Coronary heart disease: the percentage of patients with coronary heart disease whose notes have a record of total cholesterol in the previous 15 months.

Brief Summary

TITLE

SOURCE(S)

British Medical Association (BMA). Quality and outcomes framework guidance for GMS contract 2008/09. London (UK): British Medical Association, National Health Service Confederation; 2008 Apr. 148 p.

Measure Domain

PRIMARY MEASURE DOMAIN

Process

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SECONDARY MEASURE DOMAIN

Does not apply to this measure

Brief Abstract

DESCRIPTION

This measure is used to assess the percentage of patients with coronary heart disease whose notes have a record of total cholesterol in the previous 15 months.

RATIONALE

Coronary heart disease (CHD) is the single commonest cause of premature death in the United Kingdom (UK). The research evidence relating to the management of CHD is well established and if implemented can reduce the risk of death from CHD and improve the quality of life for patients. This measure is one of ten Secondary Prevention of Coronary Heart Disease (CHD) measures. The "Secondary Prevention of Coronary Heart Disease (CHD)" indicator set focuses on the management of patients with established CHD consistent with clinical priorities in the four nations.

A number of trials have demonstrated that cholesterol lowering with statins significantly reduces cardiovascular or all-cause mortality in patients with angina or in patients following myocardial infarction.

Refer to the following Scottish Intercollegiate Guideline Network (SIGN) guidelines for further information:

"Acute coronary syndromes" (SIGN Publication No. 93, February 2007)
"Management of stable angina" (SIGN Publication No. 96, February 2007)
"Risk estimation and the prevention of cardiovascular disease" (SIGN Publication No. 97, February 2007)

It is unclear from the literature how frequently cholesterol measurement should be undertaken, but the English National Framework (NSF) on CHD recommends annually.

The majority of trials include only patients under 75. However, most national guidance makes no distinction on the basis of age, and age "cut-offs" are not generally included.

PRIMARY CLINICAL COMPONENT

Coronary heart disease; total cholesterol monitoring

DENOMINATOR DESCRIPTION

Patients with coronary heart disease

NUMERATOR DESCRIPTION

Number of patients from the denominator whose notes have a record of total cholesterol in the previous 15 months

DATA SOURCE

Medical record
Registry data

Identifying Information

ORIGINAL TITLE

CHD 7. The percentage of patients with coronary heart disease whose notes have a record of total cholesterol in the previous 15 months.

MEASURE COLLECTION

Quality and Outcomes Framework Indicators

MEASURE SET NAME

Secondary Prevention of Coronary Heart Disease (CHD)

DEVELOPER

British Medical Association
National Health System (NHS) Confederation

FUNDING SOURCE(S)

The expert panel who developed the indicators are entirely funded by a grant from the English Department of Health.

COMPOSITION OF THE GROUP THAT DEVELOPED THE MEASURE

The main indicator development group is based in the National Primary Care Research and Development Centre in the University of Manchester. They are: Professor Helen Lester, NPCRDC, MB, BCH, MD; Dr. Stephen Campbell, NPCRDC, PhD; Dr. Umesh Chauhan, NPCRDC, MB, BS, PhD.

Others involved in the development of individual indicators are: Professor Richard Hobbs, Dr. Richard McManus, Professor Jonathan Mant, Dr. Graham Martin, Professor Richard Baker, Dr. Keri Thomas, Professor Tony Kendrick, Professor Brendan Delaney, Professor Simon De Lusignan, Dr. Jonathan Graffy, Dr. Henry Smithson, Professor Sue Wilson, Professor Claire Goodman, Dr. Terry O'Neill, Dr. Philippa Matthews, Dr. Simon Griffin, Professor Eileen Kaner.

FINANCIAL DISCLOSURES/OTHER POTENTIAL CONFLICTS OF INTEREST

None for the main indicator development group.

ENDORSER

National Health Service (NHS)

ADAPTATION

Measure was not adapted from another source.

RELEASE DATE

2004 Apr

REVISION DATE

2008 Apr

MEASURE STATUS

Please note: This measure has been updated. The National Quality Measures Clearinghouse is working to update this summary.

SOURCE(S)

British Medical Association (BMA). Quality and outcomes framework guidance for GMS contract 2008/09. London (UK): British Medical Association, National Health Service Confederation; 2008 Apr. 148 p.

MEASURE AVAILABILITY

The individual measure, "CHD 7. The Percentage of Patients with Coronary Heart Disease Whose Notes Have a Record of Total Cholesterol in the Previous 15 Months," is published in the "Quality and outcomes framework guidance." This document is available from the British Medical Association Web site.

NQMC STATUS

This NQMC summary was completed by ECRI on September 18, 2006. The information was verified by the measure developer on November 1, 2006. This NQMC summary was updated by ECRI Institute on January 7, 2009. The information was verified by the measure developer on February 9, 2009.

COPYRIGHT STATEMENT

No copyright restrictions apply.

Disclaimer

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Brief Summary

TITLE

SOURCE(S)

Measure Domain

PRIMARY MEASURE DOMAIN

SECONDARY MEASURE DOMAIN

Brief Abstract

DESCRIPTION

RATIONALE

PRIMARY CLINICAL COMPONENT

DENOMINATOR DESCRIPTION

NUMERATOR DESCRIPTION

DATA SOURCE

Identifying Information

ORIGINAL TITLE

MEASURE COLLECTION

MEASURE SET NAME

DEVELOPER

FUNDING SOURCE(S)

COMPOSITION OF THE GROUP THAT DEVELOPED THE MEASURE

FINANCIAL DISCLOSURES/OTHER POTENTIAL CONFLICTS OF INTEREST

ENDORSER

ADAPTATION

RELEASE DATE

REVISION DATE

MEASURE STATUS

SOURCE(S)

MEASURE AVAILABILITY

NQMC STATUS

COPYRIGHT STATEMENT

Disclaimer

NQMC DISCLAIMER

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