MH011 - lipid check for SMI
The information contained within this article is from version 49 of the Business Rules for Quality and Outcomes Framework (QOF).
Indicator definition
What do the business rules mean?
What makes a patient eligible?
Patients are eligible for the MH011 denominator if:
- they are on the Mental Health register (ie: have a diagnosis of psychosis, schizophrenia bipolar affective disorder)
- 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 MH011, eligible patients must have:
- A lipid profile recorded in the QOF year and meet any of the following criteria
- Prescribed an antipsychotic in the last 6 months of the contract year
- Have one or more pre-existing cardiovascular conditions:
- CHD
- Unresolved diabetes
- Stroke
- TIA
- PAD
- Unresolved CKD 3-5
- Familial hypercholesterolaemia
- Current smoker
- Overweight
- BMI over or equal to 25 and white ethnic background
- BMI over or equal to 23 and latest ethnicity not white ethnic background
- BMI over or equal to 30 regardless of ethnicity
- A lipid profile recorded in the 24 months before the end of the QOF year and not meet any of the following criteria
- Prescribed an antipsychotic in the last 6 months of the contract year
- Have one or more pre-existing cardiovascular conditions:
- CHD
- Unresolved diabetes
- Stroke
- TIA
- PAD
- Unresolved CKD 3-5
- Familial hypercholesterolaemia
- Current smoker
- Overweight
- BMI over or equal to 25 and white ethnic background
- BMI over or equal to 23 and latest ethnicity not white ethnic background
- BMI over or equal to 30 regardless of ethnicity
What will remove patients from eligibility?
- Patients for whom mental health quality indicator care was unsuitable in the contract year
- Patients who chose not to have a cholesterol test in the contract year
- Patients who chose not to receive mental health quality indicator care in the contract year
- Patients who have been invited twice (at least 7 days apart) for review
- Patients who were diagnosed with mental health 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 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 a patient has chosen not to have a cholesterol test (CHOLDEC_COD)
SNOMED code | SNOMED code description |
141851000119107 | Lipid screening declined |
203151000000104 | Cholesterol test declined |
301111000000107 | Lipid disorder monitoring declined |
| 9471000175101 | Hyperlipidaemia screening test 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 |
| 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 |
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