QOF Plus Year 1 - Imperial College London
QOF Plus Year 1 - Imperial College London QOF Plus Year 1 - Imperial College London
Appendix 6Summary of the QOF+ schemeThrough QOF+, practices will be rewarded with QOF+ points for achievement of higher thresholdsfor a selected number of existing national QOF indicators for which Hammersmith and Fulham iscurrently underperforming: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 havebeen developed in clinical and non-clinical domains covering the following areas: CardiovascularDisease (CVD) Primary Prevention, Alcohol, Smoking Cessation (Adults), Smoking Cessation(Pregnant women), Breastfeeding, Ethnicity, Records, New Patient Screening (New entrantscreening for TB), Patient Information, Patient Experience and Patient Safety. The clinical areasselected were identified as priorities on the basis of being included in both the NHSHammersmith and Fulham Annual Public Health Report (Zeuner, 2008) and in the KeyPerformance Indicators from the Healthcare Commission (Healthcare Commission, 2008).Indicators are likely to change for subsequent years of QOF+ in line with latest best evidence andpotential changes to national QOF indicators.QOF+ has adopted the same approach to payment as the national QOF scheme, using the samevalue for a QOF+ point (1 point = £124.60), the same approach to exception reporting and thesame mechanism for adjustment according to Contractor Population Index and AdjustedPrevalence Disease Factors (for clinical indicators if appropriate).A QOF+ Training and Support package has been developed to support implementation of QOF+.This includes the production of a Resource Pack for practices relating to the new QOF+ indicators,and the creation of an email support service, ‘Ask the Specialist’. Attainment statistics will becalculated centrally on a monthly basis. These will be used to assist practices in self-monitoring ofprogress and to trigger intervention by the QOF+ support and development team if attainment ismore than a month behind the agreed trajectory towards aspiration targets.A programme of multimodal evaluation, currently under development, aims to assist monitoringof the scheme and to support the PCT in its efforts to better understand health inequalities withinHammersmith and Fulham. It is hoped that this evaluation will assist in the identification anddesign of future indicator areas.A6.2 ReferencesZeuner D (2008) Annual Report of the Director of Public Health 2007-2008. Hammersmith and FulhamPCT142
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- 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
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- Page 136 and 137: Appendix 3Current levels of attainm
- Page 138 and 139: Percentage of practices at or below
- Page 140 and 141: Percentage of practices at or below
- Page 142 and 143: Percentage of practices at or below
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- Page 150 and 151: Appendix 4Methodology for the desig
- Page 152 and 153: As a result of the prioritisation p
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- Page 156 and 157: Assessment of new clinical and reco
- Page 158 and 159: Communication with the PCT’s heal
- Page 160 and 161: Appendix 5Methodology for the devel
Additional <strong>QOF</strong>+ resources and content are available to download from:requires N3 connection143