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

Identifying and definitional attributes
Metadata item type:	Data Element
Short name:	Team Care Arrangement (MBS Item 723) indicator
METEOR identifier:	504991
Registration status:	Health, Standard 11/11/2014 Indigenous, Standard 13/03/2015
Definition:	An indicator of whether a Team Care Arrangement (MBS Item 723) has been claimed for a person, as represented by a code.
Data Element Concept:	Person—Team Care Arrangement (MBS Item 723) indicator
Value Domain:	Yes/no code N

Value domain attributes
Representational attributes
Representation class:	Code
Data type:	Boolean
Format:	N
Maximum character length:	1
	Value	Meaning
Permissible values:	1	Yes
	2	No

Source and reference attributes
Submitting organisation:	Australian Institute of Health and Welfare

Data element attributes
Collection and usage attributes
Guide for use:	CODE 1 Yes A Team Care Arrangement has been claimed for a person. CODE 2 No A Team Care Arrangement has not been claimed for a person.
Comments:	The Chronic Disease Management Medicare items on the Medicare Benefits Schedule (MBS) (DoH 2011) 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. The items are designed for patients who require a structured approach to their care. A ‘chronic medical condition’ is one that has been or is likely to be present for at least six months, including but not limited to asthma, cancer, cardiovascular disease, diabetes mellitus and musculoskeletal conditions (DoH 2014a). Team Care Arrangements (TCAs) are required by legislation to include a document that describes: treatment and service goals for the patient treatment and services that collaborating providers will provide to the patient actions to be taken by the patient a date to review these matters (DoH 2014b). This chronic disease management service is for a patient who: (a) has at least one medical condition that: i. has been (or is likely to be) present for at least six months; or ii. is terminal; and (b) requires ongoing care from at least three collaborating health or care providers, each of whom provides a different kind of treatment or service to the patient, and at least one of whom is a medical practitioner (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 723. Canberra: DoH. Viewed 27 May 2011, <http://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&qt=ItemID&q=723>.
Relational attributes
Related metadata references:	Supersedes Person—Team Care Arrangement (MBS Item 723) indicator, yes/no code N Health, Superseded 21/11/2013
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: PI08a-Number 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 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 Indigenous primary health care: PI08a-Number of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2015-2017 Health, Superseded 25/01/2018 Indigenous, Superseded 27/02/2018 Indigenous primary health care: PI08a-Number of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2015-2017 Health, Superseded 17/10/2018 Indigenous, Superseded 17/10/2018 Indigenous primary health care: PI08a-Number of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2018-2019 Health, Superseded 16/01/2020 Indigenous, Superseded 14/07/2021 Indigenous primary health care: PI08a-Number of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, June 2020 Health, Retired 13/10/2021 Indigenous, Superseded 14/07/2021 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 Indigenous primary health care: PI08b-Proportion 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 Indigenous primary health care: PI08b-Proportion of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2015-2017 Health, Superseded 17/10/2018 Indigenous, Superseded 17/10/2018 Indigenous primary health care: PI08b-Proportion of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2015-2017 Health, Superseded 25/01/2018 Indigenous, Superseded 27/02/2018 Indigenous primary health care: PI08b-Proportion of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2018-2019 Health, Superseded 16/01/2020 Indigenous, Superseded 14/07/2021 Indigenous primary health care: PI08b-Proportion of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, June 2020 Health, Retired 13/10/2021 Indigenous, Superseded 14/07/2021