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Performance review - Framingham scores in patients with hypertension |
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Cycle 1 |
Audit date
Jan 2004
Introduction
TACT PMS is striving to ensure that patients with hypertension have a framingham risk score recorded
Standards
50% of patients with hypertension should have a Framingham risk score recorded
Criteria
Last Framingham risk score
Method
Computer search
Results
No of patients with hypertension
| % | ||
| BCS | 240 | 16% |
| JMW | 265 | 18% |
| BNC | 194 | 13% |
| ACB | 153 | 10% |
| RMW | 363 | 25% |
| SBD | 266 | 18% |
| Total | 1481 |
No of patients with hypertension and a Framingham score
| % | ||
| BCS | 62 | 14% |
| JMW | 67 | 15% |
| BNC | 97 | 22% |
| ACB | 39 | 9% |
| RMW | 77 | 17% |
| SBD | 102 | 23% |
| Total | 444 |
Count of Framingham score entries
| Usual Dr | Total | % of entries |
| ACB | 41 | 8% |
| BCS | 65 | 13% |
| BNC | 132 | 25% |
| JMW | 86 | 17% |
| RMW | 83 | 16% |
| SBD | 113 | 22% |
| Total | 520 |
Score ranges
| BCS | JMW | BNC | ACB | RMW | SBD | |
| Score <15 | 36% | 47% | 44% | 77% | 40% | 53% |
| Score 15-29 | 61% | 49% | 48% | 18% | 46% | 41% |
| Score 30+ | 3% | 4% | 8% | 5% | 13% | 6% |
Comment
Framingham scores are being performed after ECG recordings, and this limits the level of risk scoring. The next step is to look at the quality of the process after scoring has been done.