QOF Plus Year 1 - Imperial College London

More documents

Recommendations

Info

Communication with the PCT’s health informatics teamFollowing development of new QOF+ indicators, the QOF+ Development Group worked with thePCT’s Health Informatics Team to help identify existing read codes for indicators and to provideclinician input into the development of appropriate templates on EMIS and VISION to facilitateQOF+, and to provide assistance with the development of the Business Rules for the QOF+ NewIndicators. The group also liaised with EMIS and VISION technical advisors to help inform theprocess. Templates were developed and piloted in 2 local practices, with input from practicestaff. Minor changes were made to the wording of some of the indicators following discussionswith the Health Informatics Team. It is anticipated that IT support within QOF+ will lead toimproved practice profiling, equity assessment using patient level data, timely progress reports topractices, and will inform who to target with a broader quality improvement support package.As the QMAS does not enable collection of data for QOF+, practices will be required to sign up tothe Apollo system to participate in the scheme. This will mean that anonymised medical recordsof all registered patients will be stored centrally by the PCT to enable analysis of performance andpermit monthly feedback of performance to practices. Resources will be put in place for the dataanalysis and to feedback performance data to practices by the team that will evaluate thescheme. In addition IT developments will also be put in place – this might include thedevelopment of a web-based reporting tool that practices can use to examine their ownperformance data and compare their practices against the other practices in the PCT.138
A4.10 ReferencesBMA (2006) Revisions to the GMS Contract 2006/7Boynton PM, Greenhalgh T (2004). Hands-on guide to questionnaire research: selecting, designing,and developing your questionnaire. British Medical Journal 328:1312-5Campbell SM, Braspenning J, Hutchinson A, Marshall MN (2003) Applying quality indicators in primarycare British Medical Journal 326:816-819Department of Health (2008) Operational Plans 2008/9-2010/11 The Stationary OfficeElwyn G, Buetow S, Hibbard J, Wensing M. Respecting the subjective: quality measurement from thepatient's perspective. British Medical Journal 335Hammersmith and Fulham PCT (2007) Patient and Public Involvement Strategy 2006/7 LondonHammersmith and Fulham PCT (2008) Operating Plan 2008/9 [Online, Accessed June 07 2008]Available at: http://www.hf-pct.nhs.uk/library/boardpapers/Mar08/_15_%20completecorrected.pdfHealthcare Commission (2008) Annual Health Check 2008/9 [Online, Accessed June 15 2008] Availableat:http://www.healthcarecommission.org.uk/guidanceforhealthcarestaff/nhsstaff/annualhealthcheck/annualhealthcheck2008/09/qualityofs/nationalprioritiesprimarycaretrusts.cfmLester H (2006) Methodology for reviewing the quality and outcomes framework [Online, AccessedJune 07 2008] Available at: http://www.pcpoh.bham.ac.uk/primarycare/QOF/qof_methodology.shtmlMarshall M, Campbell SM, Hacker J, Roland MO, eds (2002). Quality indicators for general practice: apractical guide for health professionals and managers. London: Royal Society of MedicineMarshall M, Leatherman S, Mattke S et al. (2004) Selecting Indicators for the Quality of HealthPromotion, Prevention and Primary Care at the Health Systems Level in OECD Countries OECD HealthTechnical Papers. Employment, Labour and Social Affairs CommitteeMookherjee J (2007) Evaluation of Lewisham’s locally enhanced service for alcohol *Online, AccessedAugust 29 2007] Available at: http://www.alcoholpolicy.net/2007/08/evaluation-of-l.htmlNational Primary Care Research and Development Centre (2008) QOF Reports 2008 [Online, AccesssedAugust 10 2008] Available at:http://www.pcpoh.bham.ac.uk/primarycare/QOF/qof_reports2008.shtmNaylor CD (1998). What is appropriate care? New England Journal of Medicine 338:1918-20NHS Alliance (2003) Engaging GPs in the new NHS. Retford: NHS AllianceNHS Employers (2008) Clinical Directed Enhanced Services (DES) Guidance for GMS Contract 2008/9Oxman AD TMDDHRB (1995) No magic bullets: a systematic review of 102 trials of interventions toimprove professional practice. Canadian Medical Association Journal 153:1423-31Primary Care Contracting (2008) What is the workload associated with 1 QOF point? [Online, AccessedSeptember 01 2008] Available at: http://www.pcc.nhs.uk/qanda.php?article_request=133Zeuner D (2008) Annual Report of the Director of Public Health 2007-2008. Hammersmith and FulhamPCT139
