Table 1 Practice quality indicators
| Â | Quality dimension | Â |
|---|---|---|
Items | Quality management | CVD care |
1 | Does the practice use a computer-supported patient file system? | Does the practice use case finding methods to detect patients with cardiovascular risk factors? |
2 | Is the computer used for creating medication prescriptions? | Does the practice use a system for recalling patients with cardio vascular diseases? |
3 | Does the practice have a procedure for the management of patient information in relation to detailed examination results and the documentation of measures that were taken (e.g., blood examinations)? | Does the practice use a system for recalling patients with diabetes? |
4 | Does the practice have a procedure for the management of patient information in relation to the review of detailed examination results by the doctor (in terms of outgoing needs)? | Does the practice use a system for recalling patients with hypertension? |
5 | Do the practice doctors have direct access to medical guidelines (either on paper or electronic) in their treatment rooms? | Does the practice use a system for recalling populations at risk for preventive care regarding cardio vascular diseases? |
6 | In general: Is practice staff allowed to contact or recall patients? | Does the practice use a system for recalling populations at risk for preventive care regarding influenza? |
7 | Does the practice produce a quality report? | Does the practice have a procedure for smoking cessation (e.g. with the Minimal Intervention Strategy) |
8 | Has the practice undertaken at least one clinical audit in the last 12 months? | Does the practice participate in public health care programs on life style (physical exercise, stop smoking)? |
9 | Did you set standards regarding this clinical audit (defined the target)? | Did all nurses attend ≥ one training/continuing medical education event on CVD within the last 5 years? |
10 | Did you collect data regarding this clinical audit? | Did nurses take part in local/community campaigns or actions on CVD risk prevention (e.g. stop smoking campaigns, fun-runs etc.)? |
11 | Did you evaluate the result? | Does the practice use a CVD standardized risk assessment tool? |
12 | Were you able to improve the quality regarding this clinical audit topic? | Is the CVD risk assessment tool integrated with the patient medical record system (e.g. so that the CVD event risk score is entered directly in to the patient's medical record) |
13 | Does the practice have a critical incident register? | Is there in general a record in the electronic or paper based patient record that the CVD standardized risk assessment tool has been offered? |
14 | Did the practice have a team meeting about quality improvement relating to CVD at least once in the last 15 months? | Is CVD risk advice (e.g. about modifiable risk factors such as diet and exercise) integrated with the patient medical record system? |
15 | Did the practice participate in cardiovascular quality improvement projects? | Do you offer regularly two or many consultations to provide advice on patient’s life style? |
16 | Â | Does the practice have an up-to-date directory of prevention activities/organizations available locally (e.g. gyms, walking group, weight-watchers etc.)? |
17 | Â | Did your practice participate in a project concerning cardiovascular risk management the last 2 years (apart from those mentioned above)? |