QOF Plus Year 1 - Imperial College London

Like QOF, QOF+ includes a combination of all-or-northing and payment stage indicators, re-uses theconcept of exception reporting and determines remuneration using a system of population andprevalence-weighted point allocation. The PCT Health Informatics Team was consulted to ensure thatproposed indicators would work within primary care IT systems.The development of a training and support package to support QOF+ was informed by consultation withlocal and national experts, analysis of data on achievement for existing QOF for individual practices, and atraining and support needs assessment conducted among all local practices.OutcomesThrough QOF+, practices will be rewarded with QOF+ points for achievement of higher thresholds for aselected number of existing national QOF indicators including the following:Asthma 6, BP 5, CHD 6, CHD 8, CHD 10, CS 1, DM 12, DM 17, DM 20, MH 6, Stroke 6, Stroke 8.Additionally, practices will be rewarded for achievement of new QOF+ indicators which have beendeveloped in clinical and non-clinical domains covering the following areas: Cardiovascular DiseasePrimary Prevention, Alcohol, Smoking Cessation (including Smoking in Pregnancy) Breastfeeding,Ethnicity, Records, New Entrant Screening (for Tuberculosis), Patient Information, Patient Experience andPatient Safety.Anonymised medical records of all registered patients will be stored centrally by the PCT through the useof the APOLLO IT system by practices. This will enable analysis of performance, improved practiceprofiling, equity assessment using patient-level data, and provision of monthly feedback of performanceto practices, as part of a wider training and support package which has been developed to support QOF+.© Copyright NHS Hammersmith and Fulham 2008© Copyright eHealth unit, Department of Primary Care and Social Medicine, Imperial College 2008