Cholesterol Prompt (HP406)

Overview/Purpose

This protocol ensures that users achieve the following QOF indicators:

1. CHOL003 - Patients on a statin or other lipid lowering drug
   
2. CHOL004 - LDL cholesterol less than or equal to 2.0
   
3. DM034 - Diabetes (with no history of CVD or frailty) on a statin or other lipid lowering therapy)
   
4. DM035 - Diabetes (with a history of CVD) on a statin or other lipid lowering therapy
   

What does it do?

• On opening a patient record checks to see if the patient has outstanding requirements for any lipid management indicator for QOF.
  
• If there are outstanding requirements the user:
  
• Is told what these are
  
• Is provided with information about the latest lipid results
  
• Displays which lipid lowering drugs the patient is on
  
• Flags the need to either
  
• Intensify treatment
  
• Apply a personalised care adjustment to the patient

Why is it important?

The QOF targets for cholesterol have a much higher value for the QOF year.  

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 where DM034 is outstanding:

and another where CHOL004 is outstanding:

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System Dependencies

Relies on using the clinical system to code appropriate diagnoses.

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System Triggers

System trigger: Load patient record

Run mode: Always run

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Change management considerations

Your team need to understand the QOF requirements and best practice around lipid management.

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How to get it

This protocol is one of our optional tools, if you would like it activated in your system please submit a ticket to request this.

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