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🧾 Understanding the CQC Indicators in Hippo

A complete guide to all CQC indicators in Hippo β€” covering DOACs, DMARDs, lithium, amiodarone, metformin, and kidney function monitoring to help maintain safe prescribing and CQC compliance.

Updated over 2 months ago

Hippo includes a full set of CQC (Care Quality Commission) monitoring indicators designed to help practices meet clinical safety and medicines management requirements.

These indicators track whether key safety checks (like blood tests, kidney function, weight, and reviews) have been completed for patients on high-risk or regularly monitored medicines.

You can use them in Recall Campaigns to automate patient invitations or view them in Indicator Performance to track compliance.


πŸ’Š Medication Monitoring Indicators

CQCDOAC000–CQCDOAC007 β€” DOAC Monitoring

These indicators help ensure safe prescribing for patients on DOACs by checking their weight, renal function, and blood test results.

Indicator

Description

What It Checks

CQCDOAC000

Weight – patients on DOAC

Confirms a recent weight is recorded for dosing accuracy.

CQCDOAC001 / 001A / 001B

Creatinine / Creatinine clearance

Checks for recent serum creatinine and calculated CrCl (requires up-to-date weight).

CQCDOAC002 / 002A / 002B

Annual creatinine / CrCl

Ensures annual renal function monitoring for all DOAC patients.

CQCDOAC003 / 003A / 003B

3-month CrCl – CKD4/5

Ensures quarterly CrCl checks for advanced kidney disease.

CQCDOAC004 / 004A / 004B

6-month CrCl – CKD3

Ensures 6-monthly CrCl checks for moderate kidney disease.

CQCDOAC005

Annual haemoglobin

Confirms Hb checked within the past year.

CQCDOAC006

Review – low haemoglobin

Identifies DOAC patients with low Hb who have been reviewed.

CQCDOAC007

Appropriate kidney function

Checks that renal function remains within safe range for DOAC use.

⚠️ Patients won’t appear in the B-version indicators until both a recent creatinine and weight are recorded.


CQCWARFARIN001–002 β€” Warfarin Monitoring

Indicator

Description

What It Checks

CQCWARFARIN001

INR monitoring

Ensures patients on warfarin have appropriately monitored INR.

CQCWARFARIN002

Review – high INR

Confirms that patients with high INR have been reviewed.


CQCMETFORMIN001–002 β€” Metformin Monitoring

Indicator

Description

What It Checks

CQCMETFORMIN001

Kidney function – metformin

Confirms recent renal function test for metformin safety.

CQCMETFORMIN002

Review – low kidney function

Checks that metformin patients with low kidney function have been reviewed.


CQCAMIODERONE001 β€” Amiodarone Monitoring

Indicator

Description

What It Checks

CQCAMIODERONE001

Function checks – amiodarone

Confirms that kidney, liver, and thyroid function tests are up to date.


CQCLI001–002 β€” Lithium Monitoring

Indicator

Description

What It Checks

CQCLI001

Serum lithium level

Confirms that lithium level has been checked within the required timeframe.

CQCLI002

Ca, kidney, and thyroid monitoring

Checks that calcium, renal, and thyroid function tests are current.


πŸ’‰ DMARDs Indicators

CQCMET001 / CQCLEF001 / CQCAZA001 β€” DMARD Monitoring

Indicator

Description

What It Checks

CQCMET001

Methotrexate monitoring

Confirms recent FBC, renal, and liver function tests for methotrexate.

CQCLEF001

Leflunomide monitoring

Ensures up-to-date FBC, renal, liver, BP, and weight.

CQCAZA001

Azathioprine monitoring

Checks that FBC, renal, and liver function tests are complete.


CQCACEARB001 / CQCALDANT001 β€” Heart & Kidney Function Monitoring

Indicator

Description

What It Checks

CQCACEARB001

Kidney function – ACEi/ARB

Ensures patients on ACE inhibitors or ARBs have up-to-date renal function.

CQCALDANT001

Kidney function – heart failure (aldosterone antagonists)

Checks renal monitoring for heart failure patients on aldosterone antagonists.


πŸ’‘ Why These Indicators Matter

CQC indicators help practices:

  • Stay compliant with medicines safety and CQC standards

  • Identify patients overdue for essential blood monitoring

  • Ensure safe prescribing for high-risk or renal-dependent drugs

  • Provide clear audit evidence for regulators and PCNs


🧭 Where to Find Them in Hippo

You can find CQC indicators in:

  • Recall Campaign setup β†’ under the β€œCQC” framework

  • Indicator Performance dashboard β†’ to monitor completion and progress

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