QOF Plus Year 1 - Imperial College London

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QOF+ report on patient safety ................................................................................................. 85Proposed indicators ........................................................................................................................... 85Background ........................................................................................................................................ 86Priority and relevance to national policy ........................................................................................... 87Local context ...................................................................................................................................... 87Review of evidence to support the proposed indicators ................................................................... 88Degree of perceived professional consensus .................................................................................... 89Degree of perceived support from patients and carers .................................................................... 89Impact on health inequalities ............................................................................................................ 90Health impact .................................................................................................................................... 90Workload and training implications .................................................................................................. 90References ......................................................................................................................................... 90Training and support requirements for QOF+ .......................................................................... 91Introduction ....................................................................................................................................... 91Training and support requirements for selected existing QOF indicators ......................................... 91Training and support requirements for new QOF+ indicators .......................................................... 92
Appendix 1 – Background to the QOF+ development process ..................................................... 100Composition of the QOF+ development group ............................................................................... 100Process employed by the QOF+ development group ...................................................................... 100Approach to development of the scheme ....................................................................................... 100Appendix 2 – Methodology for the extension of existing clinical QOF targets .............................. 102Selection of candidate existing indicators for revised upper thresholds ......................................... 102Methodology for revised target setting for existing clinical indicators ........................................... 103Methodology for point allocation for existing clinical indicators .................................................... 106Minimum attainment thresholds .................................................................................................... 109Exception reporting ......................................................................................................................... 110List turnover ..................................................................................................................................... 115References ....................................................................................................................................... 115Appendix 3 – Current levels of attainment and exception reporting for existing clinical indicators 116Purpose of these data ...................................................................................................................... 116Data sources .................................................................................................................................... 116Using the graphs .............................................................................................................................. 117Asthma 6 .......................................................................................................................................... 118BP 5 .................................................................................................................................................. 119CHD 6 ............................................................................................................................................... 120CHD 8 ............................................................................................................................................... 121CHD 10 ............................................................................................................................................. 122CS 1 .................................................................................................................................................. 123DM 12 .............................................................................................................................................. 124DM 17 .............................................................................................................................................. 125DM 20 .............................................................................................................................................. 126MH 6 ................................................................................................................................................ 127Stroke 6 ............................................................................................................................................ 128Stroke 8 ............................................................................................................................................ 129Appendix 4 – Methodology for the design and development of the new indicators for QOF+ ...... 130Methodology for the creation of new indicator areas long list ....................................................... 130Consultation with local stakeholders to select priority areas for the development of QOF+indicators ......................................................................................................................................... 132Methodology for the development of new indicators .................................................................... 134Consultation with local practices ..................................................................................................... 135Assessment of new indicators ......................................................................................................... 135Response to feedback on proposed new indicators ........................................................................ 136Final consultation with local practices ............................................................................................. 137Methodology for point allocation for the new QOF+ indicators ..................................................... 137Communication with the PCT’s health informatics team ................................................................ 138Appendix 5 – Methodology for the development of the training and support package ................. 140Development of the training and support package ......................................................................... 140Results of data analysis of practice achievement for selected existing QOF indicators .................. 141Results of practice training and support needs assessment ........................................................... 141Appendix 6 – Summary of the QOF+ scheme ............................................................................. 142
Page 1: Towards world class healthcare for
Page 6 and 7: QOF+ report on breastfeeding ......
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
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BackgroundThe United Nations Conven
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In March 2008, a PCT audit of signi
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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
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Patient experienceLearning disabili
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Appendix 1Background to the QOF+ de
Page 122 and 123:
Appendix 2Methodology for the exten
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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 140 and 141:
Page 142 and 143:
Page 144 and 145:
Page 146 and 147:
Page 148 and 149:
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 158 and 159:
Communication with the PCT’s heal
Page 160 and 161:
Appendix 5Methodology for the devel
Page 162 and 163:
Appendix 6Summary of the QOF+ schem
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QOF Plus Year 1 - Imperial College London

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