ACG index and quality criteria

-Automatic translation

• General description: A person cannot use Heilsuvera's services without being registered at a specific primary health care centre. When calculating the quality criteria for using Heilsuvera, statistical data generated from the user's log history is entered into the Heilsuvera database. A user's actions in Heilsuveru are categorised according to the person's primary health care centre. The number of appointments through Heilsuvera, the number of requests for medication renewal through Heilsuvera, and the number of communications with a healthcare professional each month through Heilsuvera are counted, and the funding is distributed proportionally based on that.

• Further definition: One-third of the monthly funds is based on the number of appointments, one-third is based on the number of medication renewals, and one-third is based on the number of communications.

• Control group: Not applicable

• Measurement period: 1 month

-Automatic translation

• General description: The number of individuals with a new central medication card (code LYST1) created in the last 12 months is counted. This quality criterion expired at the end of 2024 in the capital region's financing model and at the end of June 2025 in the rural area's model. Payments for the criterion are divided into 12 payments. Therefore, payments for central medicine cards created in 2024 will be made until the end of 2025 in the capital region and until mid-2026 in the rural area.

Age does not matter regarding the payment for creating a new central medication card.

• Further definition: Code for the creation of a new central medication card: LYST1

• Reference group: All persons with one or more medicines.

• Measurement period: 12 months

-Automatic translation

• General description: The goal of the quality criteria is that the percentage of quinolones among antibiotics generally prescribed for urinary tract infections will be below 10% of all prescriptions. The use of Ciprofloxacin will be reduced.
  The number of women aged 18 and over with quinolone prescriptions is calculated as a percentage of all prescriptions for antibiotics commonly prescribed for urinary tract infections among women.

• Further definition:

  • Quinolone antibiotics: ATC codes: J01MA02 and J01MA06

  • Other antibiotics for urinary tract infections: ATC codes: J01CA08, J01EA01 or J01XE0

• Reference group: All women aged 18 and over

• Measurement period: 1 month (last month before calculations).

-Automatic translation

• General description: Counts the number of persons aged 60 and over and persons with registered diagnoses of specific diseases who have received influenza vaccination as a percentage of persons belonging to these groups.

The age of individuals is based on the last day of the period being evaluated. A person who has reached the age of 60 at the end of the month is therefore included in the calculation for that month, despite not having reached the age of 60 when the influenza vaccination was given. 

• Further definition: Vaccinations registered with ATC codes: J07BB01, J07BB02, and J07BB03

• Reference group: 60 years and older or persons with active diagnoses in the following disease categories (see list of ICD-10 diagnoses):

  • Diabetes

  • Ischemic heart disease

  • Chronic obstructive pulmonary disease

  • Asthma

• Measurement period: 15 months

-Automatic translation

• General description: Counts the number of persons with recorded blood pressure measurements and registered diagnoses of certain diseases as a percentage of the total number of persons in these groups.

• Further definition: Measurement: Blood pressure recorded.

• Reference group: Individuals with active ICD-10 diagnoses in the following disease categories (see list of ICD-10 diagnoses):

  • Diabetes

  • Hypertension

  • Ischemic heart disease

  • Chronic obstructive pulmonary disease

• Measurement period: 15 months

-Automatic translation

• General description: Counts the number of persons recorded as having been asked about smoking and registered diagnoses of certain diseases as a percentage of the total number of persons in these groups. The registration of smoking is reviewed based on the appropriate measurement, resolution code, and diagnosis code. The criterion is considered fulfilled if one or more of these items are listed.

• Further definition: Measurement: Smoking recorded.

  • Resolution code: WSPR1.

  • Disease diagnosis (ICD-10): F17 with all subcategories.

• Reference group: Individuals with active ICD-10 diagnoses in the following disease categories (see list of ICD-10 diagnoses):

  • Diabetes

  • Hypertensive disorders

  • Ischemic heart disease

  • Chronic obstructive pulmonary disease

• Measurement period: 15 months

-Automatic translation

• General description: Counts the number of persons with a registered BMI measurement and registered diagnoses of certain diseases as a percentage of the total number of persons in these groups.

• Further definition: Measurement: BMI recorded.

