DATA QUALITY DATA QUALITY

SUPPORTING QOF SUPPORTING QOF

Bev EllisBev Ellis

University of Central University of Central LancashireLancashire

Our aim today Our aim today is to appreciate….is to appreciate….Our aim today Our aim today is to appreciate….is to appreciate….

• Use of integrated electronic records to Use of integrated electronic records to fulfil various information requirements fulfil various information requirements

• Accessible information inc. capture, Accessible information inc. capture, recording, coding and retrievalrecording, coding and retrieval

• Sharing of informationSharing of information

• Facilitating audit, reflective practiceFacilitating audit, reflective practice

• Focus limited resources where most Focus limited resources where most needed (including our energies!)needed (including our energies!)

High Quality Information High Quality Information (nGMS 2003 4.43) (nGMS 2003 4.43)

• use and manage their particular clinical and administrative use and manage their particular clinical and administrative information systems including data entry and retrievalinformation systems including data entry and retrieval

• understand clinical nomenclatures and classificationsunderstand clinical nomenclatures and classifications

• ensure data qualityensure data quality

• implement change management and strategies to enable implement change management and strategies to enable the move from paper to electronic recordsthe move from paper to electronic records

• manage the risks associated with an IT-dependent working manage the risks associated with an IT-dependent working environment including disaster recovery and ensuring environment including disaster recovery and ensuring operational continuityoperational continuity

• develop and implement workforce strategies to cope with develop and implement workforce strategies to cope with the summarisation tasks associated with all clinical data the summarisation tasks associated with all clinical data flows into the practiceflows into the practice

Key pointsKey points• The nGMS 2003 contract requires GPs and The nGMS 2003 contract requires GPs and

practice staff to use clinical information practice staff to use clinical information systems in order to gain payments under systems in order to gain payments under the Quality and Outcomes Framework.the Quality and Outcomes Framework.

• Practices require training, education and Practices require training, education and support. It will involve changes in support. It will involve changes in approach in some practices whereas other approach in some practices whereas other practices will have to start to use clinical practices will have to start to use clinical systems in a disciplined way for the first systems in a disciplined way for the first time.time.

QOF Improvement CycleQOF Improvement Cycle

Review

QOF IMPROVEMENT

CYCLE

Planning

ActionLearning

Computers in consultationComputers in consultation

• Connectivity of clinical staffConnectivity of clinical staff

• Better use of existing systemsBetter use of existing systems

• Data qualityData quality

• Collegiate working across communityCollegiate working across community

ClinicalClinical AuditAudit

Acknowledgement to Helen McGuire, InPS for graphics

Disease RegistersDisease Registers

R MI – acute myocardial infarction Placed on register: 18/01/2002R MI – acute myocardial infarction Placed on register: 18/01/2002

Evidence of existing CVD Evidence of existing CVD

Disease RegistersDisease Registers

Patients NOT prescribed Aspirin in last year and no allergy or adverse reaction recordedPatients NOT prescribed Aspirin in last year and no allergy or adverse reaction recordedPatients NOT prescribed Aspirin in last year and no allergy or adverse reaction recordedPatients NOT prescribed Aspirin in last year and no allergy or adverse reaction recorded

CHD Patients Not On AspirinCHD Patients Not On Aspirin

Patients NOT prescribed Aspirin in last year and no allergy or adverse reaction recordedPatients NOT prescribed Aspirin in last year and no allergy or adverse reaction recordedPatients NOT prescribed Aspirin in last year and no allergy or adverse reaction recordedPatients NOT prescribed Aspirin in last year and no allergy or adverse reaction recorded

Generate, check, report Generate, check, report

Acknowledgement to Hildegard Franke, InPS for graphics

Assessment VisitAssessment Visit

• Assessment of contractor’s likely achievement against Assessment of contractor’s likely achievement against the QOFthe QOF

• Written report – ensure win-win Written report – ensure win-win

• Improvement plan if visit highlights issues around data Improvement plan if visit highlights issues around data quality eg Read codingquality eg Read coding

• Improvement plan to be implemented within one Improvement plan to be implemented within one month of agreementmonth of agreement

IM&T and Data FlowsIM&T and Data Flows

• Practices do not need new software, just an RFA99 Practices do not need new software, just an RFA99 compliant clinical systemcompliant clinical system

• Reports from QMAS - monthly to PCTs, at least monthly to Reports from QMAS - monthly to PCTs, at least monthly to practicespractices

• QMAS reports will, in time, have comparative data on QMAS reports will, in time, have comparative data on achievement and trends (local and national)achievement and trends (local and national)

• Consultation on impact of Freedom of Information Act Consultation on impact of Freedom of Information Act (kicks in January 2005)(kicks in January 2005)

Thank you for listeningThank you for listening

Any Questions?Any Questions?

Bev EllisBev Ellis

University of Central LancashireUniversity of Central Lancashire