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Recipe Name:

QIM 8 – Cardiovascular Risk

Rationale:

Assessment of absolute CVD risk based on multiple risk factors is more accurate than that based on individual risk factors due to the cumulative nature of risk effects. Basing patient

management decisions on this approach should improve CVD outcomes.

Target:

  • Proportion of regular indigenous clients aged 35 -74 and regular non-indigenous clients aged 45 to 74 years, who have had all of the following information recorded:
  • Tobacco smoking
  • Diabetes
    • Diabetes status: Type 1 or Type 2 Diabetes
    • Diabetes risk: Fasting Glucose Test result, or a screening for glycosylated haemoglobin (HbA1c test result)
  • Systolic blood pressure
  • Total cholesterol and HDL cholesterol levels
  • Age
  • Sex

Anyone with an existing cardiovascular conditions is excluded from this report.

CAT Starting Point:

  1. CAT Open - CAT4 view (all reports) loaded
  2. Population Extract Loaded and Extract Pane “Hidden”
    1. Filter Pane open and under the ‘General’ tab ‘Active Patients’ (3x <2 years) selected

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The report will show the patients with all recorded values and their calculated risk and a second report will show those patients with incomplete data and which data items are missing. The second report in particular can be used to plan a quality improvement activity addressing cardiovascular risk and related measures.

Warning
The criteria used by the NVDPA don’t align 100% with the improvement measure as defined above. The main difference is the inclusion of patients with a diagnosed cardiovascular condition (excluded by the NVDPA) and the inclusion of diabetes screening (Fasting blood glucose or screening HbA1c). We will work on providing an easy way to match up the QIM with our reports but recommend for now to use the report and filters described in this chapter as any improvement to the data shown in this report will affect the QIM as well.

CAT4 starting point

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RECIPE Steps Filters:

  • In the “General” Tab, enter Start Age = 45 and End Age = 74

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CAT4 starting point


  • Active selected on the General Filter tab


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  • Click "Recalculate"
  • Click ‘Hide Filters’

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The title of the report shows the number of patients matching the search criteria, in this case 2002 regular patients aged between 45 and 74 years. Out of those 1848 are eligible for the risk calcuation calculation as they don’t have a diagnosis of a cardiovascular condition. Out of the 1848 eligible patients 1299 or 70.3% have all measures in place to calculate their CV Event risk.

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