QMAS

1
QMAS

• Dr David Lyon
• Helen Siddons
• October 2004

2
Important

• NHS Scotland is committed to purchasing QMAS for
  NHS Scotland.
• The aim of this presentation is to provide a
  broad overview of how to
• Login to QMAS
• Submit clinical and non-clinical achievement
• View and interpret reports
• The screens used in this presentation are
  mock-ups and represent the English QMAS system.
• This presentation will be updated to include the
  Scottish QMAS screens when they are available.

3
What is QMAS?

• The Quality Management and Analysis System (QMAS)
  is a new national system that will support the
  Quality and Outcomes Framework (QOF).
• The QMAS key functionality is
• Aspiration Data Handling
• Achievement Data Handling
• Reporting at the following levels
• Practice
• NHS Board
• Aggregated to a national level

4
How will data get into QMAS?

• Achievement data for the clinical domain will be
  submitted automatically on a monthly basis from
  GMS Certified GP clinical systems to QMAS. THE
  PRACTICE DOES NOT NEED TO DO ANYTHING!
• Practices that DO NOT have a GMS Certified GP
  clinical system can submit clinical achievement
  data manually using the QMAS web-forms.
• All practices can submit ad-hoc clinical
  achievement data as frequently as they wish.
• NOTE If you have a GMS Certified GP clinical
  system you generate reports on your clinical
  system NOT on QMAS.
• Achievement data for non-clinical domains are
  submitted using the QMAS web-based forms.

5
Data provided by the Primary Medical Services
Payment System

• QMAS will be linked to the new Primary Medical
  Services Payment System.
• To allow achievement calculations to be made
  correctly the Primary Medical Services Payment
  System will supply the following to QMAS
• Practice name
• National practice ID
• GMS/17C contract status
• Practice capitation
• Additional service opt-outs
• Details of new practices

6
Obtaining a QMAS User ID Password

• The QMAS User Administrators will be based in the
  three NHS regional offices.
• For security reasons only QMAS User
  Administrators are allowed to give you a user ID
  and password.
• In order for them to do this, you must supply
  them with a basic set of details e.g. name, email
  address, phone number.
• The practice must agree the appropriate type of
  access to QMAS for each user i.e. entering and/or
  viewing data.

7
Roles for Practice Users

• If you work in a practice, you can be assigned
  one of two QMAS roles
• Role Practice QOF Data View and Update
• This role allows you to
• Enter clinical and non-clinical achievement data.
• View practice achievement against aspiration
  reports.
• Role Practice QOF Data View
• This role allows you to
• View practice achievement against aspiration
  reports.

8
Roles for NHS Board Users

• If you work in an NHS Board, you can be assigned
  one (or more) of four QMAS roles
• Role NHS Board QOF Data View
• View NHS Board achievement against aspiration
  reports.
• View practice achievement against aspiration
  reports.
• Role Practice QOF Data View and Update
• Enter clinical and non-clinical achievement data
  on behalf of a non-computerised practice.
• View practice achievement against aspiration
  reports.

9
Roles for NHS Board Users continued

• Role NHS Board QOF Management
• Review the practice aspiration achievement
  submissions.
• Agree aspiration achievement with the practice.
• Agree that an aspiration or achievement payment
  is to be calculated and made, based on the
  practices submission.
• Role NHS Board QMAS User Administrator
• Maintain users and roles within the NHS Board and
  its constituent practices.

10
Multiple Roles

• It is possible for someone working in a practice
  to also be assigned an NHS Board role e.g. a GP
  who is a practice user but is also the NHS Board
  QOF Lead.
• It is possible for someone working in an NHS
  Board to also be assigned to a practice role e.g.
  an NHS Board QOF Lead responsible for entering
  clinical and non-clinical achievement data on
  behalf of non-computerised practices.
• If you work in two practices you will be given a
  role for each practice.

11
User IDs and Passwords

• Once the QMAS User Administrator has entered you
  on to the system you will receive two emails
• The first email message contains
• The QMAS website address
• Your unique QMAS user ID
• Information on how to access QMAS training
• Contact information
• The second email message contains
• Your unique QMAS password

12
Logging into QMAS

• QMAS has been developed to use Internet Explorer
  5.5 (IE5.5) with Service Pack 2 applied. You may
  experience problems viewing information in QMAS
  if you are using a browser other than Internet
  Explorer 5.5 or above.

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• Walk through QMAS

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Practice QOF Data - View Update
Practice
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Practice QOF Data - View Update
Practice
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Practice QOF Data - View Update
This is the Home page for a practice with a GMS
Certified GP clinical system
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Practice QOF Data - View Update
This is the Home page for a practice that does
NOT have a GMS Certified GP clinical system
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Submitting Non-Clinical Achievement
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Practice QOF Data - View Update
Step 1 of 4
31-03-2005
05-07-2004
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Practice QOF Data - View Update
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Warning!

