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Indigenous primary health care: PI08a-Number of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2014

Indicator Attributes

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termOutput measure
Short name:Help on this termPI08a-Number of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2014
METEOR identifier:Help on this term504679
Registration status:Help on this term
  • Health, Superseded 13/03/2015
  • Indigenous, Superseded 13/03/2015
Description:Help on this term

Number of regular clients who are Indigenous, have a chronic disease and for whom a Team Care Arrangement (MBS Item 723) was claimed within the previous 24 months.

Rationale:Help on this term

Effective management of chronic disease can delay the progression of disease, decrease the need for high-cost interventions, improve quality of life, and increase life expectancy. As good quality care for people with chronic disease can involve multiple health care providers across multiple settings, the development of multidisciplinary care plans is one way in which the client and primary health care provider can ensure appropriate care is arranged and coordinated.

Indicator set:Help on this term

Indigenous primary health care key performance indicators (2014)
Health, Superseded 13/03/2015
Indigenous, Superseded 13/03/2015

Collection and usage attributes

Computation description:Help on this term

Count of regular clients who are Indigenous, have a chronic disease and for whom a Team Care Arrangement (MBS Item 723) was claimed within the previous 24 months.

‘Regular client’ refers to a client of an OATSIH-funded primary health care service (that is required to report against the Indigenous primary health care key performance indicators) who has an active medical record; that is, a client who has attended the OATSIH-funded primary health care service at least 3 times in 2 years.

Team Care Arrangement (MBS Item 723): The Chronic Disease Management (CDM) Medicare items on the Medicare Benefits Schedule (MBS) enable GPs to plan and coordinate the health care of patients with chronic or terminal medical conditions, including patients with these conditions who require multidisciplinary, team-based care from a GP and at least two other health or care providers (Department of Health and Ageing 2011). Team Care Arrangements, for the purpose of this indicator, are defined in the MBS (Item 723).

Presented as a number.

Calculated separately for each chronic disease type:

A) Type II diabetes

Exclude Type I diabetes, secondary diabetes, gestational diabetes mellitus (GDM), previous GDM, impaired fasting glucose, impaired glucose tolerance.

B) Cardiovascular disease

C) Chronic obstructive pulmonary disease

D) Chronic kidney disease

At this stage, this indicator is only calculated for Type II diabetes as currently this is the only relevant chronic disease type with an agreed national definition.

Computation:Help on this term

Numerator only

Numerator:Help on this termCalculation A: Number of regular clients who are Indigenous, have Type II diabetes and for whom a Team Care Arrangement (MBS Item 723) was claimed within the previous 24 months.
Numerator data elements:Help on this term
Data Element / Data Set

Data ElementHelp on this term

Person—diabetes mellitus status, code NN

Data SourceHelp on this term

Indigenous primary health care data collection

NMDS / DSSHelp on this term

Indigenous primary health care DSS 2014-15

Guide for useHelp on this term

Type II diabetes only.

Data Element / Data Set

Data ElementHelp on this term

Person—Indigenous status, code N

Data SourceHelp on this term

Indigenous primary health care data collection

NMDS / DSSHelp on this term

Indigenous primary health care DSS 2014-15

Data Element / Data Set

Data ElementHelp on this term

Person—regular client indicator, yes/no code N

Data SourceHelp on this term

Indigenous primary health care data collection

NMDS / DSSHelp on this term

Indigenous primary health care DSS 2014-15

Data Element / Data Set

Data ElementHelp on this term

Person—Team Care Arrangement (MBS Item 723) indicator, yes/no code N

Data SourceHelp on this term

Indigenous primary health care data collection

NMDS / DSSHelp on this term

Indigenous primary health care DSS 2014-15

Disaggregation:Help on this term

1. Sex:
a) Male
b) Female

2. Age:
a) 0-4 years
b) 5-14 years
c) 15-24 years
d) 25-34 years
e) 35-44 years
f) 45-54 years
g) 55-64 years
h) 65 years and over

Disaggregation data elements:Help on this term
Data Element / Data Set

Data ElementHelp on this term

Person—sex, code N

Data SourceHelp on this term

Indigenous primary health care data collection

NMDS / DSSHelp on this term

Indigenous primary health care DSS 2014-15

Data Element / Data Set

Data ElementHelp on this term

Person—age, total years N[NN]

Data SourceHelp on this term

Indigenous primary health care data collection

NMDS / DSSHelp on this term

Indigenous primary health care DSS 2014-15

Representational attributes

Representation class:Help on this termCount
Data type:Help on this termReal
Unit of measure:Help on this termPerson

Indicator conceptual framework

Framework and dimensions:Help on this termContinuous

Data source attributes

Data sources:Help on this term
Data Source

Indigenous primary health care data collection

Frequency

6 monthly

Data custodian

Australian Institute of Health and Welfare.

Accountability attributes

Further data development / collection required:Help on this termFurther work is required to reach agreement on national definitions for other chronic diseases including cardiovascular disease, chronic obstructive pulmonary disease and chronic kidney disease.

Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

Department of Health

Origin:Help on this term

Department of Health and Ageing 2011. Department of Health and Ageing, Canberra. Viewed 27 May 2011,

<http://www.health.gov.au/internet/main/publishing.nsf/Content/mbsprimarycare-chronicdiseasemanagement>

Relational attributes

Related metadata references:Help on this term
Supersedes Indigenous primary health care: PI08a-Number of regular clients with a chronic disease who have received a Team Care Arrangement (MBS Item 723), 2013
  • Health, Superseded 21/11/2013
  • Indigenous, Superseded 21/11/2013
Has been superseded by Indigenous primary health care: PI08a-Number of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2015
  • Health, Superseded 05/10/2016
  • Indigenous, Superseded 20/01/2017
See also Indigenous primary health care: PI08b-Proportion of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2014
  • Health, Superseded 13/03/2015
  • Indigenous, Superseded 13/03/2015
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