Clinical Performance Indicators (CPI)

Exporting “Clinical Performance Indicators” report:

Go to the menu at the top of the screen, and click Tools >> Downloads >>Clinical Performance Indicators.

Check the destination folder is set (default can be set in the system settings)

Click Export at the bottom of the screen to export the report.

Advanced Options:

Change these only on advice from your PHO.

Export selected components (Tick to include in export):

– Service Utilisation (Services invoiced in the date range)

– Clinical performance (as specified below )
– Screening tasks completed
– Smears (Code CX or ZCX)
– Mammogram (Code MAM or ZMAM)
– CVD risk assessments (CVD Risk Screen, Predict or Best Practice within 5 years)
– Immunisations given

Set Date Range as required for service and clinical extracts, and immunisations.

Patient Status can be Currently Capitated or other chart types.

Registered with indicates the patients preferred practitioner.

Service Groups include services in the selected funding categories. These are set for each service type in the accounts set up.

The PHO Performance Programme

The PHO Performance Programme has been designed by primary care representatives, DHBs and the Ministry of Health to improve the health of enrolled populations and reduce inequalities in health outcomes through supporting clinical governance and rewarding quality improvement within PHOs. Improvements in performance against a range of nationally consistent indicators will result in incentive payments to PHOs.

Purpose

The PHO Performance Programme aims to improve the health of enrolled populations and reduce disparities in health outcomes through supporting clinical governance and continuous quality improvement processes within PHOs.

Data Sent to PHO

No Patient identifiers are sent as part of this extract. The Consultation and Service details provided in the practice data set will be sourced from invoice data only. The Clinical Performance Indicator and Immunisation information will be sourced from patient information.

The practice data set will result in the following information being provided to the PHO:

– Practice Details
– Practitioner Details
– Patient Details (e.g. ethnic group)
– Patient Register Details
– Consultation Details
– Service Details
– Immunisation Details
– Clinical Performance Indicator Details (see table below)
– Screening Data (e.g. cervical smears, mammograms, CVD risk)

Inclusion Criteria

Patients

– Capitation within date range or selected chart type
– Date of birth present
– Preferred practitioner in selected list

Visits

– Dates on which an invoice was raised of GMS/PCP type

Services

– Invoices raised of GMS/PCP type

Immunisations

– Vaccines given in date range

Screening

– Cervical smears
– Action text: Smear Completed
– Mammogram
– Action Text: Mammogram Completed
– CVD Risk
– CVD Measurement in last 5 years

 DescriptionMeaning (Consistent with Performance Monitoring Framework; Data Format Standard; Clinical Performance Indicators)Source within myPractice
1Smoking status ever recordedPatient with system codes indicating they have ever had a smoking status recorded.Clinical Profile
Smoking Status
2Diabetes patients who have had an annual review in the last yearPatient who has had an annual diabetes review carried out during the last 12 months.

Note: Any annual diabetes review service that is provided within 12 months of the last day of the Clinical data Extract period (and is recorded in the PMS) must be included in the extract. This query needs to measure every service that has been provided in the last 12 months, not just the last quarter.
Invoice Items
Service Type with Funding Type "DIAP"
3A Diabetes code ever recorded against the patientPatient with system codes indicating they have ever had Diabetes.Clinical Profile
Current Problem
4A Stroke code ever recorded against the patientPatients with a system code indicating that the patient has ever had a stroke.Clinical Profile
Current Problem or Past History
5A Myocardial Infarction code ever recorded against the patientPatients with a system code indicating that the patient has ever had Myocardial InfarctionClinical Profile
Current Problem or Past History
6A Heart Failure code ever recorded against the patientPatients with a system code indicating that the patient has ever had Heart FailureClinical Profile
Current Problem or Past History
7A CVD risk recorded in the last 5 years against the patientPatients with a CVD risk recorded in the last 5 years

Note: Any CVD Risk Assessment service that is provided within 5 years of the last day of the Clinical data Extract period (and is recorded in the PMS) must be included in the extract. This query needs to measure every service that has been provided in the last 5 years, not just the last quarter.
Measurement
CVD Risk is present


Entered by calculating CVD risk with Cardiovascular Risk Form, Predict or Best Practice web forms
8Diabetes patients recorded as having a microalbuminuria test in the last 18 monthsPatients where the microalbuminuria test has been recorded as being ordered in the last 18 monthsDiabetic as in Query 3
Laboratory result for microalbuminuria is present
9Diabetes patients who have had a positive microalbuminuria test and are on ACE inhibitor or A2 receptor agonistPatients where the microalbuminuria test was positive and are on an ACE inhibitor or A2 receptor agonist in the last 18 months
Note: A positive microalbuminuria test means;
for men, albumen:cretine ration >2.5 and
for women, albumen:cretine ration >3.5 or
for either gender a negative microalbumin stick test
Diabetic as in Query 3
Laboratory results for ACR
Regular Medications with drug group ACE or ACE2 inhibitor
10Diabetes patients with HbA1C test result of 8% or less in the last yearPatients with an HbA1C test result of 8% or less in the 12 months up to and including the last day of the reporting period.Diabetic as in Query 3
Laboratory results for HbA1c
11Patient has a CVD Risk >= 15%Patients with a CVD risk of 15% or more. The CVD risk has been recorded in the 5 years up to and including the end of the reporting periodMeasurement
CVD Risk Value >= 15 or H


Entered by calculating CVD risk with Cardiovascular Risk Form, Predict or Best Practice web forms
12Patient has a CVD Risk >= 15% and has been prescribed statins in last 12 monthsPatients with a CVD risk of 15% or more who have been prescribed statins, where the statins have been prescribed in the twelve months up to and including the end of the reporting periodMeasurement
CVD Risk Value >= 15 or H

Entered by calculating CVD risk with Cardiovascular Risk Form, Predict or Best Practice web forms
Script History for Statin
13Ischaemic CVD event ever recordedPatients who have had an Ischaemic CVD event or diagnosis of an Ischaemic CVD event.Clinical Profile