High BP checker (HP387)
High BP checker (HP387)
Overview/Purpose
This protocol ensures that users achieve the following QOF indicators:
- HYP008 - Hypertensive, age <80, BP 140/90 mmHg or less
- HYP009 - Hypertensive, age 80+, BP 150/90 mmHg or less
- CHD015 - CHD, age <80, with BP 140/90 mmHg or less
- CHD016 - CHD, age 80+, with BP 150/90 mmHg or less
- STIA014 - Stroke, age <80, BP 140/90 mmHg or less
- STIA015 - Stroke, age 80+, BP 150/90 mmHg or less
- DM036 - Diabetes, 79 and under, not frail, with BP 140/90 mmHg or less
What does it do?
- Checks each blood pressure entered to see if the patient is not achieving one of the QOF blood pressure targets
- If they are not, the user is prompted to:
- Consider not entering the blood pressure if the patient has had a normal blood pressure earlier in the year (white coat hypertension/home readings etc)
- Arrange appropriate follow up for the raised reading
- Record maximal tolerated therapy
- Apply a personalised care adjustment for the relevant diseases
- Ask a clinician (via task) for advice
Why is it important?
The QOF targets for blood pressure and cholesterol have a much higher value for the QOF year. Blood pressures are often added where:
- the patient has a home or ambulatory reading which is normal in the contract year
- the patient needs follow up
- the patient is on maximal tolerated therapy
- the patient needs a PCA applying
- the user needs to ask a clinician for advice on further management
Without the PCIT tool, the user would often miss the previously normal reading, or not flag further action required as above. This protocol ensures appropriate action is taken to achieve the QOF target.
What does it look like?
See below screenshot which shows an example of the protocol in use:
System Dependencies
Relies on using the clinical system to code appropriate diagnoses.
System Triggers
System trigger: Add a code
Codes: Any systolic blood pressure code (including 'panel' codes combining systolic and diastolic)
Codes: Any systolic blood pressure code (including 'panel' codes combining systolic and diastolic)
Run mode: Always run
Enable trigger for: All staff
Change management considerations
Your team need to understand the QOF requirements and best practice around new cancer diagnoses.
How to get it
This protocol is automatically installed in your system. If you are waiting for installation and want us to prioritise your site, please submit a ticket to request this.
Related Articles
Vitamin D result checker (HP178)
Vitamin D result checker (HP178) Overview/Purpose This protocol helps to manage Vitamin D results in a streamlined and consistent way Resource type: Base Optional Localised ✔ Product This protocol is part of the PCIT toolset product What does it do? ...FP34D and Personally Administered Items Checker (HP207)
Background: FP34D The FP34D form is used by practices to claim for certain high-volume personally administered vaccines. The high-volume personally administered vaccines that can be to the form are (or a combination of these): influenza typhoid ...Folic Acid High Dose Reminder (HP008)
Folic Acid High Dose Reminder (HP008) Overview/Purpose This protocol ensures that users are informed of the need for a patient to have high dose folic acid if: There is a BMI of >30 They are diabetic They have coeliac disease They have a personal or ...Cholesterol exception checker (HP386)
Cholesterol exception checker (HP386) Overview/Purpose This protocol ensures that users achieve the following QOF indicators: CHOL003 - Patients on a statin or other lipid lowering drug CHOL004 - LDL cholesterol less than or equal to 2.0 DM034 - ...IIF CAN04 Checker (HP291)
Purpose: This protocol will: ensure that the requirements of CAN04 are met for the PCN DES What does it actually do? The protocol performs the following functions: Checks to make sure that the correct code for referral has been used and prompts the ...