Coronary Heart Disease forms part of the clinical domains area of QOF.

 

There are 4 CHD QOF indicators:

 

CHD001 – includes patients with a coronary heart disease diagnosis and therefore on the CHD register.

 

CHD005 – includes patients on the register, who have been issued an aspirin, anti-platelet or anti-coagulant since the 1st April.

 

A personalised care adjustment (PCA) can be applied if medication is contraindicated or the patient declines.  Please note, if a patient is not taking any relevant medication, they need to have an exception/declined code for all the medication groups.  For this indicator, patients registered or diagnosed in the last 3 months of the fiscal year are also exception reported.

 

CHD015 – includes patients on the register, aged 79 years or under, whose latest BP reading in this fiscal year is equal to or less than 140/90 mmHg, or if the latest BP reading was a home BP reading, equal to or less than 135/85.

 

PCA applies if the patient refuses blood pressure or home blood pressure monitoring or if the patients BP is not within target range, however, they are recorded as being on the maximum tolerated dose of medication.  For this indicator, patients registered or diagnosed in the last 9 months of the fiscal year are also exception reported.

 

CHD016 – patients on the register, aged 80 years or over, whose latest BP reading in this fiscal year is equal to or less than 150/90 mmHg, or if the latest BP reading was a home BP reading, equal to or less than 145/85.

 

PCA applies if the patient refuses blood pressure or home blood pressure monitoring or if the patients BP is not within target range, however, they are recorded as being on the maximum tolerated dose of medication.   For this indicator, patients registered or diagnosed in the last 9 months of the fiscal year are also exception reported.


Please note – for all CHD indicators, patients will be removed from the denominator population if they meet and have been appropriately coded with the following:

  • not responded to two invitation codes (invitation codes must be 7 days apart).   Please note, if there is a BP reading this fiscal year, the invitations need to be AFTER the latest BP reading this fiscal year.
  • they have a CHD quality unsuitable code recorded this fiscal year.
  • they have a C quality informed dissent code recorded this fiscal year.

 

 

Achievement

 

Indicator

Points

Threshold

CHD001. The contractor establishes and maintains a register of patients with coronary heart disease

4

N/A

CHD005. The percentage of patients with coronary heart disease with a record in the preceding 12 months that aspirin, an alternative anti-platelet therapy, or an anticoagulant is being taken

7

56 – 96%

CHD015. The percentage of patients aged 79 years or under, with coronary heart disease, in whom the last blood pressure reading (measured in the preceding 12 months) is 140/90 mmHg or less, (or equivalent home blood pressure reading)

12

40 – 77%

CHD016. The percentage of patients aged 80 years or over, with coronary heart disease, in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less, (or equivalent home blood pressure reading)

5

46 – 86%


Ardens EMIS Resources to support CHD for QOF


Clinical Templates

The following template are available to support staff recording QOF activity for CHD patients.

 

  • Chronic Disease Templates - the Ardens CHD template contains a QOF only page for capturing all the QOF requirements for the current financial year.
  • Multi-Morbidity Templates – for patients with multiple long-term conditions and to capture all QOF requirements for all conditions relevant to the specific patient.

 

Searches  

The following searches are available to support staff with achieving your QOF CHD indicators.

 

  • Ardens LTC Recall System - a month of birth recall system, designed to recall a patient for multiple QOF conditions at once. These searches will ensure your CHD patients are attending their annual review. 
  • QOF Misc Searches - includes searches to identify patients that have not had the full elements of their review and BP reports showing CHD patients whose latest BP is out of range.
  • Case Finders Searches - contains a suite of searches to support practices to identify potential CHD patients missing from your practice QOF register.
  • QOF Monitor Dashboard – works with Ardens Manager QOF dashboard to allow a visual of QOF performance in monetary and points values.

 

 

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