HF007 - Heart Failure 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 |
The percentage of patients with a diagnosis of heart failure on the register, who have had a review in the preceding 12 months, including an assessment of functional capacity and a review of medication to ensure medicines optimisation at maximal tolerated doses. |
What do the business rules mean?
What makes a patient eligible?
Patients are eligible for the HF007 denominator if they are on the Heart Failure register (regardless of left ventricular systolic dysfunction or reduced ejection fraction).
How to achieve the indicator
To meet the criteria for HF007, eligible patients must have had:
- A heart failure review code
- A medication review code (using either heart failure medication review codes or medication review codes alone)
What will remove patients from eligibility?
- Patients for whom heart failure quality indicator care was unsuitable in the contract year
- Patients who chose not to receive a medication review in the contract year
- Patients who chose not to receive heart failure quality indicator care in the contract year
- Patients who have been invited twice (at least 7 days apart) within the contract year
- Patients who were diagnosed with heart failure 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.
Codes for heart failure quality indicator care unsuitable for patient (HFPCAPU_COD)
SNOMED code | SNOMED code description |
717481000000104 | Excepted from heart failure quality indicators - patient unsuitable |
Codes indicating the patient has chosen not to receive a medication review (MEDRVWDEC_COD)
SNOMED code | SNOMED code description |
286291000000107 | Dispensing review of use of medicines declined |
412725004 | Medication review declined |
Codes indicating the patient has chosen not to receive heart failure quality indicator care (HFPCADEC_COD)
SNOMED code | SNOMED code description |
717491000000102 | Excepted from heart failure quality indicators - informed dissent |
Invite for heart failure care review codes (HFINVITE_COD)
SNOMED code | SNOMED code description |
1109921000000106 | Quality and Outcomes Framework quality indicator-related care invitation |
1110931000000103 | Quality and Outcomes Framework heart failure quality indicator-related care invitation |
143411000000100 | Quality and Outcomes Framework heart failure quality indicator-related care invitation using preferred method of communication |
711461000000104 | Heart failure monitoring invitation |
716621000000101 | Heart failure monitoring third letter |
716971000000109 | Heart failure monitoring first letter |
717191000000108 | Heart failure monitoring second letter |
717501000000108 | Heart failure monitoring verbal invitation |
717531000000102 | Heart failure monitoring telephone invitation |
Heart failure review codes (HFRVW_COD)
SNOMED code | SNOMED code description |
134378009 | Congestive heart failure monitoring |
202231000000106 | Heart failure review completed |
247361000000100 | Heart failure 6 month review |
390885007 | Heart failure annual review |
810971000000105 | Heart failure self-management plan review |
813991000000101 | Education about deteriorating heart failure |
851071000000108 | Heart failure initial assessment |
871681000000102 | Heart failure monitoring |
872361000000105 | Discussion about heart failure care plan |
Heart failure medication review codes (HFMEDRVW_COD)
SNOMED code | SNOMED code description |
473226007 | Heart failure medication review |
Medication review codes (MEDRVW_COD)
SNOMED code | SNOMED code description |
1079381000000109 | Medication review by community nurse |
1127441000000107 | Medication review done by clinical pharmacist |
1239511000000100 | Structured medication review |
182836005 | Review of medication |
314530002 | Medication review done |
391156007 | Medication review without patient |
719326006 | Medication review done by pharmacy technician |
719327002 | Medication review done by community pharmacist |
719328007 | Medication review done by doctor |
719329004 | Medication review done by pharmacist |
719478008 | Medication review done by nurse |
803361000000109 | Medication review by practice nurse |
870661000000100 | Polypharmacy medication review |
88551000000109 | Medication review with patient |
961831000000100 | Medication review done by medicines management pharmacist |
961861000000105 | Medication review done by medicines management technician |
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