MH002 - SMI care plan

MH002 - SMI care plan

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 schizophrenia, bipolar affective disorder and other psychoses who have a comprehensive care plan documented in the record, in the preceding 12 months, agreed between individuals, their family and/or carers as appropriate.

What do the business rules mean?

What makes a patient eligible?

Patients are eligible for the MH002 denominator if:
  1. they are on the Mental Health register (ie: have a diagnosis of psychosis, schizophrenia bipolar affective disorder)
  2. the most recent code relating to the diagnosis does not indicate that the patient is in remission

How to achieve the indicator

To meet the criteria for MH002, eligible patients must have:
  1. For patients with no previous remission, a care plan within the contract year (after their diagnosis if this was within the contract year)
  2. For patients who relapsed after a previous remission, a care plan within the contract year after their remission code 

What will remove patients from eligibility?

  1. Patients for whom mental health quality indicator care was unsuitable in the contract year
  2. Patients who chose not to receive mental health quality indicator care in the contract year
  3. Patients who have been invited twice (at least 7 days apart) for review
  4. Patients who were diagnosed with mental health in the last 3 months of the contract year
  5. 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 mental health quality indicator care unsuitable for patient (MHPCAPU_COD)

SNOMED code

SNOMED code description

716301000000102

Excepted from mental health quality indicators - patient unsuitable 

Codes indicating the patient has chosen not to receive mental health quality indicator care (MHPCADEC_COD)

SNOMED code

SNOMED code description

717051000000101

Excepted from mental health quality indicators - informed dissent

Invite mental health care review codes (MHINVITE_COD)

SNOMED code

SNOMED code description

1109921000000106
Quality and Outcomes Framework quality indicator-related care invitation
1110951000000105
Quality and Outcomes Framework mental health quality indicator-related care invitation
143431000000108
Quality and Outcomes Framework mental health quality indicator-related care invitation using preferred method of communication
248551000000108
Quality and Outcomes Framework mental health quality indicator-related care invitation using preferred method of communication
414669002
Mental health monitoring invitation
414668005
Mental health monitoring first letter
414670001
Mental health monitoring second letter
414671002
Mental health monitoring third letter
416883000
Mental health monitoring verbal invitation
1084191000000101
Mental health monitoring short message service text invitation

Codes for mental health care plan (MHP_COD)

SNOMED code

SNOMED code description

1092211000000107

Standard Care Programme Approach level

1092221000000101Enhanced Care Programme Approach level
1092291000000103Care Programme Approach level 1
1092301000000104Care Programme Approach level 2
1092311000000102Care Programme Approach level 3
1092421000000100
Care Programme Approach
166121000000101
Care Programme Approach review
166131000000104
Initial Care Programme Approach review
166141000000108
Ongoing Care Programme Approach review
166151000000106
Discharge Care Programme Approach review
867851000000109
Agreeing on mental health care plan
867871000000100
Review of mental health care plan





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