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Chronic Disease Management Beyond QoF Payments Dr Bruce Davies
Scope What common diseases? Should they be formally managed? Frequency Importance Follow up affects outcome Know what to do Where is follow-up most appropriate?
Brainstorm What conditions are important under these criteria?
Perhaps Diabetes Asthma COPD Hypertension ? Epilepsy High risk drug users ie DMARDs etc Contraception
CDM Payments Asthma Diabetes Small fee per GP per year Criteria to claim Requirement for audit
Ways and Means Opportunistic Dedicated clinics Nurse led clinics Specific appointments Disease registers Protocols Guidelines
Better Care or Just PC Sometimes hard to tell! Evidence for effectiveness? Need for audit More work More treatment More iatrogenic problems?
Polyclinic Model of Care The list of things can grow and grow. Advantages. Disadvantages. Professional satisfaction. Quality. Fragmentation. Fall between two stools.
Generalist Model Copes with everything. Advantages. Disadvantages. Professional satisfaction. Holistic. Failure to care systematically.
Registers Creation. Maintenance. Accuracy. Usage. Whose responsible? Manual viz. Computer.
Protocols Authority. Ownership. Access. Who follows. Benefits. Disadvantages. GOBSAT viz. EBM.
Records Whose responsible? Paper or computer? Accuracy. Meaning. Why poor?
Audit PC or use? Who does? More work for what value? Do people change as a result?
Chronic Disease Management Delivering a system in Primary Care October 2002.
National Service Frameworks Dr Stephen Newell February 2002.
Quality and Outcomes Framework The national Quality and Outcomes Framework (QOF) was introduced as part of the new General Medical Services (GMS) contract.
Using QOF and Service Specifications to meet HI Needs Rachel Foskett-Tharby.
Data & The New GP Contract (GMS2) Dr James Gillgrass Joint Chief Executive Surrey and Sussex Local Medical Committees.
COPD Or Chronic Bronchitis That Was Dr Bruce Davies.
2012 UPDATE. What guidelines do we have available to follow for asthma 1) Asthma GP monitoring Guideline 2) Asthma Diagnosis Guideline 3) Acute asthma.
St Luke’s Symposium November 2010 National Clinical Programmes Dr Barry White Director of Quality & Clinical Care HSE 1.
The new GP contract – quality and governance issues Susan Neal Nurse-practitioner.
Improving the Quality of Physical Health Checks Kate Dale: Mental/Physical Health Project Lead Bradford District Care Trust (BDCT) NB all material copyright.
Paying for Quality in the UK: New Models Peter C. Smith Centre for Health Economics, University of York, UK.
Proposed changes to how practices are funded to manage people living with Long Term Health Conditions.
Integration of General Practice in Health services Doris Young Professor of General Practice.
CVD MEETING 7/9/01: main topics CV CLINIC WITH SCREEN SHOTS AND AUDIT MANAGEMENT PROTOCOL WITH DRUGS AND RISK CALCULATION CHARTS ASPIRIN AUDIT.
Meeting the health needs of older drug users Dr Muriel Simmonte NHS Lothian Primary Care Facilitator Team/East Lothian Locality Drug Clinic.
NEW GMS CONTRACT Stephen Newell Linda Turner Susan Watts.
Learning objectives:- 1. Introduction. 2. Define health record. 3. Explain types of health record. 4. Mention purposes of health record. 5. List general.
Chronic Disease Management – Role of the Community Pharmacist Andrew J. Burr.
LAMBETH COMMUNITY DATANET Making Patient Profile Data Useful – And Used?
Southend on sea PCT Nurse-led Long term Conditions Management.
Healthcare Operations Management © 2008 Health Administration Press. All rights reserved. 1.
“The essence of our approach to managed care” Surrey and Sussex Transforming Chronic Care Programme September
Secondary Prevention of CHD in Primary Care. Nurse Led Clinics by Susan Neal Nurse Practitioner North Street Medical Care.
Quality Improvement Program 28 TAC §10.22 Workers’ Compensation Health Care Networks.
Department of Public Health Presentation to the Health Cabinet June 14, 2016.
1 Chronic Disease Management Dr David Doolan Director, Clinical IT Support and Development Information Technology and Telecommunications November 2010.
OECD REVIEW OF QUALITY OF HEALTH CARE RAISING STANDARDS: DENMARK Ian Forde Health Policy Analyst OECD Health Division 28 May 2013.
Basma Y. Kentab MSc.. 1. Define ambulatory care 2. Describe the value of ambulatory care practices 3. Explore pharmacy services in some ambulatory care.
Disease State Management The Pharmacist’s Role. Why the Interest ?? Chronic diseases account for billions of dollars in annual medical expenditures Loss.
Primary Care in The Netherlands: General Practitioners in the Lead Jako Burgers, MD, PhD Dutch College of General Practitioners Common Wealth Fund Webinar.
ICGP Professional Competence System How to complete the cycle.
ResultsIntroduction Atrial Fibrillation (AF) affects 1.2% 1 of the population and 10% of those over the age of 75 2 It is the commonest arrhythmia in primary.
Chronic Disease Management (CDM) The new world of care planning Dr Alison Sands MBBS FRACGP North East Valley Division of General Practice 14 June 2005.
Payment and Delivery Reform Steve Arner Senior Vice President / Chief Operating Officer June 6, 2013.
Fylde Coast Integrated Diabetes Care Diabetes Care Pathway Dr. Cruz Augustine.
Measuring level of performance. Objectives Planning data collection To make sure that the data collected are precise, and that only essential data are.
- Progress in the last 40 years has been amazing but all health services, everywhere, still face 5 major problems one of which is unwarranted variation.
Croydon PCT Practice Profiles Dr Agnelo Fernandes MBE FRCGP.
Health Navigator Supporting self-management of people living with chronic conditions.
Disease invite requests Search & Reports. Hypertension – 1 st Invite.
Strategies for Navigating the New Medicaid The Third National Medicaid Congress Sam Willcoxon CEO Fidelis SeniorCare.
Clipstone Health Centre Long term condition strategy.
What do all GPs need to know About revalidation and commissioning Autumn 2012.
100 years of living science Implementing a Quality and Outcomes Framework in primary care: a UK perspective Dr Shamini Gnani November 2007, Mauritius.
To evaluate the availability of medication studies enrolling patients that are 80 years of age and older. Evaluation of Medication Studies Enrolling Patients.
Clinical Practice Guidelines By Dr. Hanan Said Ali.
Patient Empowerment in Chronic Obstructive Pulmonary Disease (COPD) Noreen Baxter Respiratory Nurse Specialist May 2005.
Managed Care. In the broadest terms, Kongstvedt (1997) describes managed care as a system of healthcare delivery that tries to manage the cost of healthcare,
Specialist Nursing Roles 28 th March 2012 Justin O’Neill MPhil, BSc, Dip HE, RN.
CMS as a Public Health Agency: Effective Health Care Research Barry M. Straube, M.D. Centers for Medicare & Medicaid Services January 11, 2006.
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