QMS Contract Focus

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QMS Contract Focus

• A comprehensive quality management tool
• for practices and PCTs.
• http//www.qualitymedicalsolutions.co.uk
• info_at_qualitymedicalsolutions.co.uk
• 0208 299 6097

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A taste of what Contract Focus can do for your
practice

• Key Features of Contract Focus
• Comprehensive quality improvement tool
• Over 350 quality indicators
• QOF 2006
• Baseline referral data to support Primary Care
  Lead Commissioning
• and more

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Contract Focus Reports Index
A separate report gives a detailed breakdown for
each chronic disease area
The Overall Summary gives a complete picture of
your practice performance under the nGMS
contract, including income estimates.
The index sheet shows all of the reports
available, and links to documentation
Hyperlinks open the appropriate report, such as
the CKD report.
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CKD Menu Page
Navigation to all sections of the report is
straightforward using the buttons provided
or hyperlinks to patient lists.
Each Disease Area is summarised in a separate
report. Each report has a menu page in this
format.
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The QOF page shows a detailed breakdown of
the nGMS calculations.
The first section of the front page shows
performance on the nGMS contract indicators. An
estimate of income is produced.
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CHD Income Estimates
Additional income per new patient targeted
You can view the data graphically.
You can see easily how you are performing for
each indicator
You can tell where you have most work to do to
meet the target,
You can sort the data according to your
priorities.
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Graphical Indicator Performance
You can view a breakdown of the disease register
by age and sex of patients
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Register population breakdown
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Features of patient reports Read Codes
If you need to check which codes are used to
identify patients, these are quickly available.
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More features of patient lists
There are many columns of data in this report,
but you can easily select those of interest.
You can also filter the list, using any column,
to display only the patients of interest.
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EGFR Calculator
In the CKD workbook, You can calculate eGFRs for
possible CKD patients,
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A taste of what Contract Focus can do for your
practice

• Concise summary of performance data (19 chronic
  diseases)
• nGMS quality indicators
• Income estimates
• Patient targeting
• Many other quality indicators (NICE, NSF etc)
• Identify patients who do not meet quality targets
• Improve the quality of data entry
• Improve the accuracy of disease registers

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Contract Focus provides numerous additional
indicators and reports. Data Quality reports help
improve the accuracy of your disease registers.
Each link here gives access to a patient report
showing patients in the target population
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Other quality indicators can be broken down
further. These links open a section of the All
Data sheet, showing many other useful indicators,
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The All Data sheet is broken down into sections
for related indicators.
The All Data sheet is broken down into sections
for related indicators.
Once again, clicking a link displays a list of
patients in the target population.
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A taste of what Contract Focus can do for your
practice

• Help set up review and recall systems
• Mail merge standard letters from patient lists

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Mail Merge patient recall
The Word Mail Merge wizard opens with all the
patient name and address data available.
Use a standard form letter or your own customised
letter.
The names and addresses can be saved and reused.
Use a filtered list of patients to produce a
mailshot for example those overdue a medication
review
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A taste of what Contract Focus can do for your
practice

• Help set up review and recall systems
• Preparing for the QOF assessment visit with
  anonymised data
• Replaces patient-identifiable data with unique
  (non-reversible) identifiers, whilst retaining
  dates, codes and measurements

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QMS-Contract Focus

• Setting up review and recall systems
• Preparing for the QOF assessment visit with
  anonymised data
• Audit of referrals over the last year to support
  PBC

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Referrals Analysis
The top 20 referral categories are shown, with
links to a monthly analysis of activity.
An analysis of who referred in the top 20
categories is produced.
The top Frequent Flyers are shown, with links
to their referral history.
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Referrals Analysis by Specialty
In addition to the monthly activity chart, you
can analyse by referrer.
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Referrals Analysis by Referrer
You can view a list of the patients who have been
referred in this category in the last year.
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Referrals Analysis Patient Report
The patient list can be filtered in the usual
way. For example to show only one doctor.
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Referrals Analysis By Referrer
You can also view referral patterns for each
doctor/nurse.
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QMS-Contract Focus

• Setting up review and recall systems
• Preparing for the QOF assessment visit with
  anonymised data
• Audit of referrals over the last year to support
  PBC
• Performance Trends

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Performance Trends
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QMS Contract Focus Additional Modules Query
Library

• Additional Modules provide optional monitoring of
  specialist areas
• Monitoring Ethnicity coding
• Smoking cessation figures for statutory reporting
• Minor Surgery
• High Risk Drug monitoring
• Medicines Management
• Primary Prevention
• Smears
• Childhood Immunisations (2006)
• Flu Vaccinations (2006)

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QMS Contract Focus Additional Modules Query
Library

• Additional Modules eg. Ethnicity recording

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QMS Contract Focus Additional Modules Query
Library

• Additional Modules Smoking Cessation monitoring
  for statutory report

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QMS Contract Focus

• A comprehensive quality management tool
• for practices.
• There are also many features for PCTs and
  locality groups
• http//www.qualitymedicalsolutions.co.uk
• info_at_qualitymedicalsolutions.co.uk
• 0208 299 6097

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QMS Contract Focus for PCTs

• Contract Focus is compatible with most GP systems
• Statistical data from practices can be aggregated
• Aggregation allows
• Monitoring of Enhanced Services
• Confirmation of prevalence figures
• Age standardisation of disease prevalence figures
• Comparison of referral rates in categories
• Comparison of performance for 300 indicators
• Comparison of use of exception coding in nGMS
• Comparison of nGMS performance

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Monitoring of Enhanced Services

• For example, Childhood Immunisations

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Prevalence Statistics for PCTs

• Raw prevalence versus QMAS

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Prevalence Statistics for PCTs

• Standardised Morbidity relative to PCT
• Are the prevalence differences due to age/sex? (3
  are not)
• 95 confidence levels shown

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Prevalence Statistics for PCTs

• Standardised Morbidity relative to National
  figures
• Are the prevalence differences due to age/sex?
  No!
• 95 confidence levels shown

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Comparative Referral Statistics for PCTs

• Raw referrals figures

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Comparative Referral Statistics for PCTs

• Referrals/1000 patients

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Practice Performance Statistics for PCTs

• 300 Data Quality indicators many NICE NSF
• Eg CHD patients on Statin therapy

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Practice Performance Statistics for PCTs

• 300 Data Quality indicators many NICE NSF
• Eg Patients on anti-psychotic therapy, but not on
  SMI register.

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Practice Performance Statistics for PCTs

• Use of Exception codes in nGMS across practices
• Eg CHD patients excepted to beta-blocker
  indicators

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QMS Contract Focus for PCTsRecap

• Contract Focus is compatible with most GP systems
• Statistical data from practices can be aggregated
• Aggregation allows monitoring of
• Enhanced Services
• Disease Prevalence (inc. age-standardised)
• Referrals and PBC
• QOF exception coding
• QOF performance
• PCT performance targets