Person—GP Management Plan (MBS Item 721) indicator, yes/no code N

Identifying and definitional attributes
Metadata item type:	Data Element
Short name:	GP Management Plan indicator
Synonymous names:	GPMP indicator
METEOR identifier:	504966
Registration status:	Health, Standard 11/11/2014 Indigenous, Standard 13/03/2015
Definition:	An indicator of whether a GP Management Plan (MBS Item 721) has been claimed for a person, as represented by a code.
Data Element Concept:	Person—GP Management Plan (MBS Item 721) indicator

Value domain attributes

Representational attributes

Representation class:

Code

Data type:

Boolean

Format:

Maximum character length:

Permissible values:

Value	Meaning
1	Yes
2	No

Data element attributes

Collection and usage attributes

Guide for use:

CODE 1 Yes

A GP Management Plan has been claimed for a person.

CODE 2 No

A GP Management Plan has not been claimed for a person.

Comments:

The Chronic Disease Management Medicare items on the Medicare Benefits Schedule (DoH 2011) enable GPs to plan and coordinate the health care of patients with chronic or terminal medical conditions. This item is designed for patients who require a structured approach to their care. To be eligible for a GP Management Plan (GPMP) a patient must have a chronic (or terminal) medical condition; one that has been or is likely to be present for 6 months or longer, including, but not limited to asthma, cancer, cardiovascular illness, diabetes mellitus and musculoskeletal conditions (DoH 2014a).

A GPMP is required by legislation to be a comprehensive written plan that describes:

the patient’s health care needs, health problems and relevant conditions
management goals with which the patient agrees
actions to be taken by the patient
treatment and services the patient is likely to need
arrangements for providing these treatment and services
a date to review these matters (DoH 2014b).

This chronic disease management service is for a patient who has at least one medical condition that:

(a) has been (or is likely to be) present for at least six months; or

(b) is terminal (DoH 2011).

Source and reference attributes

Submitting organisation:

Australian Institute of Health and Welfare

Origin:

DoH (Australian Government Department of Health) 2014a. Chronic Disease Management (formerly Enhanced Primary Care or EPC) — GP services. Canberra: DoH. Viewed 4 November 2014,

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

DoH (Australian Government Department of Health) 2014b. Questions and Answers on the Chronic Disease Management (CDM) items. Canberra: DoH. Viewed 4 November 2014,

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

DoH (Australian Government Department of Health) 2011. Medicare Benefits Schedule – Item 721. Canberra: DoH. Viewed 27 May 2011,

<http://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&qt=ItemID&q=721>

Relational attributes

Related metadata references:

Implementation in Data Set Specifications:

All attributes +

Indigenous primary health care DSS 2014-15 Health, Superseded 13/03/2015
Indigenous, Superseded 13/03/2015

DSS specific attributes +
*Implementation start date:* 01/07/2014 *Implementation end date:* 30/06/2015 *Conditional obligation:* This item is only collected for persons who have Type II diabetes.

Indigenous primary health care DSS 2015-17 Health, Superseded 25/01/2018
Indigenous, Superseded 27/02/2018

DSS specific attributes +
*Implementation start date:* 01/07/2015 *Implementation end date:* 30/06/2017 *Conditional obligation:* This item is only collected for persons who have Type II diabetes.

Indigenous primary health care NBEDS 2017–18 Health, Superseded 06/09/2018
Indigenous, Superseded 22/10/2018

DSS specific attributes +
*Implementation start date:* 01/07/2017 *Implementation end date:* 30/06/2018 *Conditional obligation:* This item is only collected for persons who have Type II diabetes.

Indigenous primary health care NBEDS 2018–19 Health, Superseded 12/12/2018
Indigenous, Superseded 02/04/2019

DSS specific attributes +
*Implementation start date:* 01/07/2018 *Implementation end date:* 30/06/2019 *Conditional obligation:* This item is only collected for persons who have Type II diabetes.

Indigenous primary health care NBEDS 2019–20 Health, Superseded 16/01/2020
Indigenous, Superseded 14/07/2021

DSS specific attributes +
*Implementation start date:* 01/07/2019 *Implementation end date:* 30/06/2020 *Conditional obligation:* This item is only collected for persons who have Type II diabetes.

Indigenous primary health care NBEDS 2020–21 Health, Retired 13/10/2021

DSS specific attributes +
*Implementation start date:* 01/07/2020 *Implementation end date:* 30/06/2021 *Conditional obligation:* This item is only collected for persons who have Type II diabetes.

Implementation in Indicators:

Used as Numerator

Indigenous primary health care: PI07a-Number of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2014 Health, Superseded 13/03/2015
Indigenous, Superseded 13/03/2015

Indigenous primary health care: PI07a-Number of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015 Health, Superseded 05/10/2016
Indigenous, Superseded 20/01/2017

Indigenous primary health care: PI07a-Number of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015-2017 Health, Superseded 25/01/2018
Indigenous, Superseded 27/02/2018

Indigenous primary health care: PI07a-Number of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015-2017 Health, Superseded 17/10/2018
Indigenous, Superseded 17/10/2018

Indigenous primary health care: PI07a-Number of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2018-2019 Health, Superseded 16/01/2020
Indigenous, Superseded 14/07/2021

Indigenous primary health care: PI07a-Number of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, June 2020 Health, Retired 13/10/2021
Indigenous, Superseded 14/07/2021

Indigenous primary health care: PI07b-Proportion of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2014 Health, Superseded 13/03/2015
Indigenous, Superseded 13/03/2015

Indigenous primary health care: PI07b-Proportion of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015 Health, Superseded 05/10/2016
Indigenous, Superseded 20/01/2017

Indigenous primary health care: PI07b-Proportion of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015-2017 Health, Superseded 25/01/2018
Indigenous, Superseded 27/02/2018

Indigenous primary health care: PI07b-Proportion of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2018-2019 Health, Superseded 16/01/2020
Indigenous, Superseded 14/07/2021