Transcript Document

Welcome to Inverness
Debbie Cuthbert
INPS Training Consultant
The Aims and Objectives are to
discuss….
• Website and On-screen help
• QOF
– QOF changes
– Guidelines
– Audits
• Vision+
www.inps.co.uk
Keeping you up-to-date:
www.inps.co.uk
The Website Contains:
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Blogs/release information
On-screen help
User Guides
Quick References
Video Tutorials
Release notes
On screen help
www.inps.co.uk
Features Request Forum
• Add suggestions to the Features Request Forum:
• Vote on other ideas.
– These are reviewed daily
– The more votes a request gets, the quicker it will be
developed.
www.inps.co.uk
Removal of whole Clinical Areas in
2014/15
• Whole clinical areas have been transferred to core
funding:
– Hypothyroidism
– Epilepsy
– Learning Disabilities
– Obesity
– Child Health
– Maternity Services
www.inps.co.uk
Summary of Changes 2014/15
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Reinstatement of QOF Timescales to 15 months
Register lines removed
Hypertension 12 months
Cholesterol removed
Diabetes
• Cholesterol, Albumin Creatinine, Retinal Screening,
Erectile Dysfunction and Advice
Depression
• 10-56 days review for newly diagnosed patients
Cancer
• 6 month review
CVD/PP
• CVD risk assessment 15 months
Exception changes
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In addition
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The creation of a new Quality and Safety QOF domain which will
retain anticipatory care plans but also include:
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Access: GP practices will undertake an annual assessment of
current demand - assessing both met and unmet need. Practices
will be encouraged to involve patients in the review process
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Integration: Each practice will nominate a liaison GP to link to a
liaison person from the new health and social care integration
partnerships
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Quality: A quality improvement visit will take place at practices
once every three years. Practices will produce an annual quality
programme report
• Further Reading….QOF Guidance Scotland 2014.pdf
www.inps.co.uk
To Sum up…
• 264 Points retired and moved to the core
standard payment within the Global Sum
– 80 Points Disease Registers
– 33 Patient Experience
– 151 QOF Clinical Areas
• So… 659 points remain
– What is the impact…
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2014/15 QOF
• Example: A practice in England with an average list size
and prevalence earnings full points for Hypertension earned
about £15 per patient last year. This year, approx. £6.
• As part of the retirement of disease registers, the 20142015 QOF guidance will include a general statement
advising GP practices to continue to appropriately code
diagnoses and provide clinically appropriate lifestyle advice
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General Hints & Tips
• Discuss changes with everyone in the practice
• Agree ethos and practice standards
• Consider how you obtain information (could more be done on
the telephone or captured ad hoc?)
• Share what is happening – include the success (everyone
always moans about QOF!)
• Streamline recalls ? Month of birth
www.inps.co.uk
What INPS tools are available?
• The Business rules were released 28th May
(one or tweaks still required), so we can
now finalise:
– V28 Guidelines which will include the old and the new
indicators (different colours to indicate each)
– Vision+ to incorporate V28 rules
– Clinical Audits v28 for Scotland (Monitoring)
www.inps.co.uk
Version 28 - Scotland
www.inps.co.uk
Management
www.inps.co.uk
Guidelines - Key Points
Key Points
- Register Search
- Guidance
- Reference
www.inps.co.uk
DLM 457
• Vision+ is de-coupled in DLM 457. This is
temporary as some customers experienced
freezing issues.
• The functionality is still exactly the same but is
accessed via these icons…
www.inps.co.uk
Vision+ QOF Templates
Key Points
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QOF Templates
Easy to Use
Save & Close
History/QOF Tab
Show Indicators
www.inps.co.uk
All Templates
• To view all QOF Templates, select All
Templates
• The standard colour scheme applies
• Use the Previous and Next Tab
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Start using Alert Indicators Now and tell
Everyone!
Forward Date (understand the colours)
Ask about Flu/Smoking - move the prompts around!
Resize/Move/Print
Double click to enter data
Red Flag to Exception
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Alert Indicators – Colour Scheme
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Make sure everyone understands the
Business Rules (Ownership)
• Indicator/Rule Logic
• Clinical Audit Help
www.inps.co.uk
Now is the time to Consider …
• Validating your registers, which includes looking
at your data and Verifying Prevalence rates:
– Clinical Audit - Data Quality Issues
• H/O codes (h/o dementia)
• Diagnostic Codes correctly used & dates entered
• Involve everyone…(summarisers, scanners, clinicians,
managers)
– Analyse your data
• Priority 1 (Patient Preview)
• Pivot tables
• Priority Update
www.inps.co.uk
Considerations..
– DXS Statistics - DXS
– www.gpcontract.co.uk for Prevalence trend data
– Contract Manager – use it as a monitoring tool…
www.inps.co.uk
DXS Statistics
www.inps.co.uk
Contract Manager – Clinical Indicators
Current
Results Update
www.inps.co.uk
Review your Recalls
– Identify the problem areas
• Multiple and inefficient
recalls
– Involvement
• Who is currently involved,
who should be involved (eg
community, practice staff,
pharmacist)
– Multi-morbidities
• Which co-morbidities
(Clinical Audit, Vision+)
• High risk patients (COPD,
admissions)
– The Process
• Start calling people early
• Invitations and Recalls (what
Read codes are used and
who enters them)
• Appointment availability
• Data recording when the
patient is seen eg Templates
– Evaluation & Benefits
• Audits to evaluate the
effectiveness of the recall
• Less consultations, fewer
visits, ?financial
www.inps.co.uk
Recall Management – Combining Registers
www.inps.co.uk
QOF
Questions So Far…
Access
• Practices will undertake an annual assessment of
current demand, assessing met and unmet need.
• Following the annual assessment, practices will
produce a ‘Patient Access Action Report’, which
will be submitted to NHS Boards. Patients are
encouraged to be involved.
• How…
www.inps.co.uk
Some Tools…
• Data Quality Audits
• Slot Utilisation Report in Appointments
• On-Line Analysis in Appointments
www.inps.co.uk
Some Tools
• National Vision User Group
– www.nvug.org.uk
• Exports your appointment data
• Appointments wizard..
• www.tailormadeit.co.uk
– Exports your Appointment data:
» Time frame
» Total number of appointments
www.inps.co.uk
Access
• You can analyse
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Day, date and time
Staff ID, slot type (e.g. normal, triage, urgent, etc.)
Patient ID, comments
Appt. time, arrival time, called in time, wait time, out
time, expected duration, actual duration
Days to wait
Who made
Booking reason (method)
Waiting time
Duration of appointment
www.inps.co.uk
Use this information to..
– Compare demand against usage
– Weekly demand versus planned capacity
– Average number of patients by day made
– Normal, Triage, Urgent – days to wait
– Consultation Times – Expected and Actual
Duration of Appointments
www.inps.co.uk
In Addition…
Calculators
Registers for Summarisers
National Prevalence
Indicator Points
High Value Patients
Vision+ Calculators
• The Vision+ Calculators
cover 5 main areas:
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Cardiovascular
Lifestyle
Mental Health
Other
Respiratory
Demonstration…..
www.inps.co.uk
Vision+ Additional Information
• In addition there is:
– Add to Register
• The benefits are that the patient
immediately appears on the QOF Alerts
• Correct Read codes are used
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High Value Patients Report
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High Value Patients
– This shows the top 25 patients
and you can view the points by
category (1000’th of a point)
– You can record contract codes,
exception codes
– Once the work is carried out, the
patient is removed from the
report the next time it is ran
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Questions & Where to go next…
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Ask the Trainer
THIN days
Webinars
www.inps.co.uk