had their notes summarised within eight weeks<br />
<strong>of</strong> receipt by the practice.<br />
The practice has up-to-date clinical summaries in at least 70%<br />
<strong>of</strong> patient records.<br />
Ethnic origin is recorded for 100% <strong>of</strong> new registrations.<br />
The percentage <strong>of</strong> patients aged over 15 years whose notes<br />
record smoking <strong>status</strong> in the past 27 months, except those who<br />
have never smoked where smoking <strong>status</strong> need be recorded<br />
only once (Payment stages 40–90%).<br />
Indicator<br />
The practice has arrangements for patients to speak to GPs and nurses on the<br />
telephone during the working day.<br />
If a patient is removed from a practice’s list, the practice provides an explanation <strong>of</strong><br />
the reasons in writing to the patient and information on how to find a new<br />
practice, unless it is perceived that such an action would result in a violent<br />
response by the patient.<br />
The practice supports smokers in stopping smoking by a strategy which includes<br />
providing literature and <strong>of</strong>fering appropriate therapy.<br />
Patients are able to access a receptionist via telephone and face to face in the<br />
practice, for at least 45 hours over five days, Monday to Friday, except where<br />
agreed with the PCO.