QOF Plus Year 1 - Imperial College London

QOF+ report on recordsProposed indicatorsIndicatorQOF+pointsPaymentstages+ PRESCRIPTION 1. The percentage of individual repeatmedications issued which have a diagnosis or symptom in theelectronic medical record relating to that medication+ REFERRALS 1. The percentage of outpatient referrals madeon or after December 01 2008 where both the referred-tospeciality and diagnosis/symptom triggering referral are codedon the clinical system+ CARERS 1. Carer status is recorded for 100% of individualsnewly registered on or after December 01 2008+ OSTEOARTHRITIS 1. The practice is able to produce aregister of patients who have osteoarthritis+ RHEUMATOID ARTHRITIS 1. The practice is able to producea register of patients who have rheumatoid arthritis+ ECZEMA 1. The practice is able to produce a register ofpatients who have eczema+ PSORIASIS 1. The practice is able to produce a register ofpatients who have psoriasis45 40-90%50 70-90%6 -1 -1 -1 -1 -It is recognised that + PRESCRIPTION 1 overlaps with the existing RECORDS 9 QOF Indicator.BackgroundGeneral practitioners are responsible for providing primary care services and for organisingreferrals for specialist care. These records are increasingly held in electronic format and canprovide excellent information on morbidity, risk factor and health care utilisation patterns on thelocal population. The medical records held by general practitioners are therefore a key resourcein improving quality of care and promoting public health.The quality of data recording in general practice has been variable and this incentive scheme willencourage improvement in data quality locally (Jordan et al., 2004).57