Optimising QOF Registers with Abtrace

Increasing your revenue with just one click!

The Problem

In a digital landscape, clinical codes are essential. They are the building blocks of accurate disease registers, which in turn ensure patients receive gold standard care, and practices receive the QOF remuneration that they deserve. Without correct coding, patients can easily become lost in ever expanding practice lists meaning suboptimal monitoring, and reduced practice finances.

However, we know it’s not all plain sailing. Some disease registers are tricky to keep on top of, especially those that require multiple blood tests repeated over time. For example, to code Chronic Kidney Disease (CKD), the patient should have an eGFR less than 60 on at least 2 occasions, at least 90 days apart. Whilst we can all agree that this makes sense clinically, how do we track this in busy clinical practice?

Recognition of conditions such as CKD through blood tests is especially important, because there are usually no symptoms in the early stages. The mainstay of treatment is to prevent deterioration through annual checks, ensuring safe prescribing and optimising lifestyle; but how are we meant to achieve this if we haven’t recognised CKD in the first place?

This is where intelligent technology can help us out. One of our practices made incredible use of our QOF optimisation function and added 239 patients to their CKD Register with one simple click each Here’s how they did it 👉

The "Traditional" Approach

Like many practices, our client worked hard to ensure that their coding was as accurate as possible. This included:

  • Checking and adding SNOMED codes on reviewing patient results.
  • Using Medication Reviews as an opportunity to check Problem List codes.
  • Encouraging desktop reviews of notes where possible.

The Abtrace Approach

Instead, our client used the Abtrace Optimisation tab to identify patients who were missing from the CKD register. This function runs daily searches of every patient record to check for patients who may meet QOF criteria for commonly missed disease registers, and shows the reasons why the patients have been identified. The practice were able to easily review these, accept the recommendations, and even add the correct SNOMED code to their record… all within the Abtrace Proactive Monitoring tool.

By using the Abtrace Optimisation tab: 

  • 244 patients were identified as potentially missing from the CKD Register.
  • On review, the practice decided that 239 of these patients should be added to the CKD Register, meaning they agreed with 98% of the Abtrace QOF Optimisation suggestions.

By adding these patients to the correct register, the CKD005 QOF revenue increased by 75% compared to the previous year!

The benefits don’t stop there. By adding these patients to the CKD register, they will now flag within all Abtrace functions in the future, and will be recalled for monitoring in line with all CKD requirements each year! The monitoring status for these patients will now be easily identifiable through Abtrace’s simple traffic light system, where

  • Green means a patient is up to date for all their CKD(and other LTC) monitoring requirements.
  • Orange means a patient isn't yet overdue, but they soon will be - we call this opportunistic testing.
  • Red means a patient is now overdue their test.

This means improved patient safety, gold-standard care, and a proactive approach to preventing progression of CKD. This practice is already enjoying increased QOF revenue each year for CKD. It really is that easy. To find out which other disease registers are covered - book a demo with us, and see it in action yourself.

See it in action yourself!

Find out which other disease registers are covered!

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