Adrian wrote: Locally in Devon we are collecting information on Statin
prescribing,
and the most likely outcome of that activity is to improve performance
by increasing it for CHD, whereas reducing it where no gain is likely
is a very much secondary activity.
As I said in my perspective on the conference, we only have accurate info on
drugs. We don't have _accurate_ info on CHD in practices, as we don't all
code correctly. I am aware of patients in my practice who have CHD against
their names as a possible diagnosis, not confirmed and others who are
definite CHD but have no diagnosis of G3. So how do you measure performance
then?
Adrian wrote: We could look at the time from bellyache to knife, and the
time of day
of operation, in appendicitis.
How often does the average GP see appendicitis? Once a year at most? I
don't think you can really audit someone's work on that basis......
Adrian wrote: I suppose there are other things we could use as interesting
performance indicators.
I think to start with we will have to target recording of information as the
priority.
Dr G Mark Trowell
Highbridge Medical Centre
Pepperall Road
Highbridge
Somerset
TA9 3YA
Hakunamatata
(01278) 783220
(01278) 795486 (Fax)
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