• If you use the Back button before saving your
  data you will LOSE the data you have entered.

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Practice QOF Data - View Update
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Practice QOF Data - View Update
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Opting-out

• If the practice delivers an additional service
  from April September then opts-out, it will
  receive payment for that six months.
• If the practice delivers an additional service
  from April September then opts-out, but opts
  back in from January onwards, it will receive
  payment for the 9 months the service was
  delivered.

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31-03-2005
05-07-2004
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Important

• If you want to view the non-clinical achievement
  data you have entered the next time you login to
  QMAS, remember to
• Save Answers
• Review Answers
• Submit Achievement
• If you do not follow this rule, any non-clinical
  achievement data you enter will not be available
  the next time you login.

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• Any questions?

41
Submitting Clinical Achievement
42
Data Entry

• Achievement data for the clinical domain will be
  submitted automatically on a monthly basis from
  GMS Certified GP clinical systems to QMAS.
• Practices that DO NOT have a GMS Certified
  clinical system can submit clinical achievement
  reports manually using the QMAS web-forms.
• All practices can submit ad-hoc clinical
  achievement data as frequently as they wish.
• NOTE If you have a GMS Certified GP clinical
  system you submit clinical data from your
  clinical system, you do NOT enter clinical data
  on QMAS. For further information on how to
  submit clinical achievement data from your
  clinical system please contact your GP clinical
  system supplier.

43

• The following slides demonstrate how to submit
  clinical achievement data to QMAS if you DO NOT
  have a GMS Certified GP clinical system.

44
Entering Clinical Achievement Data
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Submission Details
31-03-2004
08-07-2004
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Submission Details
31-03-2004
08-07-2004
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Indicator Groups
31-03-2004
08-07-2004
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31-03-2004
08-07-2004
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Chosen Indicator Group Name Appears in the Header
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Indicators Entered Not Entered
51
Submitting Clinical Achievement

• Same Rule For Non-Clinical Achievement Applies
• Save Answers
• Review Answers
• Submit Achievement
• However the next time you login all the data
  fields will be BLANK
• Each time you manually submit your clinical
  achievement you have to enter all the data again.

52
Viewing Clinical Achievement Reports

• PLEASE NOTE
• New clinical achievement reports can be viewed
  six hours after the submission has been made.

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• Any questions?

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Viewing Using Reports
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Why do QMAS and clinical system reports differ?

• QMAS calculates payment, it is NOT a clinical
  audit system.
• QMAS shows
• How much you thought you would earn (aspiration).
• How much you have already earned towards the year
  end (current achievement).
• And predicts what you will have earned by the end
  of the QOF period (forecast).
• This is different to the GP systems which are
  clinical systems and are designed to carry out
  clinical audit cycles on request.

56
Why QMAS and clinical system reports differ -
continued

• GP clinical systems produce reports based on
  previous 9, 12 or 15 months data (depending on
  the indicator) and the current disease register
  and practice list size.
• QMAS only uses data from within the QOF period
  (1st April 31st March for majority of the
  indicators) for regular and ad-hoc reports.
  Practice list size, disease register size and
  target population will be updated quarterly by
  the Primary Medical Services Payment System.

57
Why QMAS clinical system reports differ -
continued

• In generating a clinical report for QMAS your
  clinical system
• First of all looks forward to the end of the QOF
  period - 31st March 2005.
• Then looks back
• If the indicator covers 15 months e.g. CHD
  indicators your clinical system will look back to
  January 2004.
• If the indicator covers 9 months i.e.
  hypertension your clinical system will look back
  to July 2004.

