Indigenous primary health care DSS 2012-14

Identifying and definitional attributes

Metadata item type:Data Set Specification
METeOR identifier:430629
Registration status:Health, Superseded 21/11/2013
Indigenous, Archived 21/11/2013
DSS type:Data Set Specification (DSS)
Scope:

The Indigenous primary health care data set specification (IPHC DSS) is primarily designed to support the collection of aggregate information from Indigenous-specific primary health care services. The IPHC DSS describes the aggregate data to be reported by those Indigenous-specific primary health care services. Only the data, which services aggregate using cohort definitions and specialised software, will be supplied through the OATSIH Community Health Reporting Environment (OCHRE), a web-based reporting tool. No individual level client data will be supplied to either the Australian Institute of Health and Welfare (AIHW) or the Department of Health and Ageing (DoHA).

For the purposes of the IPHC DSS, Aboriginal and Torres Strait Islander primary health care is defined as:

“…socially and culturally appropriate, universally accessible, scientifically sound, first level care. It is provided by health services and systems with a suitably trained workforce comprised of multidisciplinary teams supported by integrated referral systems in a way that: gives priority to those most in need and addresses health inequalities; maximises community and individual self-reliance, participation and control and; involves collaboration and partnership with other sectors to promote public health. Comprehensive primary health care includes health promotion, illness prevention, treatment, and care of the sick, community development, advocacy, and rehabilitation services.”

This definition has been endorsed by the Aboriginal Medical Services Alliance of the Northern Territory (AMSANT), the Australian General Practice Network (AGPN), the Australian Primary Health Care Research Institute (APHCRI), and the Australian Medical Association (AMA).

Aboriginal and Torres Strait Islander primary health care services include:

1. Aboriginal Community Controlled Health Service (ACCHS): primary health care services initiated and operated by the local Aboriginal community to deliver holistic, comprehensive, and culturally appropriate health care to the community which controls it (through a locally elected Board of Management); and

2. Other Aboriginal and Torres Strait Islander primary health care services: health services funded principally to provide services to Aboriginal and Torres Strait Islander individuals with funding provided by the federal and/or state or territory governments. These non community-controlled services mainly exist in the Northern Territory and northern part of Queensland.

Services use a clinical audit tool program for extracting and aggregating data from their patient information and recall systems. The IPHC DSS has been written to inform this program. Once aggregated, the data will be sent to the AIHW via the OATSIH Community Health Reporting Environment (OCHRE), a web-based reporting tool with an ‘in-confidence’ security classification.

The IPHC DSS includes aggregate data only; it does not include data elements describing any details relating to or arising from individual client visits, at the client visit level, e.g. blood pressure measurements, body mass index (BMI) values and so on.

Aggregate data will initially be collected from a limited number of primary health care services, i.e. those funded by the Office for Aboriginal and Torres Strait Islander Health (OATSIH) via the Healthy for Life program. From mid-2012, data collection will be extended to the remainder of services funded by OATSIH to deliver primary health care. From mid-2013, data collection will be expanded to also include state- and territory-funded Indigenous-specific primary health care services not funded by OATSIH.

Collection and usage attributes

Statistical unit:Each unit represents aggregated data from an individual Indigenous-specific primary health care service.
Collection methods:

The IPHC DSS describes only the aggregated data. Patient Information Referral Systems (PIRS) contain many variables related to individual clients. The Clinical Audit Tool (CAT) is programmed to extract variables determined in data elements and counting how many clients have these variables. Services will then authorise transmission of these de-individualised data extracted by CAT to AIHW through the OCHRE web-based tool. 

The regular client status of a client will be determined by the service on the PIRS and will need to be reviewed on a twice-yearly basis.

National reporting arrangements

Each service funded to provide Indigenous-specific primary health care should record service provision in clinical information management systems that allow the electronic transmission of data for reporting.

Periods for which data are collected and nationally collated

Data collections and data reporting will be on a 6-monthly basis.

