004B Routine QOF work | * Indicator Navigator | Frailty

004B Routine QOF work | * Indicator Navigator | Frailty

Frailty

This folder supports the tracking of frailty which is a component of multiple target value based indicators in cardiovascular disease (CD001/CD002), diabetes (DM020/DM021/DM034/DM036), and hypertension (HYP010/HYP011).

These searches help identify patients where coding could be improved to include or exclude them in QOF indicators.


🧾 ACTION | Frailty - Higher Rockwood than diagnosis - consider moderate/severe coding

Patients whose most recent frailty diagnosis was mild (or none), and the most recent Rockwood score or assessment was at least 6. It is in the Practice’s interest to action patients listed here as they can be removed from the target requirements. 
  1. Add a diagnosis code 'Moderate frailty' or 'Severe frailty' to remove patient from QOF indicator (or move from DM020 to DM021).

 ðŸ§¾ ACTION | Frailty - Lower Rockwood than diagnosis - consider mild coding

Patients whose most recent frailty diagnosis was moderate or severe, but the most recent Rockwood score or assessment was less than 6. These patients would technically already be excluded from the affected indicators, but arguably the more recent Rockwood may suggest the patient is anything but frail. Use the report to review frailty and Rockwood coding, both in terms of dates and scores. Some frailty diagnoses may be many years ago while Rockwood is recent. 
  1. Add the diagnosis code 'Mild frailty' to reinstate patient to QOF indicator (or move from DM021 to DM020)
Idea
Primary Care IT recommends that some action is taken here to ensure the cohort of moderate and severe frailty patients is not overly large to become a national outlier.