Enhancing Quality Programme CQUIN Deliverables



Enhancing Quality Programme CQUIN Deliverables (version 1.11)

Summary and Principles:

1. The percentage of CQUIN should be appropriate to investment required to deliver the benefit

2. Acute 0.5%. Mental Health 0.3% Community 0.4% of contract value

3. The focus will be on improvement, outcome, patient experience measures and engagement

4. Improvement % will be banded according individual provider baseline with improvement bandings to reflect those different starting positions.

5. Data completeness of 95% is a prerequisite for qualification for Composite Quality Score improvement payments.

6. Acute data transfer to SUS and from SUS to external partner, Community and Mental Health data transfer according to the agreed timetables is a prerequisite for qualification for Composite Quality Score Improvement payments.

Enhancing Quality Programme - CQUIN Incentive Scheme

I |3. Community Providers

This CQUIN scheme accounts for 0.4% of contract value for Community providers, 60% of the payments relate to improvement against baseline performance, 20% to patient experience measures and 20% engagement and assurance milestones. | |3.1 |Achieve improved performance scores in the Heart Failure pathway - Management Measure while ensuring timely, accurate and complete data submission into the information system that is to be determined.

Left Ventricular Systolic Dysfunction (LVSD) should be on an ACE (or ARB) and a Beta-Blocker (licensed for Heart Failure) within the target dose range for heart failure. |Improvement against baseline in individual target

Provide information at agreed time to ensure information is accessible & ensure patient information is 95% complete. |Measure

• Improvement in pathway – see detailed % improvement banding for individual organisations.

• Prerequisites – a) data transferred to external partner according to timetable

• b) 95% data completeness in Quality Tool.

CQUIN Achievement

• Q4

Reporting

• Monitor progress monthly Apr 2012 – Mar 2013

Assurance

• EQ Finance & Incentive Committee

• EQ Clinical Reference Committee

• EQ Programme Board

• Programme Team

CQUIN Weighting 20% | |3.2 |Achieve improved performance scores in the Heart Failure pathway – Personalised Care Planning Measure while ensuring timely, accurate and complete data submission into the information system that is to be determined.

Newly diagnosed with heart failure and any patient discharged (within 2 weeks) from hospital should have a Personalised Care Plan created (in line with current EQ standard) and reviewed twice a year. |Improvement against baseline in individual target

Provide information at agreed time to ensure information is accessible & ensure patient information is 95% complete. |Measure

• Improvement in pathway – see detailed % improvement banding for individual organisations.

• Prerequisites – a) data transferred to external partner according to timetable

b) 95% data completeness in Quality Tool.

CQUIN Achievement

• Q4

Reporting

• Monitor progress monthly Apr 2012 – Mar 2013

Assurance

• EQ Finance & Incentive Committee

• EQ Clinical Reference Committee

• EQ Programme Board

• Programme Team

CQUIN Weighting 20% | |3.3 |Achieve improved performance scores in the Heart Failure pathway for End of Life Measure ACE/ARB and Beta Blocker target dose while ensuring timely, accurate and complete data submission into the information system that is to be determined.

Patients at end stage heart failure (defined as being on optimal ACE/Beta-blocker/Aldosterone/Re-synchronisation device and yet still at NYHA stage 4) should have an end of life care plan.

ACE (or ARB) and a Beta-Blocker (licensed for Heart Failure) within the target dose range for heart failure |Improvement against baseline in individual target

Provide information at agreed time to ensure information is accessible & ensure patient information is 95% complete. |Measure

• Improvement in pathway – see detailed % improvement banding for individual Trusts.

• Prerequisites – a) data transferred to external partner according to timetable

b) 95% data completeness in Quality Tool.

CQUIN Achievement

• Q4

Reporting

• Monitor progress monthly Apr 2012 – Mar 2013

Assurance

• EQ Finance & Incentive Committee

• EQ Clinical Reference Committee

• EQ Programme Board

• Programme Team

CQUIN Weighting 20% | |3.4 |Heart Failure patient experience measure |Heart Failure – develop a patient experience measure.

|Measure

• Develop a baseline in the Patient Experience measure for Heart Failure patients.

• Improvement in pathway (improvement banding for individual Trusts to be determined).

CQUIN Achievement

• Q4

Reporting

• Progress monitored monthly Apr 2012 – Mar 2013

Assurance

• EQ Finance & Incentive Committee

• EQ Clinical Reference Committee

• EQ Programme Board

• Programme Team

CQUIN Weighting 20% | |3.5 |Participate in data quality assurance audits |Data quality assurance audits to be carried out and reported to EQ Information Committee |Measure

• Participate in Trust EQ audits as per approved audit process

CQUIN Achievement

• Q4

Reporting

• Annual

Assurance

• EQ Finance & Incentive Committee

• EQ Information Committee

• EQ Programme Board

• Programme Team monthly reports

• Clinical Coding Lead

• Data Management Lead

CQUIN Weighting 10% | |3.6 |Successfully engage in shared learning opportunities demonstrated by maintaining EQ Lead structure and Trust contribution in EQ programme at each:-

Clinical Lead

• Attendance at EQ Clinical Reference Group or by teleconferences/webex when indicated by EQ team

• Attendance at Collaboratives

Trust Improvement Teams

• Support clinical lead in collaborative learning process.

Clinical Team Member

• Attendance at collaborative teleconferences

Programme Lead

• Attendance at Programme Lead meetings or by teleconferences/webex when indicated by EQ team

• Assist the Data Quality Assurance process

Data Management Lead

• Attendance at EQ Information Committee or by teleconferences/webex when indicated by EQ team

Communication Lead and/or Patient Experience Representative

• Attendance at EQ Communications, Engagement, Patient Experience & Shared Decision Making Committee meetings or by webinars teleconferences/webex when indicated by EQ team

|70% engagement in to EQ Programmes

|Measure

• 70%+ engagement in shared learning opportunities

• Trust representation at shared learning opportunities

CQUIN Achievement

• Q2 & Q4

Monitored

• Monthly Apr 2012 – Mar 2013

Assurance

• EQ Finance & Incentive Committee

• EQ Clinical Reference Committee

• EQ Communications, Engagement, Patient Experience & Shared Decision Making Committee

• EQ Programme Board

• Programme Team

CQUIN Weighting 10% | |

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