Identifying and definitional attributes
|Metadata item type:||Indicator|
|Indicator type:||Output measure|
|Short name:||PI07a-Number of Indigenous regular clients with a chronic disease who have a Chronic Disease Management Plan prepared, December 2020|
Number of Indigenous regular clients who have a chronic disease and for whom a Chronic Disease Management Plan was prepared within the previous 24 months.
Preventable chronic diseases are responsible for a significant burden of disease for Indigenous Australians and if poorly controlled increase hospitalisations, complications and the cost of health care. Care plans are the foundation for providing appropriate long-term care.
|Indicator set:||Indigenous-specific primary health care national key performance indicators December 2020|
Indigenous, Superseded 03/07/2022
Collection and usage attributes
Count of Indigenous regular clients who have a chronic disease (type 2 diabetes) and for whom a Chronic Disease Management Plan was prepared within the previous 24 months.
Count is of people, not plans.
Consider only the most recent plan.
Presented as a number.
Chronic Disease Management Plan: 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. It includes MBS-rebated Chronic Disease Management Plans (MBS items: 721; 229; 92024; 92068; 92055; or 92099).
Organisations taking part in the Health Care Homes Trial: for the duration of the Health Care Homes trial (currently 1 October 2017 to 30 June 2021), clients who are part of the trial will be deemed to have had a Chronic Disease Management Plan prepared if there is evidence of a Chronic Disease Management Plan recorded.
Calculation A: Number of Indigenous regular clients who have type 2 diabetes and for whom an in-person MBS-rebated Chronic Disease Management Plan (MBS items: 721; or 229) was prepared within the previous 24 months.
Calculation B: Number of Indigenous regular clients who have type 2 diabetes and for whom a Telehealth MBS-rebated Chronic Disease Management Plan (MBS items: 92024; 92068; 92055; or 92099) was prepared within the previous 24 months.
|Numerator data elements:|
2. Age group:
3. Type of Chronic Disease Management Plan:
b) Telehealth MBS-rebated Chronic Disease Management Plan.
|Disaggregation data elements:|
Census date for reporting is 31 December 2020.
|Unit of measure:||Person|
Indicator conceptual framework
|Framework and dimensions:||Continuous|
Data source attributes
Australian Institute of Health and Welfare.
Funding agreements between the Department of Health and the organisations funded under the Indigenous Australians' Health Programme (IAHP).
|Organisation responsible for providing data:|
Indigenous-specific primary health care organisations or maternal and child health programs/services funded by the Department of Health under its Indigenous Australians' Health Programme (IAHP), referred to as funded organisations.
Australian Institute of Health and Welfare/Department of Health.
|Further data development / collection required:|
Further 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:||Australian Institute of Health and Welfare|
DoH (Australian Government Department of Health) 2016. Chronic Disease Management—Provider information. Canberra: DoH. Viewed 12 February 2018, http://www.health.gov.au/internet/main/publishing.nsf/
|Related metadata references:|
Supersedes 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
Has been superseded by Indigenous-specific primary health care: PI07a-Number of Indigenous regular clients with a chronic disease who have a Chronic Disease Management Plan prepared, June 2021