Result or comment | |
---|---|
Process Indicators | |
% HTN patients with annual FBG performed | Not available (not calculated) |
% DM patientsa with annual eye check performed | Annualb fundoscopy documented OR referred for retinal screening = 50.8% |
% of DM patientsa with micro-albuminuria or urinary protein tested | Annualb Albumin creatinine ratio checked in 83.8% |
% of DM patientsa on ACE inhibitor with creatinine checked | Annualb creatinine check in 98.5% |
% of active cohort with health education session at last clinical visit | 66.9%c |
Number of MHPSS group sessions monthly | Average 5.5 per month in 2016 and 2017 |
% of referred patients attending MHPSS individual counselling | Not available as number of internal MHPSS referrals was not captured |
Adaptations | |
Number/% of follow-up consultations performed by nurses | 6% in 2017 |