November 2004 DATA QUALITY SUPPORTING QOF Bev Ellis University of Central Lancashire

Our aim today is to appreciate…. Use of integrated electronic records to fulfil various information requirements Use of integrated electronic records to fulfil various information requirements Accessible information inc. capture, recording, coding and retrieval Accessible information inc. capture, recording, coding and retrieval Sharing of information Sharing of information Facilitating audit, reflective practice Facilitating audit, reflective practice Focus limited resources where most needed (including our energies!) Focus limited resources where most needed (including our energies!)

High Quality Information (nGMS ) use and manage their particular clinical and administrative information systems including data entry and retrieval use and manage their particular clinical and administrative information systems including data entry and retrieval understand clinical nomenclatures and classifications understand clinical nomenclatures and classifications ensure data quality ensure data quality implement change management and strategies to enable the move from paper to electronic records implement change management and strategies to enable the move from paper to electronic records manage the risks associated with an IT-dependent working environment including disaster recovery and ensuring operational continuity manage the risks associated with an IT-dependent working environment including disaster recovery and ensuring operational continuity develop and implement workforce strategies to cope with the summarisation tasks associated with all clinical data flows into the practice develop and implement workforce strategies to cope with the summarisation tasks associated with all clinical data flows into the practice

Key points The nGMS 2003 contract requires GPs and practice staff to use clinical information systems in order to gain payments under the Quality and Outcomes Framework. The nGMS 2003 contract requires GPs and practice staff to use clinical information systems in order to gain payments under the Quality and Outcomes Framework. Practices require training, education and support. It will involve changes in approach in some practices whereas other practices will have to start to use clinical systems in a disciplined way for the first time. Practices require training, education and support. It will involve changes in approach in some practices whereas other practices will have to start to use clinical systems in a disciplined way for the first time.

QOF Improvement Cycle Review QOF IMPROVEMENT CYCLE Planning ActionLearning

Computers in consultation Connectivity of clinical staff Connectivity of clinical staff Better use of existing systems Better use of existing systems Data quality Data quality Collegiate working across community Collegiate working across community

Clinical Audit Acknowledgement to Helen McGuire, InPS for graphics

Disease Registers R MI – acute myocardial infarction Placed on register: 18/01/2002 Evidence of existing CVD

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

CHD Patients Not On Aspirin Patients NOT prescribed Aspirin in last year and no allergy or adverse reaction recorded

Generate, check, report Acknowledgement to Hildegard Franke, InPS for graphics

Assessment Visit Assessment of contractors likely achievement against the QOF Assessment of contractors likely achievement against the QOF Written report – ensure win-win Written report – ensure win-win Improvement plan if visit highlights issues around data quality eg Read coding Improvement plan if visit highlights issues around data quality eg Read coding Improvement plan to be implemented within one month of agreement Improvement plan to be implemented within one month of agreement

IM&T and Data Flows Practices do not need new software, just an RFA99 compliant clinical system Practices do not need new software, just an RFA99 compliant clinical system Reports from QMAS - monthly to PCTs, at least monthly to practices Reports from QMAS - monthly to PCTs, at least monthly to practices QMAS reports will, in time, have comparative data on achievement and trends (local and national) QMAS reports will, in time, have comparative data on achievement and trends (local and national) Consultation on impact of Freedom of Information Act (kicks in January 2005) Consultation on impact of Freedom of Information Act (kicks in January 2005)

Thank you for listening Any Questions? Bev Ellis University of Central Lancashire