DEM004 - Dementia care plan review
The information contained within this article is from version 49 of the Business Rules for Quality and Outcomes Framework (QOF).
Indicator definition
Indicator ID | Description |
DEM004 | The percentage of patients diagnosed with dementia whose care plan has been reviewed in the preceding 12 months. |
What do the business rules mean?
What makes a patient eligible?
In order to be included in the denominator (patients who are eligible for a dementia care plan review), patients must be on the Dementia register.
How to achieve the indicator
To meet the criteria for DEM004, eligible patients must have had:
- A dementia care plan or dementia care plan review code within the contract year after the date of dementia diagnosis
What will remove patients from eligibility?
- Coded Dementia quality indicator care was unsuitable in the contract year
- Patients chose not to receive Dementia care plan or care plan review in the contract year
- Patients chose not to receive Dementia quality indicator care in the contract year
- Patients who have been invited twice for review at least 7 days apart during the contract year
- Patients who were diagnosed with dementia in the last 3 months of the contract year
- Patients who were registered with the practice in the last 3 months of the contract year
If a patient achieves the
indicator at any point during the year, any exclusions that have also been
added are ignored.
SNOMED codes used in this indicator
The codes referenced in this article are taken from the NHS Technology Reference Update Distribution (TRUD). Not all of these may be present or selectable in all clinical systems.Codes for dementia quality indicator care unsuitable for patient (DEMPCAPU_COD)
SNOMED code | SNOMED code description |
716341000000104 | Excepted from dementia quality indicators - patient unsuitable |
Codes indicating the patient has chosen not to receive dementia care plan (DEMCPDEC_COD)
SNOMED code | SNOMED code description |
1098271000000104 | Dementia advance care planning declined |
956881000000103 | Dementia care plan declined |
Codes indicating the patient has chosen not to receive dementia care plan review (DEMCPRVWDEC_COD)
SNOMED code | SNOMED code description |
1095101000000106 | Offer of dementia advance care planning review declined |
956901000000100 | Dementia care plan review declined |
959461000000102 | Dementia advance care plan review declined |
Codes indicating the patient has chosen not to receive dementia quality indicator care (DEMPCADEC_COD)
SNOMED code | SNOMED code description |
716131000000105 | Excepted from dementia quality indicators - informed dissent |
Invite for dementia care review codes (DEMINVITE_COD)
SNOMED code | SNOMED code description |
1109921000000106 | Quality and Outcomes Framework quality indicator-related care invitation |
1110901000000109 | Quality and Outcomes Framework dementia quality indicator-related care invitation |
143381000000102 | Quality and Outcomes Framework dementia quality indicator-related care invitation using preferred method of communication |
711441000000100 | Dementia monitoring invitation |
716991000000108 | Dementia monitoring telephone invitation |
716221000000104 | Dementia monitoring verbal invitation |
715821000000107 | Dementia monitoring first letter |
717471000000101 | Dementia monitoring second letter |
716671000000102 | Dementia monitoring third letter |
Dementia care plan codes (DEMCP_COD)
SNOMED code | SNOMED code description |
1095121000000102 | Dementia advance care plan agreed |
956841000000106 | Dementia care plan agreed |
Dementia care plan review codes (DEMCPRVW_COD)
SNOMED code | SNOMED code description |
1095111000000108 | Review of dementia advance care plan |
1148161000000104 | Review of dementia care plan |
956861000000107 | Dementia care plan reviewed |
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