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August 31st 2004
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August 31st 2004
Monthly August 2004
August 31st 2004
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August 31st 2004
Monthly August 2004
August 31st 2004
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August 31st 2004
Monthly August 2004
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August 31st 2004
Monthly August 2004
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August 31st 2004
Monthly August 2004
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Monthly August 2004
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Monthly August 2004
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Monthly August 2004
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August 31st 2004
Monthly August 2004
August 31st 2004
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August 31st 2004
Monthly August 2004
August 31st 2004
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Monthly August 2004
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Monthly August 2004
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August 31st 2004
Monthly August 2004
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August 31st 2004
Monthly August 2004
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August 31st 2004
Monthly August 2004
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August 31st 2004
Monthly August 2004
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August 31st 2004
Monthly August 2004
July 24th 2004
July 1st 2004
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August 31st 2004
Monthly August 2004
July 24th 2004
July 1st 2004
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August 31st 2004
August 31st 2004
Monthly August 2004
843
8.6
9.8
0.9
843
337
843
375
843
375
843
375
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August 31st 2004
August 31st 2004
Monthly August 2004
843
8.6
9.8
0.9
843
337
843
375
843
375
843
375
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August 31st 2004
August 31st 2004
Monthly August 2004
843
8.6
9.8
0.9
843
337
843
375
843
375
843
375
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August 31st 2004
August 31st 2004
Monthly August 2004
843
8.6
9.8
0.9
843
337
843
375
843
375
843
375
85
August 31st 2004
August 31st 2004
Monthly August 2004
843
8.6
9.8
0.9
843
337
843
375
843
375
843
375
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August 31st 2004
August 31st 2004
Monthly August 2004
843
8.6
9.8
0.9
843
337
843
375
843
375
843
375
87
August 31st 2004
August 31st 2004
Monthly August 2004
843
8.6
9.8
0.9
843
337
843
375
843
375
843
375
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August 31st 2004
August 31st 2004
Monthly August 2004
89
August 31st 2004
August 31st 2004
90
August 31st 2004
August 31st 2004
Monthly May 2004
91
August 31st 2004
May 31st 2004
Monthly May 2004
May 15th 2004
April 1st 2004
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What can NHS Boards see?

• NHS Boards can also access monthly reports.
• Reports contain aggregate data from all the
  practices known to QMAS.
• NHS Boards have the ability to drill down into
  individual practice results.

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July 31st 2004
Monthly July 2004
July 31st 2004
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July 31st 2004
July 1st 2004
July 31st 2004
July 31st 2004
July 31st 2004
July 31st 2004
July 31st 2004
July 31st 2004
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July 31st 2004
July 1st 2004
July 31st 2004
July 31st 2004
July 31st 2004
July 31st 2004
July 31st 2004
July 31st 2004
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July 31st 2004
July 31st 2004
July 20th 2004
July 1st 2004
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July 31st 2004
July 31st 2004
July 20th 2004
July 1st 2004
14.0
10.8
13500
1.3
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Live Example of QMAS Reports
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Overall Clinical Domain by Practice
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Single Practice view of Clinical Domain
101
Single Practice view of CHD Indicators
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PCT view of CHD Indicators
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PCT view (partial) by practice of CHD3 Indicator
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• Any More Questions?

105

• QMAS User Administrator
• Getting Started

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What are the initial responsibilities of the QMAS
administrators?
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Step 1 Gather contact details for all users and
practices

• List of practices and practice users
• List of NHS Board users
• We suggest you use a spreadsheet - example
  included on the CD-ROM
• 1 page for Practice Roles
• 1 page for NHS Board Roles
• Note You may already have a spreadsheet that you
  can add to/adapt

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Step 1 (cont)

• FULL and ACCURATE details for each user
• Name
• Telephone number
• EMAIL ADDRESS
• Organisation name (Practice or NHS Board)
• Practice identifier code (practices only)

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Step 2 Assign Practice Roles To be agreed
locally

• Practice QOF Data View and Update
• Enter achievement data
• View practice achievement against aspiration
  report
• Role Practice QOF Data View
• View practice achievement against aspiration
  report

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Step 2 (cont) Assign NHS Board Roles To be
agreed locally

• NHS Board QOF Data View
• View NHS Board achievement against aspiration
  reports
• View practice achievement against aspiration
  reports
• Practice QOF Data View and Update
• Enter clinical and non-clinical achievement data
• View practice achievement against aspiration
  reports
• Until the practice has a GMS Certified clinical
  system installed

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NHS Board Roles cont.

• NHS Board QOF Management
• Review the practice aspiration achievement
  submissions
• Agree aspiration achievement with the practice
• Agree that an aspiration or achievement payment
  is to be calculated and made, based on the
  practices submission
• NHS Board QMAS User Administrator
• Maintain users and roles within the NHS Board and
  its constituent practices

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Step 2 (cont) Will any users have both NHS Board
and practice roles?

• Possible Examples
• GP who is a practice user but is also the NHS
  Board QOF Lead
• NHS Board QOF Lead responsible for entering
  clinical and non-clinical achievement data on
  behalf of non-computerised practices

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Step 2 (cont) Assign QOF Roles

• Indicate QOF roles for each user on spreadsheet

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Step 3 Register usersAgree locally registration
date(s)

• Username and password sent automatically
  (immediately) via email
• User may lose/delete/forget emails if time lag is
  too long
• Tell users in advance to expect to receive
  username password
• Tell users that they will have to change their
  password when they 1st log in
• ASK THEM TO MAKE A NOTE OF THEIR NEW PASSWORD

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• Any Questions?

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The End

• The aim of this presentation was to provide a
  broad overview of how to use QMAS before it goes
  live in Scotland.
• How can I find out more about QMAS?
• Further information will be available soon on
  SHOW.