IM&T DES e-Audit

1. IM&T DES e-Audit Dr Dai Evans Clinical Advisor, PRIMIS+

2. IM&T DES part 1 Prepare plan, TNA, training, N3, smart cards (40p/pt) IM&T DES part 2 Accreditation for paper-light practices (44p/pt) IM&T DES part 3 Demographic validation & EPS (27p/pt) IM&T DES part 4 Moving to a hosted system (22p/pt) Context 1

3. Practice Data is “fit for sharing” ** Standards as in “Good Practice Guidelines” Mixture of practice submission, e-audit and practice visit by assessor Occurs after “preparation” (formative) phase Outline details in the DES specification Context 2: IM&T DES Part 2

5. Practice must be “paperlight”. Entering consultations contemporaneously where appropriate Pre-Requisite for DQA

6. Drug to Disease Audits (MIQUEST) Presence of some Disease codes (MIQUEST) Presence of other expected codes (MIQUEST) Event Date inconsistencies (MIQUEST) Other audit sources (QoF/QMAS) to support process (i.e. re disease prevalence etc.) System specific for those general aspects not handled by MIQUEST (location, ? Reg data, significance) There will be a “Bank” of audits – how implemented e-Audit

7. Two broad query sets: - preparation for accreditation - accreditation Will need to be fed back to: - practice - facilitator/assessor - PRIMIS+ (anonymised) Standard output proposed to CHART Other Aspects

8. E-audit output will be broadly anonymised BUT, assessors may need to see patient identifiable records There is guidance from DoH “permitting” this in this circumstance (?reference) A good idea to inform patients in the month before the assessment re any objections Patient Confidentiality

9. Read and understand Good Practice Guidelines (2005) Support practices in submission preparation and throughout process Deliver baseline assessment and Training Needs Assessment (TNA) for practices Understand Information Governance and Data Quality re practices What Facilitators need to do (1)

10. Run pre-accreditation queries and assist practices in their interpretation Run Accreditation set Assist compilation of material for Assessors Facilitators Role (2)

11. Read codes / Hysterectomy

12. No. of event dates for each pts Hysterectomy

15. Pts in ADQ7A

17. No of patients with Anklylosing Spondylitis

19. CHART Handle MIQUEST & supplier queries Give feedback to practice Provide reports for facilitator & PCT assessor Feedback to PRIMIS online (comparison) Proposed Tools

20. Looking at query design Testing software functions In Autumn looking at whole process Bearing in mind may be subtle changes twixt now & then Ongoing Pilot Work

21. So what’s a fail then?

22. The process formalises what you have been doing for a while (with £) It brings it up the practice agenda Mixture of formative preparation & summative assessment Perhaps a first stage Summary

23. Questions?