Ana Gutierrez CEG Primary Care Facilitator

 Quick update on AUA  Step 1: code eligibility  Step 2: obtain and code consent  Step 3: code entry onto IC pathway  Step 4: Level 1requirements  Step 5: Level 2 requirements  Using Excel to complete coding and create working lists  Q&A

 Paid by NHSE  2% of adult population (Exeter figures, found in CQRS)  L/D will count for 2% this year  If register too big, remove those without care plans (either Add 8CT2 = AA care ended or Delete 8CV4 = AA care started  Two (simplified) self-declared reports this year (rather than four)  Care Plan agreed or reviewed this year

 Payment only for patients eligible this year  Who is eligible this year? ◦ Top 6% of Qadmissions boroughwide ◦ Level 2– formerly known as coordinated care:  Dementia, palliative care, heart failure, nursing home  Discretionary coded before 20 Aug 2013 and entered before 1 Apr 2014  Who is not eligible: ◦ Patients in the AUA register ◦ Patients who have fallen below this year’s risk bands  First task: Export top 4% patient list, and 4.1-6% patient list, from NELIE

 Entry level: top 4.1% to 6% QAdmissions borough – Batch code ONCE with code EMISNQEL6 (eligible for IC)  Level 1: top 4% QAdmissions borough – Batch code ONCE with code 9NgzB (eligible for IC)  Level 2: HF/Pall/Home/Dementia/Discretionary – some are outside the 4/6% - use CEG search1 to batch add code 9NgzB (eligible for IC). You could do this monthly.

 93C0= Consent given for upload into shared electronic record - Indispensable for ALL levels of Integrated Care  Only available via Sharing button ◦ Select EMIS Data Sharing  Technical glitch workaround– if consent not visible in Care History, go back to the Sharing button, select Dissent, then select Consent, then go to Care History and delete Dissent.

You can do this via the template once you obtain consent  For entry level: 8CMR (On IC pathway)  For level 1: 8CMR (On IC pathway)  Batch add 8CMR to eligible patients with consent (monthly) to pick up patients where you forgot to add the entry code (search 2 in the Batch Coding folder CEG Support)  For level 2: 8CMR + EMISNQON5 (On frailty reg.)

 Accountable GP (67DJ) - ever  Crisis Plan agreed or reviewed (aka. AUA care plan or level 1 care plan 8CSB or 8CMG3) – this financial year  PAM (38Qo) – this financial year, the second one at least 90 days after first one  Use CEG support search for list of patients due in 1 month or overdue for crisis plan

 Accountable GP (67DJ) - ever  Crisis Plan agreed or reviewed (aka. AUA care plan or level 1 care plan 8CSB or 8CMG3) – this financial year  Care Coordinator (EMISQCA4) – ever  Person centred care plan (aka. Coordinated Care Plan 8CM8) this financial year

 Record Carer Status (even if there is no carer) and carer’s details (which will be pulled through to care plans) via Integrated Care template  Record in IC template if patient is ‘in last days of life’ and send expected death letter to OOH