Indigenous-specific primary health care NBEDS December 2020
Identifying and definitional attributes
|Metadata item type:||Data Set Specification|
|DSS type:||Data Set Specification (DSS)|
The Indigenous-specific primary health care national best endeavours data set (ISPHC NBEDS) is primarily designed to support the collection of data for use in associated national Key Performance Indicators (nKPIs). Data are collected from Aboriginal and Torres Strait Islander (Indigenous) specific primary health-care organisations funded under the Indigenous Australians’ Health Programme (IAHP).
For the purposes of the ISPHC NBEDS, Indigenous-specific primary health care is defined as:
“…socially and culturally appropriate, universally accessible, scientifically sound, first level care. It is provided by health services and systems with a suitably trained workforce comprised of multidisciplinary teams supported by integrated referral systems in a way that: gives priority to those most in need and addresses health inequalities; maximises community and individual self-reliance, participation and control and; involves collaboration and partnership with other sectors to promote public health. Comprehensive primary health care includes health promotion, illness prevention, treatment, and care of the sick, community development, advocacy, and rehabilitation services.”
This definition has been endorsed by the Aboriginal Medical Services Alliance of the Northern Territory (AMSANT), the Australian General Practice Network (AGPN), the Australian Primary Health Care Research Institute (APHCRI), and the Australian Medical Association (AMA).
Indigenous-specific primary health care organisations include:
The ISPHC NBEDS describes (using individual-level data elements) the aggregate data to be provided to the AIHW by those organisations. While the ISPHC NBEDS describes the data by means of individual level data elements, only aggregate data at organisation level are supplied. No individual level client data are supplied.
Collection and usage attributes
Each unit represents aggregate data from an individual Indigenous-specific primary health care organisation relating to the Indigenous regular clients of the organisation.
Each organisation funded under the IAHP to provide Indigenous-specific primary health care records service provision in their Client Information Systems (CIS).
The CISs contain many variables related to individual clients, but only those specified as required for the nKPIs, aggregated for each organisation, are extracted for use.
Data are aggregated using cohort definitions and specialised software and then submitted to the Australian Institute of Health and Welfare (AIHW) via the Health Data Portal (HDP). The HDP is the Commonwealth Department of Health’s secure web-based data submission platform.
Many CIS are able to extract, aggregate and upload the de-individualised data directly to the HDP through a direct-load process. Organisations with systems unable to complete the direct-load process are able to manually enter aggregate data directly into a web-based form through the HDP.
To avoid the complexity required to adequately describe the various permutations of the aggregate data supplied to the AIHW, the ISPHC NBEDS describes the data to be collected in terms of individual level data elements, however, only aggregate organisational level data derived from these data elements is supplied to the AIHW.
For example, to report the number of Indigenous regular clients aged 15 and over with a smoking status recorded, organisations report the count of persons where:
but do not include individual client records.
More information on the data to be supplied can be found in the User guide (AIHW 2020).
The Indigenous regular client status of a client is determined by the organisation.
National reporting arrangements
Each organisation funded to provide Indigenous-specific primary health care should record service provision in clinical information management systems that allow the electronic transmission of data for reporting.
Periods for which data are collected and nationally collated
Data are supplied on a 6-monthly basis. The December 2020 ISPHC NBEDS describes the data census date 31 December 2020, and covers the period (depending on the indicator involved):
|Implementation start date:||01/07/2020|
|Implementation end date:||31/12/2020|
Source and reference attributes
Australian Institute of Health and Welfare
Department of Health
AIHW (Australian Institute of Health and Welfare) 2020. AIHW national Key Performance Indicators (nKPI) data collection: user guide, December 2020. AIHW, Canberra, viewed 24 February 2021, <https://dataportal.health.gov.au/wps/wcm/connect/dataportal/37641a96-9df0-4d40-8b21-51721c5e80e5/nKPI+User+Guide+for+December+2020+collection+period.pdf?MOD=AJPERES>
|Related metadata references:|
Supersedes Indigenous primary health care NBEDS 2019–20
See also Indigenous-specific primary health care national key performance indicators December 2020
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