• Reference group: Individuals with active ICD-10 diagnoses in the following disease categories (see list of ICD-10 diagnoses):

  • Diabetes

  • Hypertension

  • Ischemic heart disease

  • Chronic obstructive pulmonary disease

• Measurement period: 15 months.

-Automatic translation

• General description: The percentage of children who have received 12-month, 18-month, and 4-year vaccinations.

• Further definition:

  • 12 months: Three doses of vaccination against pertussis, diphtheria, tetanus, Haemophilus influenzae type b (Hib), and poliomyelitis in one injection (Pentavac). Pneumococci in another injection (Synflorix).

  • 18 months: One dose of vaccination against measles, mumps, and rubella in one injection (M-M-RVAXPRO).

  • 4 years: One dose of vaccination against diphtheria, tetanus, and pertussis in one injection (Boostrix) after the third birthday.

• Reference group:

  • 12 months: Birth cohort that turns two years old this year.

  • 18 months: Birth cohort that turns three this year.

  • 4-year-old: Birth cohort that turns five years old this year.

-Automatic translation

• General description: Counts the number of persons with a recorded spirometry code.

• Further definition:

  • Code: WQFJ3 (STARRI)

  • Code: VGX30 (NCSP)

  • Code: GXF434 (NCSP-IS)

• Reference group: Individuals registered at the clinic

• Measurement period: 36 months

-Automatic translation

• General description: The percentage of teenagers who, upon graduation from the 10th grade, have received vaccinations against diphtheria, tetanus, pertussis, polio, measles, mumps, and rubella (usually given to 12- and 14-year-old teenagers) and the percentage of girls who have received two vaccinations against cervical cancer.

• Further definition:

  • DTP-IPV vaccine against diphtheria, tetanus, pertussis, and polio (Boostrix Polio). One injection in the last five years.

  • MMR vaccine against measles, mumps, and rubella (MM-RVAXPRO). One injection in the last four years.

  • HPV vaccine against the human papillomavirus, which can increase the risk of cervical cancer (Cervarix and Gardasil). Two injections in the last five years in girls. Boys are added starting with the birth cohort of 2011.

• Reference group:

  • Teenagers who turn 16 this year.

  • DTP-IPV and MMR for both sexes.

  • HPV girls only (until cohort 2011 turns 16).

-Automatic translation

• General description: Counts the number of hypertensive individuals with a blood pressure of 140/90 or lower at least once in 15 months. Percentage of the total number of individuals with hypertension diagnoses.

• Further definition: Blood pressure measurement is recorded.

• Reference group: Individuals with active ICD-10 diagnosis for hypertension (see list of ICD-10 diagnoses).

• Measurement period: 15 months.

-Automatic translation

• General description: Percentage of persons who visit a doctor, nurse, midwife, or psychologist at their primary health care centre at least once every 15 months.

• Further definition: Number of persons who visit primary health care with ICD-10 diagnoses for diabetes, COPD, hypertension, ischemic heart disease, mood disorder and chronic kidney disease. Percentage calculated from all individuals in a reference group.

• Reference group: Individuals with active ICD-10 diagnoses in the following disease categories (see list of ICD-10 diagnoses):

  • Diabetes

  • Ischemic heart disease

  • Chronic obstructive pulmonary disease

  • Hypertension

  • Mood disorder

  • Chronic kidney disease

• Measurement period: 15 months.

-Translation in progress

-Translation in progress

-Automatic translation

• General description: Interpreting services are paid for according to usage, based on the estimated unit price of the service. In 2025, ISK 9,875 is paid for each time a certified interpreter is called in and the communication is recorded with the NCSP-IS code ZZXA00. This also applies to certified sign language interpreting services (ZZXB00) and certified telephone-assisted interpreting (ZZXA02). Interpretation with the assistance of a staff member or an app (ZZXA01), which is registered in the same way, is only paid for through the social needs index.

• Further definition: Codes (Classification system NCSP-IS):

  • ZZXA00 = Interpreter called in (Legal interpretation service)

  • ZZXA02 = Certified interpretation with the help of telephone services.

  • ZZXB00 = Sign language interpreter called in (Certified Interpreting Service)

  • ZZXA01 = Interpreting with the assistance of a staff member (paid through social needs index only)

• Measurement period: 1 month (monthly payments) and 15 months (social needs index).