MH006 - BMI for SMI

MH006 - BMI for SMI

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 record of BMI in the preceding 12 months.

What do the business rules mean?

What makes a patient eligible?

Patients are eligible for the MH006 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 MH006, eligible patients must have:
  1. a BMI recorded within the contract year 

What will remove patients from eligibility?

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

SNOMED code

SNOMED code description

1046331000000104

Unsuitable for body height measurement

1046351000000106
Unsuitable for body weight measurement

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 have their body mass index (BMI) measured (BMIDEC_COD)

SNOMED code

SNOMED code description

1037511000000103

Body height measurement declined

736013005
Body weight measurement declined

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
414668005Mental health monitoring first letter
414670001
Mental health monitoring second letter
414671002
Mental health monitoring third letter
416883000
Mental health monitoring verbal invitation
1084191000000101Mental health monitoring short message service text invitation


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