Quality and Outcomes Framework Assessor Training

Collecting and Analysing Data

Module S4

DATA

INFORMATION

KNOWLEDGE

WISDOM

QOF Review Data Collection

• 75% is automatically collected by QMAS• 25% requires practice and PCT co-operation

– Written Evidence– Observation/Interview of Practice Staff– Inspection of Equipment/Materials– Inspection of Clinical Records

Written Evidence

• The practice supports smokers in stopping smoking by a strategy which includes providing literature and offering appropriate therapy. (Information 5)

• The practice has undertaken a minimum of six significant event reviews in the past 3 years. (Education 2)

• Person specifications and job descriptions are produced for all advertised vacancies. (Management 6)

Observation/Interview of Practice Staff• The practice has a system for transferring and acting on

information about patients seen by other doctors out of hours. (Records 3)

• The practice has a system to allow patients to contact the out-of-hours service by making no more than two telephone calls. (Information 1)

• All practice-employed nurses have an annual appraisal. (Education 3)

• There are clearly defined arrangements for backing up computer data, back-up verification, safe storage of back-up tapes and authorisation for loading programmes where a computer is used. (Management 2)

Inspection of Equipment or Materials

•The practice possesses the equipment and in-date emergency drugs to treat anaphylaxis. (Medicines 2)

•The arrangements for instrument sterilisation comply with national guidelines as applicable to Primary Care. (Management 4)

•The practice has systems in place to ensure regular and appropriate inspection, calibration, maintenance and replacement of equipment including: - A defined responsible person- Clear recording- Systematic pre-planned schedules- Reporting of faults (Management 7)    

       

Inspection of Clinical Records

• Each patient contact with a clinician is recorded in the patient’s record, including consultations, visits and telephone advice. (Records 1)

• The records, hospital letters and investigation reports are filed in date order or available electronically in date order. (Records 14)

• The percentage of patients with cancer diagnosed from 1 April 2003 with a review by the practice recorded within six months of confirmed diagnosis. This should include an assessment of support needs, if any, and a review of coordination arrangements with Secondary Care. (Cancer 2)

Additional Data

• Prescribing (PPA)

• Hospital Activity (HES)

• Patient Survey

• Mortality Data (ONS)

All these data streams are currently available to PCTs and are used regularly by their staff

Interim Aspiration ScoresMax 1050 points

010020030040050060070080090010001100

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

CHDMax 121 points

0

25

50

75

100

125

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

Cholesterol <5 mmol/lTarget 60% - 16 points

0%

10%

20%

30%

40%

50%

60%

70%

80%

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

Lipid-Lowering DrugsItems per STAR-PU

0

20

40

60

80

100

120

140

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

CHD on Anti-PlateletTarget 90% - 7 points

0%

10%20%

30%

40%50%

60%

70%

80%90%

100%

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

Anti-Platelet DrugsItems per STAR-PU

0

20

40

60

80

100

120

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

Acute MI Admissionsper 1,000 Registered

0

0.5

1

1.5

2

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

Angina Admissionsper 1,000 Registered

0

1

2

3

4

5

6

7

8

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

PTCA or CABGper 1,000 Registered

0

0.5

1

1.5

2

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

Retinal ScreeningTarget 90% - 5 points

0%

10%20%

30%

40%50%

60%

70%

80%90%

100%

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

COPDMax 45 points

0

10

20

30

40

50

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

Oxygen PrescribingItems per 1,000 Registered

0

10

20

30

40

50

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

J40-J44 - COPDNon-Elective Last FCEs XYZ PCT discharge dates between January and December 2003 (Number of Discharges per 1000 List Size)

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

Organisational IndicatorsMax 184 points

0

50

100

150

200

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

Records & InformationMax 85 points

0

10

20

30

40

50

60

70

80

90

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

Access Bonus50 points

0

1

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

Patient SurveyRoutine Appointment Same Day Or Next

0%

20%

40%

60%

80%

100%

P1 P2 P3 P4 P5 P6 P7 P8 P9 P10 P11 P12 P13 P14 P15 P16 P17

Some Words Of Wisdom

• Local knowledge essential• Look at the whole picture• Beware small numbers in small practices• Offer help not criticism• Ongoing conversation between practices and PCT• The reality of the coalface• Engage with the enthusiasm the practices will have to

improve the care delivered to their patients