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Published byLillian Bowman
Modified over 3 years ago
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
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?
Nurse-led Long term Conditions Management
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