To support practices with identifying potential incorrect and missing coding for the requirements of the Investment Impact Fund (IIF) the following searches are available.


 

To locate the searches, navigate to the Population Reporting module > Ardens Searches > 5.32 Network Contract DES (NCD) (2022-23) > a. Investment and Impact Fund (IIF) > 4. Data Quality folder.


Cancer

  • CAN-01: ?Consider FIT test as LGI 2WW referral within past 14 days -  this search will identify patients recently been referred for a 2WW Lower GI referral but there is no FIT test recorded. We recommend practices review the list of patients and take the appropriate action. Please be aware that there may be some cases where a patient has had a FIT Test result come through, but this has not been mapped to a clinical code, further information on how to map the code for all FIT test results coming in via the Lab links can be accessed in the following support article.
  • CAN-01: ?Re-code FIT test as ?incorrect code used - this search will identify patients that have a FIT test code in place but the wrong code has been used. Access each of the patients and replace with the appropriate code (2643291000000112 - Quantitative faecal immunochemical test).


Learning Disability

  • HI-01: ?Complete LD action plan as offered but not completed - this search will include patients that have been coded with a LD health action plan offered but no action plan has been recorded. Review the list of patients and add the relevant LD action plan code (Learning disabilities health action plan reviewed / Completion of learning disabilities health action plan) if appropriate. 
  • HI-01: ?Complete LD annual review as LD action plan complete but no review - this search will include patients that have been recorded with an LD action plan complete but there is no annual review code recorded. Review the list of patients and add the relevant code (Learning disabilities health assessment / Examination of learning disabled patient) if appropriate.
  • HI-01: ?Complete LD annual review as LD action plan done before - this search will include patients that have had a LD action plan recorded this fiscal year before the annual review code is present (Please note - the action plan needs to be recorded on or after the annual review to count). Review the list of patients and add the relevant code (Learning disabilities health assessment / Examination of learning disabled patient) if appropriate. 
  • INFO - LD - On LD register + 14y or over + declined LD health check - this search will show patients that declined a health check, for information only, no further action required.


Respiratory

  • RESP-01: ?Consider 'ICS not indicated' as mild, controlled asthma - to meet the requirements of RESP-01 indicator, patients with asthma must be recorded with 3 issues of a ICS (Corticosteroids) in the last 12 months. If not appropriate for the patients due to their asthma being mild and well controlled, practices may consider recording 'ICS not indicated' for the patient. This following search identifies asthmatic patients that are controlled and/or mild/moderate that have not had 3 issues of ICS, we advise to review this list of patients and and add the indication code if you feel this is appropriate. 


Seasonal Influenza

  • For each search this will identify patients that have been coded with an incorrect flu code. Review the list of patients and add the appropriate code. 


Social Prescribing

  • PC-01: ? Re-code social prescribing referral as incorrect code used - this search will include patients that have been coded with an incorrect social prescribing referral code. Review the list of patients and add the correct social prescribing referral code (2252091000000114 Referral to social prescribing service) if appropriate.


Structured Medication Review

  • SMR-03: ?Consider DOAC changed/unchanged' within 31d of CrCl - this search will identify patients that have had a eGFR within this fiscal year, a creatinine clearance done since the latest eGFR and a weight recorded in the last 12 months. However to be counted towards this indicator patients must also be coded with a DOAC dose change or unchanged code within 31 days of the creatinine clearance being coded, the following patients do not have this code in place. Review the list of patients and add the appropriate code (2884221000000114 Direct-acting oral anticoagulant dose changed OR 2884281000000110 Direct-acting oral anticoagulant dose unchanged). 


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