The Ardens Case Finding Searches have been designed to support practices with identifying patients potentially missing from the practice disease registers. 

 

The searches are checking patients fulfill certain criteria to indicate that they should possibly be in a QOF register but aren’t.

 

Being included in the search does not mean the patient definitely should be on the register but should be checked. But an incorrect code may have been added or a diagnosis may be missed.

 

It is recommended that these searches should be run regularly to make sure that new patients do not get missed.

 

Case Finding Searches

Go to the EMIS Bubble > Reporting > Population reporting > Ardens folder > Ardens Main Searches > Case Finding Searches.


The Case Finding folder contains seven folders, 


Asthma or COPD – This folder includes a search of currently registered patients not on the Asthma or COPD QOF register but who have had a least one issue of an inhaler in the past 12 months. 


The associated report will show you how many respiratory medications that a patient has had in the last year. Not all patients in the list should necessarily be on the Asthma or COPD register but it is certainly worth checking any patients who have more than one or two issues of respiratory medication to see if they are correctly coded.

               

Atrial Fibrillation –  This folder includes a search of currently registered patients not on the AF QOF register and excludes patients who have a DVT, a PE or PI or have a heart operation recorded in their medical records but includes patients who are currently on repeat oral coagulants. 



The associated report shows which anticoagulation medication the patient is on.

 

CKD – This folder includes 5 searches. The first search shows all currently registered patients whose latest eGFR result is less than 59 but who are not on the CKD register. It is usually recognised that for patients who have an eGFR lower than 30 – a diagnosis of CKD should be added to the patients record and therefore be included in the QOF register


Depression – this folder includes one search that shows all currently registered patients who have antidepressant drug (s) currently on repeat but are not on the QOF depression register.



Hypertension – this folder includes two searches and two reports.


The first search shows all currently registered patients who are currently on a repeat hypertensive medication excluding patients with various acute or other non-related conditions and those patients who have had a previously raised systolic or diastolic BP reading but are not included on the QOF Hypertension register.


The report associated with the first search gives patient details and their medication and any raised BP recorded.

 

The second search shows all currently registered patients who are currently on a  repeat hypertensive medication but do not have a correct hypertension diagnosis i.e. one that would include the patient on the QOF register.


The report associated with the second search gives patient details, the code that is in the patients record e.g. H/O hypertension or an annual review without a hypertension diagnosis code.



Learning Disability – These searches follow the latest guidance from NHSE to support patients with LD by including as many as possible in the QOF requirements for annual reviews, vaccinations etc

 

This folder includes three searches and two reports.

 

The first search reports on currently registered patients who are on the QOF Learning disability register.



The second search reports on  patients who can be identified by the information given in the NHSE LD inclusion recommendations have a learning difficulties but who are not currently on the QOF Learning Disability register.


The report associated with the second search shows patient detail and the latest date that a learning disability code was added to the patient medical record making it easy to add the correct code to include them in the QOF register .

 

The third search reports on  patients not identified by searches 1 or 2 but who may have a learning disability as identified by the NHSE guidance in the QI QOF guidance.


The report associated with the third search shows patient details and the latest date that a “possible” learning disabilities code has been added.

 

Stroke or TIA – This folder includes a search and an associated report showing patients who may be missing from the claim in QOF  for patients taking anti-platelet or anti-coag medication because of incorrect coding.



The report will show patient number and usual GP as well as the possible incorrect generic code and details of the any medication falling into the categories below.



It is recommended that all of these searches are run on a regular basis. Searches and folders can be run individually or from the parent search, they can be scheduled to run on a regular basis.

 

 

If you require any further assistance on the process above, please contact Ardens support on: support-emis@ardens.org.uk.