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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

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termPI07b-Proportion of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015
METEOR identifier:Help on this term589008
Registration status:Help on this term
  • Health, Superseded 05/10/2016
  • Indigenous, Superseded 20/01/2017
Description:Help on this term

Proportion of regular clients who are Indigenous, have a chronic disease and for whom a GP Management Plan (MBS Item 721) was claimed within the previous 24 months.

Rationale:Help on this termEffective 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. The development of a GP Management Plan is one way in which the client and primary health care provider can ensure appropriate care is coordinated.
Indicator set:Help on this termIndigenous primary health care key performance indicators (2015)
Health, Superseded 05/10/2016
Indigenous, Superseded 20/01/2017

Collection and usage attributes

Computation description:Help on this term

Proportion of regular clients who are Indigenous, have a chronic disease and for whom a GP Management Plan (MBS Item 721) 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.

GP Management Plan (MBS Item 721): 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 (DoH 2014). GP Management Plans, for the purpose of this indicator, are defined in the MBS (Item 721).

Presented as a percentage.

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 ÷ Denominator) x 100

Numerator:Help on this termCalculation A: Number of regular clients who are Indigenous, have Type II diabetes and for whom a GP Management Plan (MBS Item 721) was claimed within the previous 24 months.
Numerator data elements:Help on this term
Data Element / Data Set

Person—diabetes mellitus status, code NN

Data Source

Indigenous primary health care data collection

NMDS / DSS

Indigenous primary health care DSS 2015-17

Guide for use

Type II diabetes only.

Data Element / Data Set

Person—Indigenous status, code N

Data Source

Indigenous primary health care data collection

NMDS / DSS

Indigenous primary health care DSS 2015-17

Data Element / Data Set

Person—regular client indicator, yes/no code N

Data Source

Indigenous primary health care data collection

NMDS / DSS

Indigenous primary health care DSS 2015-17

Data Element / Data Set

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

Data Source

Indigenous primary health care data collection

NMDS / DSS

Indigenous primary health care DSS 2015-17

Denominator:Help on this termCalculation A: Total number of regular clients who are Indigenous and have Type II diabetes.
Denominator data elements:Help on this term
Data Element / Data Set

Person—diabetes mellitus status, code NN

Data Source

Indigenous primary health care data collection

NMDS / DSS

Indigenous primary health care DSS 2015-17

Guide for use

Type II diabetes only.

Data Element / Data Set

Person—Indigenous status, code N

Data Source

Indigenous primary health care data collection

NMDS / DSS

Indigenous primary health care DSS 2015-17

Data Element / Data Set

Person—regular client indicator, yes/no code N

Data Source

Indigenous primary health care data collection

NMDS / DSS

Indigenous primary health care DSS 2015-17

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

Person—sex, code N

Data Source

Indigenous primary health care data collection

NMDS / DSS

Indigenous primary health care DSS 2015-17

Data Element / Data Set

Person—age, total years N[NN]

Data Source

Indigenous primary health care data collection

NMDS / DSS

Indigenous primary health care DSS 2015-17

Representational attributes

Representation class:Help on this termPercentage
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

DoH (Australian Government Department of Health) 2014. Chronic Disease Management (formerly Enhanced Primary Care or EPC) — GP services. Canberra: DoH. Viewed 28 October 2014,

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

Relational attributes

Related metadata references:Help on this term
See also 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
Supersedes 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
Has been superseded by 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
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