Implementation start date:01/07/2012
Implementation end date:30/06/2014

Source and reference attributes

Submitting organisation:

Department of Health and Ageing (DoHA)

Australian Institute of Health and Welfare (AIHW)

Reference documents:Pen Computer Systems 2009. Clinical Audit Tool - User Guide, Pen Computer Systems Pty Ltd, Sydney, viewed 7 November 2011, http://help.pencs.com.au/cat.htm

Relational attributes

Related metadata references:

Has been superseded by Indigenous primary health care DSS 2014- Health, Standard 21/11/2013, Indigenous, Endorsed 21/11/2013

See also Indigenous primary health care key performance indicators (2012) Health, Superseded 23/02/2012

See also Indigenous primary health care key performance indicators (2013) Health, Superseded 21/11/2013, Indigenous, Archived 21/11/2013

Metadata items in this Data Set Specification

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Seq No.Metadata item Obligation Max occurs
-Birth—birth weight, code NMandatory1
-Child—fully immunised recorded indicator, yes/no code NMandatory1
-Female—cervical screening indicator, yes/no/not stated/inadequately described code NMandatory3
-Female—hysterectomy indicator, yes/no code NMandatory1
-Person—age, total years N[NN]Mandatory1
-Person—alcohol consumption status recorded indicator, yes/no code NConditional1
-Person—birth weight recorded indicator, yes/no code NConditional1
-Person—blood pressure measurement result less than or equal to 130/80 mmHg indicator, yes/no code NConditional1
-Person—blood pressure measurement result recorded indicator, yes/no code NConditional1
-Person—body mass index (classification), code N[.N]Conditional1
-Person—body mass index recorded indicator, yes/no code NConditional1
-Person—cardiovascular disease recorded indicator, yes/no code NMandatory1
-Person—chronic obstructive pulmonary disease recorded indicator, yes/no code NMandatory1
-Person—diabetes mellitus status, code NNMandatory1
-Person—estimated glomerular filtration rate (eGFR) recorded indicator, yes/no code NMandatory1
-Person—glycosylated haemoglobin level, code NConditional2
-Person—glycosylated haemoglobin measurement result recorded indicator, yes/no code NConditional2
-Person—GP Management Plan (MBS Item 721) indicator, yes/no code NConditional1
-Person—Indigenous status, code NMandatory1
-Person—influenza immunisation indicator, yes/no code NConditional1
-Person—MBS Health Assessment for Aboriginal and Torres Strait Islander People (MBS Item 715) indicator, yes/no code NConditional2
-Person—microalbumin urine test result recorded indicator, yes/no code NMandatory1
-Person—regular client indicator, yes/no code NMandatory1
-Person—sex, code NMandatory1
-Person—smoking status recorded indicator, yes/no code NConditional1
-Person—Team Care Arrangement (MBS Item 723) indicator, yes/no code NConditional1
-Service provider organisation (address)—address line, text [X(180)]Mandatory1
-Service provider organisation (address)—Australian postcode, code (Postcode datafile) {NNNN}Mandatory1
-Service provider organisation (address)—building/complex sub-unit identifier, [X(7)]Mandatory1
-Service provider organisation (address)—building/property name, text [X(30)]Mandatory1
-Service provider organisation (address)—electronic communication address, text [X(250)]Mandatory7
-Service provider organisation (address)—electronic communication medium, code NMandatory7
-Service provider organisation (address)—street name, text [A(30)]Mandatory1
-Service provider organisation (address)—street type, code A[AAA]Mandatory1
-Service provider organisation (address)—suburb/town/locality name, text [A(50)]Mandatory1
-Service provider organisation (name)—name type, code NMandatory1
-Service provider organisation (name)—organisation name, text [X(200)]Mandatory1
-Service provider organisation—Australian state/territory identifier, code NMandatory1
-Service provider organisation—day of operation, code NMandatory7
-Service provider organisation—full-time equivalent staff (paid), total N[NNN{.N}]Mandatory1
-Service provider organisation—number of service operation days (7 day period), total N[N]Mandatory1
-Service provider organisation—number of service operation hours (24 hour period), total NNMandatory1
-Service provider organisation—number of service operation weeks (calendar year), total NNMandatory1
-Service provider organisation—standards assessment indicator, yes/no code NMandatory1
-Service provider organisation—standards assessment level, code NMandatory1