Process Measures To assess the application of the driver diagram interventions, the following search criteria (as per audit + software) will be collected and analysed by PCQIS and reported back to individual practices. Audit+ Driver: Diagnosis and Investigation Descriptor process measure Total 1A All patients with a record of MI ever denominator Refer all patients with previous MI for echocardiography if not already done All patients who have an MI (ever) have had an 1B post MI echocardiogram recorded after the diagnosis All patients with new diagnosis of HF due to LVSD (i.e. pick 1C up HF and LVF/LVSD code) within the last 12 months denominator (including MI patients) One Perform an ECG on all patients with All patients with new diagnosis of HF due to LVSD within the suspected Heart Failure last 12 months and have ECG recorded within 2 months 1E before or 2 months after the LVSD code (including MI Bundle patients) If ECG normal measure Plasma B-Type All patients with new LVSD diagnosis within the last 12 Care Natriuretic Peptide (BNP) If BNP raised 1I months and who have had a normal ECG (including MI refer for Echocardiogram patients) who have then had a BNP test All patients with new LVSD diagnosis within the last 12 If ECG abnormal refer for IJ months with an abnormal ECG who have had BNP test echocardiograph (including MI patients)
Process Measures To assess the application of the driver diagram interventions, the following search criteria (as per audit + software) will be collected and analysed by PCQIS and reported back to individual practices. Driver: Diagnosis and Investigation process measure Audit+ Descriptor Total Care Bundle One Refer all patients with previous MI for echocardiography if not already done post MI 1A denominator All patients with a record of MI ever 1B All patients who have an MI (ever) have had an echocardiogram recorded after the diagnosis Perform an ECG on all patients with suspected Heart Failure 1C denominator All patients with new diagnosis of HF due to LVSD (i.e. pick up HF and LVF/LVSD code) within the last 12 months (including MI patients) 1E All patients with new diagnosis of HF due to LVSD within the last 12 months and have ECG recorded within 2 months before or 2 months after the LVSD code (including MI patients) If ECG normal measure Plasma B-Type Natriuretic Peptide (BNP) If BNP raised refer for Echocardiogram 1I All patients with new LVSD diagnosis within the last 12 months and who have had a normal ECG (including MI patients) who have then had a BNP test If ECG abnormal refer for echocardiograph IJ All patients with new LVSD diagnosis within the last 12 months with an abnormal ECG who have had BNP test (including MI patients)
CHF%20Rapid%20Guide%20Final%20Dec%202012%20(2).docx