Scottish DES Palliative Care audit

Transcription

1 Scottish DES Palliative Care audit Audit criteria Version 1, 20/11/2012 Total Practice Population All active registered patients DES Palliative Care Register patients on QOF palliative care register or code 9ke.. recorded 01/04/ /03/2013 Patients on QOF palliative care register with a record added between 01/04/ /03/2013: 1Z01. Terminal illness - late stage 2JE.. Last days of life 8BA2. Terminal care 8BAP. Specialist palliative care 8BAS. Specialist palliative care treatment - daycare 8BAT. Specialist palliative care treatment - outpatient 8BAe. Anticipatory palliative care 8BJ1. Palliative treatment 8CM1% On gold standards palliative care framework 8CM10 Gold standards framework supportive care stage 1 - advancing disease 8CM11 Gold standards framework supportive care stage 2 - increasing decline 8CM12 Gold standards framework supportive care stage 3 - last days: category C - weeks prognosis 8CM13 Gold standards framework supportive care stage 3 - last days: category D - days prognosis 8CM14 GSF supportv care stge 3 - last days: cat B - mth prognosis 8CME. Has end of life advanced care plan 8H6A. Refer to terminal care consult Vision 3 - Scottish DES Palliative Care audit ( ) 1

2 Or 8H7g. Referral to palliative care service 8H7L. Refer for terminal care 8HH7. Referred to community specialist palliative care team 8IEE. Referral to community palliative care team declined 9EB5. DS 1500 Disability living allowance completed 9Ng7. On end of life care register ZV57C [V]Palliative care 9ke.. Palliative care enhanced services administration Patients with 9ke.. code (palliative care enhanced services administration) but not on QOF palliative care register Patients with a record of 9ke.. between 01/04/ /03/2013 but no QOF codes for palliative care (see above) Patients on DES palliative care register with initial care plan completed (8CS, 8CM3.) With initial care plan completed: Patients on DES palliative care register with initial care plan completed within 4 weeks of being placed on register With a record of initial care plan completed within 4 weeks of being placed on register: OOH service notified that palliative care plan is in place (9e0.) 2 Scottish DES Palliative Care audit

3 Notified to OOH: 9e0. GP out of hours service notified OOH service notified that palliative care plan is in place within 4 weeks of being placed on register Notified to OOH within 4 weeks of being placed on register: 9e0. GP out of hours service notified No record that OOH service notified that palliative care plan is in place With NO record of the following Read code: 9e02. Notif to primary care OOHs of palliative care plan in place Patients on DES palliative care register with initial care plan NOT completed With NO record of initial care plan summary: Scottish DES Palliative Care audit 3

4 Patients on DES palliative care register with initial care plan completed AFTER 4 weeks of being placed on register With a record of initial care plan completed AFTER 4 weeks of being placed on register: Patients on DES palliative care register with end of life plan completed Patients on DES palliative care register with end of life plan completed: 8CN1. Preferred place of death discussed with patient 8CN0. Preferred place of death discussed with significant other ZLH3. Advanced directive signed 8CMQ. On Liverpool care pathway for the dying 8BAQ Final days pathway 94Z1. Preferred place of death: home 94Z2. Preferred place of death: hospice 94Z3. Preferred place of death: community hospital 94Z4. Preferred place of death: hospital 94Z5. Preferred place of death: nursing home 1R0 For resuscitation 1R1 Not for resuscitation Patients with end of life plan NOT completed Patients on DES palliative care register with NO record of end of life plan completed: 8CN1. Preferred place of death discussed with patient 8CN0. Preferred place of death discussed with significant other ZLH3. Advanced directive signed 8CMQ. On Liverpool care pathway for the dying 8BAQ Final days pathway 94Z1. Preferred place of death: home 94Z2. Preferred place of death: hospice 4 Scottish DES Palliative Care audit

5 94Z3. Preferred place of death: community hospital 94Z4. Preferred place of death: hospital 94Z5. Preferred place of death: nursing home 1R0 For resuscitation 1R1 Not for resuscitation Patients on DES Palliative Care Register (Scotland) and has died Patients on DES palliative care register (Scotland) And has died: 22J% O/E - dead 94-94F Death administration etc R21.. [D]Sudden death R211. [D]Instantaneous death R212. [D]Death less than 24 hours from onset of illness R213. [D]Unattended death R21z. [D]Sudden death, cause unknown NOS 8HG% Died in hospital Scottish DES Palliative Care audit 5