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Atrial fibrillation (AF) QOF tips

Tips for improving QOF scores in this area and current indicators for 2013/14.

Tips for improving achievement

Former RCGP diabetes lead Dr Brian Karet says achieving good AF indicator scores should be 'straightforward and basic'. 'The CHADS2 risk score is in all risk engines,’ he says. ‘The main labs still do the CHADS2 score automatically. You've got to get the right people on the right anticoagulant.'

'It is important to know where the CCG stands on warfarin vs dabigatran,' he says. 'Each CCG area needs to make a decision on that and stick to it. There's quite a lot of evidence out there to use.'

But, he adds, with confusion about which drug to use comes the temptation to use neither. 'That's unacceptable,' he says.

Current indicators

Atrial fibrillation (AF) indicators

Points

Achievement thresholds

AF001: The contractor establishes and maintains a register of patients with atrial fibrillation.

5

 

AF002: The percentage of patients with atrial fibrillation in whom stroke risk has been assessed using the CHADS2 risk stratification scoring system in the preceding 12 months (15 months in Wales and N Ireland) (excluding those whose previous CHADS2 score is greater than 1).

10

40-90%

AF003: In those patients with atrial fibrillation in whom there is a record of a CHADS2 score of 1(latest in the preceding 12 months - 15 months in Wales and N Ireland), the percentage of patients who are currently treated with anti-coagulation drug therapy or anti-platelet therapy.

6

England: 57-97%*

Wales: 54-94%*

Scotland & N Ireland: 50-90%

AF004: In those patients with atrial fibrillation whose latest record of a CHADS2 score is greater than 1, the percentage of patients who are currently treated with anti-coagulation therapy.

6

40-70%

*Indicates thresholds which have changed for 2013/14

 

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