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Welcome to Inverness

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+. Keeping you up-to-date: www.inps.co.uk. The Website Contains: Blogs/release information On-screen help

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Welcome to Inverness

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  1. Welcome to Inverness Debbie Cuthbert INPS Training Consultant

  2. The Aims and Objectives are to discuss…. • Website and On-screen help • QOF • QOF changes • Guidelines • Audits • Vision+

  3. Keeping you up-to-date:www.inps.co.uk The Website Contains: • Blogs/release information • On-screen help • User Guides • Quick References • Video Tutorials • Release notes On screen help

  4. 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.

  5. 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

  6. Summary of Changes 2014/15 • 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

  7. In addition • The creation of a new Quality and Safety QOF domain which will retain anticipatory care plans but also include: • 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 • Integration: Each practice will nominate a liaison GP to link to a liaison person from the new health and social care integration partnerships • 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

  8. 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…

  9. 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 2014-2015 QOF guidance will include a general statement advising GP practices to continue to appropriately code diagnoses and provide clinically appropriate lifestyle advice

  10. 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

  11. 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)

  12. Version 28 - Scotland

  13. Management

  14. Guidelines - Key Points Key Points - Register Search - Guidance - Reference

  15. 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…

  16. Vision+ QOF Templates • Key Points • QOF Templates • Easy to Use • Save & Close • History/QOF Tab • Show Indicators

  17. All Templates • To view all QOF Templates, select All Templates • The standard colour scheme applies • Use the Previous and Next Tab

  18. 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

  19. Alert Indicators – Colour Scheme

  20. Make sure everyone understands the Business Rules (Ownership) • Indicator/Rule Logic • Clinical Audit Help

  21. 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

  22. Considerations.. • DXS Statistics - DXS • www.gpcontract.co.uk for Prevalence trend data • Contract Manager – use it as a monitoring tool…

  23. DXS Statistics

  24. Contract Manager – Clinical Indicators Current Results - Update

  25. 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

  26. Recall Management – Combining Registers

  27. QOF Questions So Far…

  28. 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…

  29. Some Tools… • Data Quality Audits • Slot Utilisation Report in Appointments • On-Line Analysis in Appointments

  30. 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

  31. Access • You can analyse • 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

  32. 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

  33. In Addition… Calculators Registers for Summarisers National Prevalence Indicator Points High Value Patients

  34. Vision+ Calculators • The Vision+ Calculators cover 5 main areas: • Cardiovascular • Lifestyle • Mental Health • Other • Respiratory Demonstration…..

  35. 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

  36. High Value Patients Report • 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

  37. Questions & Where to go next… • www.inps.co.uk • Ask the Trainer • THIN days • Webinars

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