Increase your QOF income
Ardens includes clinical reports on SystmOne to help increase your QOF income. Practices who use this frequently can increase their income by £3,000 a year and more.
The QOF Health Check clinical reports identify patients who may have not had a diagnosis coded correctly for QOF. This means that they never enter on to your QOF register (eg asthma, diabetes, etc), resulting in lost income. By increasing the prevalence of a disease at your surgery, you increase the amount of money per QOF point that you receive. This therefore results in a greater QOF income for your practice for this year and every year after (that QOF exists for!)
Examples of reports
- On Insulin but no Diabetes
- Home BP >135/85 but no Hypertension
- H/O Atrial Fibrillation but no Atrial fibrillation
- Coronary artery graft but no Coronary artery disease
- On diuretic & BNP >100 but no Heart failure
1. Go to Clinical Reporting > Ardens Ltd > Missed Income > QOF
2. Select all reports and run them (press F5 after 5 seconds to refresh the screen)
3. Right-click report > Show Patients > Right click to open up a patient’s record
4. For the ‘?Cancer as Histology’ report, right click > breakdown > breakdown by read code > then view record
5. Check the patient’s record to ensure they are appropriate for that QOF register
If patient is correctly identified - Record The Diagnosis
Go to Auto consultations > Ardens Contracts and use the Ardens QOF template to add the appropriate read code. Remember also to back date the read code to the date of actual diagnosis
If patient is incorrectly identified - Exclude The Diagnosis
If after reviewing a patients record you can exclude the diagnosis, use the ‘Diagnosis Excluded’ template to record this. This template can be found under Autoconstulations > Ardens General. This will then remove the patients from the report
Examples of reports to use this template if appropriate for include:
?Mental Health as on lithium or antipsychotics (and no dementia)
?PAD as arterial operation
If patient is incorrectly identified - Marking In Error
If after reviewing a patients record an incorrect read code is identified on the patients record, you will need to mark this code in error. This will then remove this patient from the report.
Examples of report to marking read codes in error if appropriate include:
?COPD as h/o COPD or COPD exacerbation/monitoring/plan
?CVA/TIA as h/o CVA/TIA or CVA review/monitoring/plan
Individualised QOF Missed Income Report
Ardens can also provide your practice with an individualised QOF Missed Income Report. This helps highlight and prioritise which report you should focus on in order to maximise your potential income, based on your current practice population and disease register size. Click here to see an example of this report for a typical practice with a list size of 9,000 patients.
The cost for this individualised report is £395 +VAT and allows you to re-submit your data a second time for comparison. We are confident that we can identify areas where you can increase your potential QOF income by £3,000 or more, but if our report identifies a sum of less than £3,000 we will not charge you for this report.
To request this report, please click here for instructions.
Please note that you still have access to all of the QOF Missed Income reports on Ardens as part of the standard package and do not need to purchase this additional Individualised Report. This report just highlights the financial implications of these reports which can be a useful motivator. If you do not wish to have the additional Individualised Report, we recommend that you concentrate on the Dementia, Osteoporosis and Heart Failure reports, as these are the ones where practices usually gain the most additional income from.
- Set-up the Ardens QOF Alerts correctly. See Set-up for further details.
- Going through some of these reports is quick whilst others take a bit more time, but they’ll all increase your income
- To check a patients record, go to Tabbed Journal, remove any filters and type in search box
- Use the SystmOne QOF tools too. Go to Reporting > QOF Indicators
National Prevalence Day & Further QOF Work To-Do
'National Prevalence Day' is the date when your practice prevalence data is taken which determines your practice QOF income. The date used to be 14th February but is now 31st March. For further information, please see p.20 here.
This means that you have until the 31st March to increase your QOF registers by using our QOF Health Check reports in order to increase your QOF income for that financial year.
It is a common concern from practices that if they increase their prevalence of a QOF disease register, their practice QOF income will fall as there will be outstanding QOF work to do that has not been completed yet. From our experience though, most of the QOF work for miscoded patients has already been done. These patients are usually coming in routinely for their annual reviews already, it is just that the clinician has not noticed they are not on QOF registers.
The exception to this is osteoporosis where patients may need a DEXA scan or heart failure patients who may need an echocardiogram. These patients are worth about £117 and £81 each respectively, so we think it is worth doing this piece of work, not only for the financial implications but for best practice too.
If it is January or February and you are pushed for time at the end of the financial year, we suggest practices focus on the high value areas now as these patients will be worth recalling if needed and to leave the other areas until after April.
These reports identify potential coding errors where a patient does not have the correct read code to place them on the QOF register. Each patient should have their record reviewed and clinical judgement should be used to decide whether or not the patient should be added on to the QOF disease register. The total patient count and missed income may be less as one patient may appear on two reports, for example on the ?Dementia as on repeat meds and ?Dementia as h/o dementia report If a patient is added to a QOF register, there may be further outstanding QOF work that is required in order to achieve the full amount of missed income available. For reports like ?Osteoporosis and ?Heart failure, investigations like DEXA scans and echos may be required to confirm the diagnosis before you add the patient to your QOF registers. The 'Time To Do' calculations are based on it taking on average 3 minutes per patient to review their record and add a QOF disease register code if appropriate. If a 'Time To Do' states 1 day, this is 24 hours of work, so in practice would take 3 days working for 8 hours a day. These reports are only intended for use as a guide and Ardens does not guarantee or take responsibility for any of the data that is produced from these reports. Your practice data will be held on a secure Microsoft cloud service via the Ardens Support Sharepoint account but Ardens takes not responsibility for any loss of data.