DM014 - New diabetics referred to Structured Education Programme
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 |
The percentage of patients newly diagnosed with diabetes, on the register, in the preceding 1 April to 31 March who have a record of being referred to a structured education programme within 9 months after entry on to the diabetes register. |
What do the business rules mean?
What makes a patient eligible?
Patients are eligible for the DM014 denominator if:
- their earliest unresolved diabetes diagnosis was after 21 months before the end of the contract year (ie: 1st July of the previous contract year)
It is worth reviewing patient records to see if they have already been referred to a structured education programme in previous years which was not appropriately coded, as this will remove them from eligibility in the current contract year
How to achieve the indicator
To meet the criteria for DM014, eligible patients must have had:
- A referral to a diabetes structured education programme in the contract year
What will remove patients from being eligible?
- Patients who have been newly diagnosed with diabetes within the last 9 months of the contract year (since 1st July in current contract year) and do not have a referral to structured education programme (if referral to SEP had not already been achieved, these patients will be added back into the following contract year)
- Patients who have been referred to a structured education programme before the current contract year
- Where a code has been added stating that there isn't a structured education programme available
- Where diabetes structured education programme was unsuitable
- Patients for whom diabetes quality indicator care was unsuitable in the contract year
- Patients who chose not to receive diabetes quality indicator care in the contract year
- Patients who chose not to have diabetes structured education programme
- Patients who have been invited twice (at least 7 days apart) for review
- Patients who were diagnosed with diabetes in the last 3 months of the contract year
- Patients who were newly 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.
Referred for diabetes structured education programme (DSEP_COD)
SNOMED code | SNOMED code description |
1108731000000100 | Referral to online diabetes structured education programme |
1108741000000109 | Referral to Healthy Living for People with Diabetes online self-management programme |
1258872006 | Family referred to diabetes structured education program |
1258873001 | Caregiver referred to diabetes structured education program |
306701000000102 | Referral to dose adjustment for normal eating diabetes structured education programme |
306741000000104 | Referral to diabetes education and self management for ongoing and newly diagnosed diabetes structured programme |
306771000000105 | Referral to expert patient education versus routine treatment diabetes structured education programme |
414230000 | Family/carer referral to diabetes structured education program |
415270003 | Referral to diabetes structured education program |
754461000000105 | Referral to type I diabetes structured education programme |
Diabetes structured education programme service unavailable codes (DSEPSU_COD)
SNOMED code | SNOMED code description |
885931000000100 | Diabetes structured education programme not available |
Codes for diabetes structured education programme unsuitable for the patient (DSEPPU_COD)
SNOMED code | SNOMED code description |
720504004 | Not suitable for Diabetes Education and Self Management for Ongoing and Newly Diagnosed program |
Codes for diabetes quality indicator care unsuitable for patient (DMPCAPU_COD)
SNOMED code | SNOMED code description |
717421000000100 | Excepted from diabetes quality indicators - patient unsuitable |
Codes indicating the patient has chosen not to have diabetes structured education programme (DSEPDEC_COD)
SNOMED code | SNOMED code description |
306591000000103 | Diabetes structured education programme declined |
781161000000107 | Referral to diabetes education and self management for ongoing and newly diagnosed structured programme declined |
860981000000106 | Referral to dose adjustment for normal eating diabetes structured education programme declined |
Codes indicating the patient has chosen not to receive diabetes quality indicator care (DMPCADEC_COD)
SNOMED code | SNOMED code description |
716031000000106 | Excepted from diabetes quality indicators - informed dissent |
Invite for diabetes care review codes (DMINVITE_COD)
| SNOMED code | SNOMED code description |
| 1109921000000106 | Quality and Outcomes Framework quality indicator-related care invitation |
| 1110921000000100 | Quality and Outcomes Framework diabetes mellitus quality indicator-related care invitation |
| 143401000000102 | Quality and Outcomes Framework diabetes mellitus quality indicator-related care invitation using preferred method of communication |
| 705072004 | Diabetes monitoring invitation by short message service text messaging |
1066911000000100 | Diabetes monitoring short message service text message first invitation |
1066921000000106 | Diabetes monitoring short message service text message second invitation |
1066931000000108 | Diabetes monitoring short message service text message third invitation |
1083111000000108 | Diabetes monitoring invitation email |
185756006 | Diabetes monitoring first letter |
185757002 | Diabetes monitoring second letter |
185758007 | Diabetes monitoring third letter |
185759004 | Diabetes monitoring verbal invite |
185760009 | Diabetes monitoring telephone invite |
310425007 | Diabetes monitoring invitation |
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