Project Name: Northern Ireland General Practice Heart Failure QOF Register Review Collaborative Working

Project Summary:

The Collaborative working will improve the accuracy of read coding for existing Heart Failure patients and aim to find those with a missing diagnosis through reviewing patients who have Heart Failure associated risk factors. The benefits include data cleansing and validation of the Heart Failure QOF registers, increasing QOF outcome generation and ultimately, this benefit patients through better diagnosis, review and improved management.

As part of the Project, ICS are performing register reviews in 12 GP practices across Northern Ireland, with Drs Quinn and Brolly being one of these. The practice will provide Interface Clinical Services (“ICS”) with access to all patient records within the GP Practice to facilitate the Heart Failure QOF register review. Using the report provided by ICS, the practice will review all appropriate patient records and create a Heart Failure management plan for each patient to improve their Heart Failure care. Services provided by ICS will be funded by Novartis.

Planned Milestones:

Milestones with Drs Quinn and Brolly

MilestonesMilestone Date
Generation of ICS report1 month post project initiation
Completion of Consultation day by practice Heart Failure MDT1 month after completion of register review by ICS

 

Overall Project Milestones

MilestoneMilestone Date
Group 1 (Practices 1, 2 & 3) complete database review3 months after Project initiation, 3 months after practices signs individual CWA
Group 1 (Practices 1, 2 & 3) complete Consultation Day4 months after Project initiation, 4 months after practices signs individual CWA
Group 2 (Practices 4, 5 & 6) complete database review6 months after Project initiation, 3 months after practices signs individual CWA
Group 2 (Practices 4, 5 & 6) complete Consultation Day7 months after Project initiation, 4 months after practices signs individual CWA
Group 3 (7, 8 & 9) complete database review9 months after Project initiation, 3 months after practices signs individual CWA
Group 3 (7, 8 & 9) complete Consultation Day10 months after Project initiation, 4 months after practices signs individual CWA
Group 4 (10, 11 & 12) complete database review12 months after Project initiation, 3 months after practices signs individual CWA
Group 4 (10, 11 & 12) complete Consultation Day13 months after Project initiation, 4 months after practices signs individual CWA

 

Expected Benefits:

The benefits to the patient include:

  • Proactive assessment and earlier detection of Heart Failure
  • Greater opportunity for initiation and optimisation of evidence-based Heart Failure therapies
  • Improvement in quality of care
  • Improved experience of the Heart Failure service

The benefits to the relevant NHS GP practice include:

  • data cleansing and validation of QOF
  • increasing QOF outcome generation

The benefits to Novartis include:

  • Creation of more opportunities for the appropriate use of cardiology licensed medicines in line with NICE and clinical guidelines, including Novartis’ medicine
  • Better understanding of customers’ and patients’ needs specific to the management of Heart Failure but indeed more widely
  • Greater insight into the practical challenges and workings of delivering a high quality and sustainable Heart Failure Service
  • Improved reputation

Start Date & Duration:

Drs Quinn and Brolly

Start date: April 2022
Duration: 2 months from commencement of services being provided by ICS

Overall Collaborative Working Project

Start date: April 2022
Duration: Up to 13 months

UK2204131550

Project Name: Northern Ireland General Practice Heart Failure QOF Register Review Collaborative Working

Partner Organisaitons: The Health Centre Scroggy Road

Completion Date: July 2023

Outcome Summary:

For an individual practice the Collaborative working has improved the accuracy of read coding for existing Heart Failure patients found those with a missing diagnosis through reviewing patients who have Heart Failure  associated risk factors.

Key Project Outcomes Data:

The relevant NHSGP practice has provided Interface Clinical Services (“ICS”) with access to all patient records within the GP Practice to facilitate the Heart Failure QOF register review. Using the report provided by ICS, the  GP Practice has reviewed all appropriate patient records and created a Heart Failure management plan for each patient to improve their Heart Failure care. The heart failure management plan has followed local guidelines The services are detailed below in Outcomes:

Outcomes:

ServiceOutcomeFurther Action
Interrogation of Heart Failure QOF registers at the relevant 
GP practice by 3rd  party provider, ICS, to update the registers 
and find Heart Failure patients who are currently (un)diagnosed 
and/or not on the existing Heart Failure QOF registers.
22 added to HF register by GP   
Consultation day provided by ICS to staff members at the GP 
practice to review results.
1 Hour meeting to lead GP 
Percentage increase inpatients on the Heart Failure register.32%Added to register
Number of newly identified Heart Failure patients.19

Clinical review by GP

Increase in number of patients receiving NICE recommended 
therapy from baseline.
17All patients not suitable for all NICE recommended therapies
Number of patients referred into 2nd care service.2Referred to HF team WHSST

 

UK2405131830