Page 1:
Towards world class healthcare for
Page 6 and 7:
QOF+ report on breastfeeding ......
Page 8 and 9:
QOF+ report on patient safety .....
Page 10 and 11:
CreditsProject boardJosip CarMiles
Page 12:
AcknowledgementsWe are indebted to
Page 15 and 16:
Executive summaryIntroductionPrevio
Page 18:
Support with QOF+If you have a prob
Page 22 and 23:
The quality and outcomes framework
Page 24 and 25:
Effect of measurement on health ine
Page 26 and 27:
How might a local QOF operate in pr
Page 28 and 29:
Doran T, Fullwood C, Kontopantelis
Page 30 and 31:
Continued…QOFQOF+IndicatorUpperTh
Page 32 and 33:
Alcohol Chapter 4 (p27)IndicatorQOF
Page 34 and 35:
RecordsIndicator+ PRESCRIPTION 1. T
Page 36 and 37:
Patient experience Chapter 12 (p77)
Page 39 and 40:
C3QOF+ report on cardiovasculardise
Page 41 and 42:
Creation of practice CVD at-risk re
Page 43 and 44:
achieved through primary prevention
Page 45 and 46:
Workload and training implicationsI
Page 47 and 48:
QOF+ report on alcoholProposed indi
Page 49 and 50:
Local contextThe Hammersmith and Fu
Page 51 and 52:
Workload and training implicationsR
Page 53 and 54:
QOF+ report on smokingProposed indi
Page 55 and 56:
Local context24% of adults (35,000)
Page 57:
ReferencesBritish Medical Associati
Page 60 and 61:
The NICE Clinical Guideline on Ante
Page 62 and 63:
Health impactThere are significant
Page 65 and 66:
QOF+ report on breastfeedingPropose
Page 67 and 68:
Local contextIn 2006/7, the percent
Page 69 and 70:
Degree of perceived professional co
Page 71 and 72:
QOF+ report on ethnicityProposed In
Page 73 and 74:
Associated Morbidity and MortalityT
Page 75:
Workload and training implicationsP
Page 78 and 79:
Priority and relevance to national
Page 80 and 81:
Specific reasons for this framework
Page 82 and 83:
Workload and training implicationsT
Page 85 and 86:
QOF+ report on newpatient screening
Page 87 and 88:
Review of evidence to support the p
Page 89 and 90:
QOF+ report onpatient informationPr
Page 91 and 92:
Priority and relevance to national
Page 93 and 94:
Degree of perceived support from pa
Page 95 and 96:
ReferencesCarpenter A and Mayers A
Page 97 and 98:
QOF+ report onpatient experiencePro
Page 99 and 100:
Rosen et al. (2001) categorised ini
Page 101 and 102:
The National 2007 Quality and Outco
Page 103:
ReferencesBaker, R (2007) Quality a
Page 106 and 107:
BackgroundThe United Nations Conven
Page 108 and 109: In March 2008, a PCT audit of signi
Page 110 and 111: Impact on health inequalitiesPovert
Page 112 and 113: Training and support requirements f
Page 114 and 115: Information on self-directed online
Page 116 and 117: New patient screeningProposed train
Page 118 and 119: Patient experienceLearning disabili
Page 120 and 121: Appendix 1Background to the QOF+ de
Page 122 and 123: Appendix 2Methodology for the exten
Page 124 and 125: PrevalenceRegistersizeAsthma 5.75%
Page 126 and 127: While both threshold types are remu
Page 128 and 129: The low level of remuneration for c
Page 130 and 131: Exception reportingMany QOF (and a
Page 132 and 133: indicators compared to national rat
Page 134 and 135: 114
Page 136 and 137: Appendix 3Current levels of attainm
Page 138 and 139: Percentage of practices at or below
Page 150 and 151: Appendix 4Methodology for the desig
Page 152 and 153: As a result of the prioritisation p
Page 154 and 155: Methodology for the development of
Page 156 and 157: Assessment of new clinical and reco
Page 160 and 161: Appendix 5Methodology for the devel
Page 162 and 163: Appendix 6Summary of the QOF+ schem
show all

QOF Plus Year 1 - Imperial College London

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?