Job responsibilities
JOB TITLE: QOF (Quality and Outcomes Framework) Administrator / Medical Reports Administrator
REPORTS TO: GP QOF LEAD, Practice Operations Manager/ Assistant Practice Manager
HOURS: 30 Hours per week (over 4/5days)
This role is a joint role and the post-holder will be responsible to prioritising and managing their workload in a timely and efficient manner.
QOF (Quality and Outcomes Framework) is part of the GP Contract to manage common chronic conditions (for example asthma and diabetes) and public health concerns (for example smoking and obesity) and provide preventative services such as screening or health checks.
Job Summary:
QOF Administrator:
Manage/action QOF data on a daily/weekly basis.
Read Code and input data to assist with QOF Outcomes.
Use SystmOne in analysing QOF Outcomes.
Assist with the running of monthly/quarterly chronic disease recall programmes
Assist with updating of clinical templates as appropriate.
Read incoming information from outside sources e.g. hospital letters and code the information appropriately.
Manage Learning Disability register and ensure all relevant health checks are carried out.
Manage SMI ( Severe Mental Illness) re
Medical Reports Administrator:
Duties can include but are not limited to, administration of Subject Access Requests (SARs) and other requests for medical reports and information in an accurate and timely manner.
The post holder must work as part of a team, have the ability to organise and prioritise their own workload.
Main Duties/Key Tasks:
QOF Administrator:
- Be responsible for the recall system to ensure that all patients on the QOF register have attended for all the necessary elements to achieve maximum QOF points.
- Liaise with all clinical staff and update them on work required to achieve maximum QOF points.
- Follow up on missing QOF data and action appropriately.
- Add / Move recalls on in accordance with QOF guidelines
- Auditing data collection standards in the Practice.
- Read Coding information into the Practice clinical system
- Liaise with GP QOF lead on how to maintain and improve QOF Outcomes
- Keep up to date with annual QOF changes.
- Exception reporting as appropriate
- Attend relevant practice meetings for update of quarterly QOF performance
- Manage Learning Disability register and ensure all relevant health checks are carried out.
- Manage SMI (Severe Mental Illness) register and ensure all relevant health checks are carried out.
Medical Reports Administrator:
- Processing of all variations of medical reports - life, insurances, medicals etc. Invoicing, photocopying, with attention detail and to meet deadlines where possible.
- Receiving of report requests, recording and coding, photocopying, completion of report or forwarding oalln to the named GP for completion, invoicing and returning completed reports.
- Process requests for information i.e. SARs, insurance / solicitors letters, DVLA forms, safeguarding forms, police reports
- Deal with telephone and email enquiries from patients and insurance companies with discretion and confidentiality
- Liaise with various companies and health authorities regarding queries and financial matters
- Liaise with management regarding fees
- Ensure payments are received within the agreed timeframe and chase up any payments overdue
- Adhere to strict guidelines for General Data Protection Regulations (GDPR)
Confidentiality:
- In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately
- In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the practice as a business organisation. All such information from any source is to be regarded as strictly confidential
- Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data
Health & safety:
The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice health & safety policy, the practice health & safety manual, and the practice infection control policy and published procedures. This will include:
- Using personal security systems within the workplace according to practice guidelines
- Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks
- Making effective use of training to update knowledge and skills
- Using appropriate infection control procedures, maintaining work areas in a tidy and safe way and free from hazards
- Actively reporting of health and safety hazards and infection hazards immediately when recognised
- Keeping own work areas and general/patient areas generally clean, assisting in the maintenance of general standards of cleanliness consistent with the scope of the job holders role
- Undertaking periodic infection control training (minimum annually)
- Reporting potential risks identified
- Demonstrate due regard for safeguarding and promoting the welfare of children.
Equality and diversity:
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:
- Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation
- Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
- Behaving in a manner that is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights.
Personal/professional development:
The post-holder will participate in any training programme implemented by the practice as part of this employment, with such training to include:
- Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
- Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work
Quality:
The post-holder will strive to maintain quality within the practice, and will:
- Alert other team members to issues of quality and risk
- Assess own performance and take accountability for own actions, either directly or under supervision
- Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
- Work effectively with individuals in other agencies to meet patients needs
- Effectively manage own time, workload and resources
Communication:
The post-holder should recognize the importance of effective communication within the team and will strive to:
- Communicate effectively with other team members
- Communicate effectively with patients and carers if appropriate
- Recognize peoples needs for alternative methods of communication and respond accordingly
Contribution to the implementation of services:
The post-holder will:
- Apply practice policies, standards and guidance
- Discuss with other members of the team how the policies, standards and guidelines will affect own work
- Participate in audit where appropriate