Facilitator Handbook 2005 - PRIMIS

PRIMIS Facilitator Handbook
Supporting Quality Outcomes
The Training
The training takes place over a full day and is run on a group workshop basis. It covers the
following topics:
Introduction to the Quality and Outcomes Framework
The principles of the four domains and ten clinical indicators are explained in terms of
structure, process and outcome.
Structure:
Process:
Outcome:
How the disease registers are constructed
The interventions, treatment and requirements for each clinical domain
Monitoring patient health by proxy of achievement of targets and the
management of data recording
The organisational indicators
The organisational indicators underpin the core philosophy of the PRIMIS data quality training
and the information facilitator’s role. The training looks at each of the organisational indicators
and discusses the processes in place to collect data and ensure quality.
The clinical domains
The structure of each clinical domain disease register is discussed examining the inclusion and
exclusion criteria in terms of appropriate diagnosis codes, including medication and date
ranges. The issues around data quality and validation of diagnosis are highlighted.
The clinical indicators
The structure and management of the disease registers require that data recording is kept to a
minimum suitable for an accurate assessment of patient care and does not distort the
consultation through over emphasis on data collection.
The indicators are examined in terms of data quality and recording issues, and how these
might affect validation processes such as QMAS.
Exception reporting
Practices are able to record reasons why a patient may not have been given appropriate
treatment or allow certain patients not to be included on disease registers. There are two broad
types of exception reporting available: an entire indicator group exception and a single
indicator exception.
The concept of exception reporting and the rules around when an exception may be applied
are explained both in terms of disease register structure and clinical indicator process.
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