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Table 11 QOF scores on each of the DM indicators, by practice (n = 99) for the 12 month period May 2008 to April 2009

From: Instrument development, data collection, and characteristics of practices, staff, and measures in the Improving Quality of Care in Diabetes (iQuaD) Study

QOF Indicator

% achievement

Diabetes Mellitus

Mean (SD); min, max

The percentage of patients with diabetes ... in the previous 15 months

 

whose notes record BMI

96 (3); 82,100

who have a record of HbA1c or equivalent

98 (2); 85,100

in whom the last HbA1c is 7.5 or less (or equivalent)

68 (9); 54, 95

in whom the last HbA1c is 10 or less (or equivalent)

93 (4);76,100

who have a record of retinal screening

93 (4); 77, 100

with a record of the presence/absence of peripheral pulses

92 (6); 49, 100

with a record of neuropathy testing

92 (6); 49, 99

who have a record of their blood pressure

99 (1); 96, 100

in whom the last blood pressure is 145/85 or less*

80 (7); 59, 97

who have a record of micro-albuminuria testing

90 (6); 64, 100

who have a record of eGFR** or serum creatinine testing

98 (2); 85, 100

with a diagnosis of proteinuria or micro-albuminuria who are treated with ACE inhibitors (or A2 antagonists)*

93 (6); 75, 100

who have a record of total cholesterol

97 (2); 86, 100

whose last measured total cholesterol is 5mmol/l or less

84 (6); 66, 98

who have had influenza immunisation in the preceding 1 September to 31 March*

91 (6); 57, 100

The practice can produce a register of all patients aged 17 years and over with diabetes mellitus, which specifies whether the patient has Type 1 or Type 2 diabetes***

6 (0); 6,6

Practice organisation

 

Total score for records and information

84.7 (5.4); 38.3, 87

Total score for information for patients

2.9 (0.4); 0.0, 3.0

Total score for education and training

27.2 (4.0); 0.0, 28

Total score for practice management

13.2 (1.9); 0.0, 13.5

Total score for medicines management

35.0 (5.3); 0.0, 36.0

Overall QOF score

973 (36); 730, 1000

  1. * not dated to previous 15 months
  2. ** estimated glomerular filtration rate
  3. *** numerator and denominator not available; QOF score reported