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PHO IPIF Report

This spreadsheet is a summary of the Integrated Performance and Incentive Framework (IPIF) indicators for the quarter. It includes details by practice and a graph of all your practices for each indicator. View a sample report (pdf 1.12Mb) A description of each sheet follows.

Contents

This is a straightforward contents page with clickable links to the pages and a list of graphs.

Summary of IPIF indicators

This sheet is designed to show you where you and your practices are positioned in relation to the IPIF indicators (both paid and unpaid).

All the information in the spreadsheet relating to progress towards achieving the clinical indicators is drawn from the Practice Management System (PMS) via the Clinical Event Export.

However, IPIF itself draws the actual, official IPIF results for some indicators from other sources (national databases), not from practice PMSs.  

Here is the breakdown of the sources from which IPIF gets the official results:

  Sourced from PMS Sourced from national databases
Paid
  • CVD Risk Assessment Total Population
  • Brief Advice to Stop Smoking Total Population (adjusted)
  • Vaccinations - 8mth old Total Population (NIR)
  • Vaccinations - 2yr Olds Total Population (NIR)
  • Cervical Screening Total Population (National Screening Unit)
Unpaid
  • Ischaemic CVD Detection
  • CVD Risk Assessment High Needs
  • Diabetes Detection
  • Diabetes Annual Review
  • Smoking Status Ever Recorded
  • Current Smoker
  • Brief Advice to Stop Smoking
  • Brief Advice to Stop Smoking High Needs (adjusted)
  • Smoking Cessation
  • Vaccinations - 8mth old High Needs (NIR)
  • Vaccinations - 2yr Olds High Needs (NIR)
  • Cervical Screening High Needs (National Screening Unit)
  • Breast Screening (National Screening Unit)
  • 65+ Flu Vaccine Coverage (MoH vaccination claims)

 

So, this Karo spreadsheet is not the official IPIF result, but for the indicators in the 'Sourced from PMS' column, it will be the data that the official IPIF results will be based on.

However, for the indicators in the 'Sourced from national databases' column, the data in the Karo spreadsheet will only be an indication of results and only reliable to the extent that screening and outcomes are saved into the PMS using standard screening terms and/or READ codes.

 

The data to determine prevalence for people with diabetes and CVD risk is drawn directly from the DHBNZ prevalence expectancy which is prepared by the MoH for IPIF. Prevalence expectancy varies greatly across PHOs and practices because it is dependent on the age, ethnicity and gender of your population.

 

Tables

There are a series of tables within this sheet. The first is a grand total for the PHO, followed by a separate table for each practice within the PHO. Each table has an identical format and provides an overview by total population and high needs population with the indicators presented in 4 groups with the following order:

Indicators that are paid and sourced from the PHO - these two are the most important indicators on the spreadsheet

Indicators that are paid but are sourced elsewhere - these will almost always be lower in the spreadsheet than your actual results

Indicators that are unpaid and sourced from the PHO

Indicators that are unpaid and sourced elsewhere

For each indicator, the table presents the

  • applicable population (the numerator)
  • programme goal, the long-term desired number, the national goal/target
  • PHO target by number of people and as a percentage (this may or may not be the same as the national goal/target)
  • PHO results by number of people and as a percentage
  • target met: yes or no

 

Note that the amount of work carried out for the number patients recorded as having ischaemic CVD, patients recorded as having diabetes, and patients who have had diabetes annual reviews is measured as a percentage of the number of people expected to have diabetes. It is therefore important to view the prevalence alongside the work completed to understand the results.

As a PHO, use this table as an early signal of your level of success towards achieving the IPIF targets and to support clinical governance to identify:

  • where to prioritise clinical effort: which populations (high needs or general), which indicators and/or which practices
  • practices that may need support with managing their information. A low result may not necessarily mean work is not being done. It may not be recorded or may be inaccurately coded.
  • funding priorities that may require advocacy with your DHBs
  • realistic targets for the next IPIF period.

Indicator by practice

This is a rearranged version of the information from the previous sheet. It allows  you to quickly and easily compare the results for each of your practices for a given indicator. This information is then used to generate a graph which compares the practices for each indicator (total and high needs).