Quality of diabetes care worldwide and feasibility of implementation of the Alphabet Strategy: GAIA project (Global Alphabet Strategy Implementation Audit)

Table 1 QOF targets and maximum points achievable (2004), with format adapted to domains of the Alphabet Strategy

Quality Indicator			Maximum points†
General	1	General background data: register of all diabetes mellitus patients	6
Advice	2	% whose notes record diabetes mellitus	3
	3	% with record of smoking status	3
	4	% who smoke and a record that smoking cessation advice has been offered	3
	18	% who have had influenza immunisation in the preceding 1 Sep to 31 Mar	5
Blood pressure	11	% with a record of blood pressure	3
Blood pressure	12	% whose last blood pressure is 145/85 or less	17
Cholesterol & creatinine	16	% who have a record of total cholesterol	3
	17	% whose last total cholesterol is 5 or less	6
	13	% with a record of microalbuminuria testing	3
	14	% with a record of serum creatinine testing	3
Diabetes control	5	% who have a record of HbA1c	3
	6	% with HbA1c of 7.4 or less	16
	7	% with HbA1c of 10 or less	11
Eyes	8	% who have a record of retinal screening	5
Feet	9	% with a record of presence or absence of peripheral pulses	3
Feet	10	% with a record of neuropathy testing	3
Guardian drugs	15	% with proteinuria or microalbuminuria who are treated with ACE inhibitor (or ARB)	3
Total points			99

The numbers in this column denotes the quality indicator in the original QOF Quality Indicator list.
†Points are given from a specific lower threshold towards a higher threshold.

ISSN: 1472-6963