Aboriginal and Torres Strait Islander specific primary health care key performance indicators (June 2023); Quality Statement
Data Quality Statement Attributes
Identifying and definitional attributes | |
Metadata item type: | Data Quality Statement |
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METEOR identifier: | 784862 |
Registration status: | AIHW Data Quality Statements, Standard 30/01/2024 |
Data quality | |
Data quality statement summary: | Description Since June 2012, the National Key Performance Indicators (nKPIs) have been collected biannually from organisations funded by the Australian Government to provide health services to Aboriginal and Torres Strait Islander people (First Nations people). The collection consists of a set of aggregate health-outcome and process-of-care measures across the domains of maternal and child health, preventative health and chronic disease management. Summary of key issues
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Institutional environment: | The Australian Institute of Health and Welfare (AIHW) is an independent corporate Commonwealth entity under the Australian Institute of Health and Welfare Act 1987 (AIHW Act), governed by a management board and accountable to the Australian Parliament through the Health portfolio. The AIHW is a nationally recognised information management agency. Its purpose is to create authoritative and accessible information and statistics that inform decisions and improve the health and welfare of all Australians. Compliance with confidentiality requirements in the AIHW Act, Privacy Principles in the Privacy Act 1988 (Cth) and AIHW’s data governance arrangements ensures that the AIHW is well positioned to release information for public benefit while protecting the identity of individuals and organisations. For further information see the AIHW website www.aihw.gov.au/about-us, which includes details about the AIHW’s governance (www.aihw.gov.au/about-us/our-governance) and our role and strategic goals (www.aihw.gov.au/about-us/what-we-do). The nKPIs are submitted via the Department of Health and Aged Care’s Health Data Portal (HDP). Cleaned and finalised data from organisations are transferred from the HDP to a data storage facility, the Department of Health and Aged Care’s Enterprise Data Warehouse (EDW). The AIHW has access to the data in order to investigate and improve data quality; compile a national reporting dataset; produce reports; and to manage third party data requests. |
Timeliness: | Data are supplied by each organisation twice a year, with census dates in June and December. The period of data covered varies by indicator. For the June 2023 period, the census date was 30 June 2023 and covered, depending on the indicator, either:
The national reporting dataset cannot be compiled until the Department of Health and Aged Care closes off data submission and submitted data are cleaned and finalised. Up to that date, the AIHW works with organisations to resolve errors or, if unresolved data quality issues remained, to flag the data for exclusion from the national reporting dataset. For the June 2023 collection, data submission started 1 July and data were finalised 26 September 2023. Data from the national reporting dataset were released to submitting organisations (via organisation specific reports generated by the Department of Health and Aged Care) 2 October 2023. Data from the national reporting dataset were released via the AIHW website 30 January 2024. |
Accessibility: | Data from June 2023 are published in Aboriginal and Torres Strait Islander-specific primary health care: results from the OSR and nKPI collections. Users can request data not available online or in reports via email to [email protected] or via the AIHW data request system (noting the release of data are subject to restrictions and requests that take longer than half an hour to compile are charged for on a cost-recovery basis). |
Interpretability: | Metadata relating to the nKPI collection is available in the METEOR indicator set and Indigenous-specific primary health care National Best Endeavours Data Set (NBEDS) for the collection. Information is also available via the Technical appendix and supplementary data tables of the associated report. |
Relevance: | The scope of the nKPI collection is organisations receiving funding under the Indigenous Australians’ Health Programme (IAHP). Most organisations are Indigenous-specific primary health care organisations, however, a small number of organisations that receive funding only for maternal and child health services are also included in the collection (termed MCH organisations). MCH organisations are only required to report on a subset of indicators, and this varies over time. The June 2023 collection included 21 MCH organisations. Overall, these organisations provided valid data for PI01, PI02, PI03 (child and adult), PI11 and PI13, although not all organisations provided valid data for each indicator. Eighteen MCH organisations reported against child and maternal health indicators only. For almost all indicators, data relate to Indigenous regular clients of that organisation. A regular client is defined as someone who has visited a particular organisation 3 or more times in the last 2 years. The exceptions are the 2 indicators relating to birthweight of Indigenous babies (PI01 and PI02) which relate to all Indigenous babies with a record at the organisation who attended the organisation more than once (as many babies will not have visited a health service organisation 3 times in the last 2 years). The census date for the June 2023 collection is 30 June 2023 and data cover various periods from 6 months to 5 years prior to the census date, depending on the indicator (see also Timeliness). Data are available at the national, state/territory and remoteness area levels. Geographic information is recorded based on the physical address of the main site of the organisation. This is used for analysis at jurisdictional and remoteness level. |
Accuracy: | Reporting for the June 2023 collection was mandatory and all 233 organisations that were in-scope to report submitted data. The main clinical information systems (CIS) are able to generate nKPI data within their clinical system and transmit it directly to the HDP. Organisations using other CIS manually enter data into a web-based form in the HDP. The HDP applies a series of validation rules to the data to identify any data quality issues and organisations can correct these issues before submitting their data. In addition, the AIHW checks the quality of the data supplied by each organisation. Where the AIHW identifies possible errors or inconsistencies, organisations are provided with a description of the issue and invited to resubmit data. Data may be resubmitted until the collection period is closed off by the Department of Health and Aged Care. For the June 2023 collection, the AIHW returned data to 31 of the 233 organisations who reported that period. Where unresolved data quality issues are identified, the AIHW excludes these data from the national reporting dataset. For the June 2023 collection, 7 (3.0%) of the organisations had unresolved internal validation issues at the close of the reporting cycle. Data are not provided by organisations that do not provide the service for which the indicator collects information. Other major reasons for data not being provided or organisations having data quality problems include:
In addition to unresolved internal validation issues, some indicators are excluded from analysis because:
The indicators rely on information being recorded in the CIS. For various reasons, results might not be recorded in the CIS at all or might not be recorded in an appropriate or extractable field. In such cases, an indicator may be undercounted. |
Coherence: | This section includes information from the June 2023 collection as well as selected issues from previous collections that have substantial impact on coherence. Users comparing data between periods are advised to also refer to data quality statements for all intervening collections. Indicators collected For the June 2023 collection, data for 21 indicators were collected. The number of indicators included in the collection has changed over time and modifications have been made to some indicators:
Organisations reporting to the collection – while for the most part it is the same organisations reporting to the collection each period, as a result of changes in funding, auspicing or reporting arrangements at the local level:
Unlike in other periods, reporting for the June 2020–June 2021 periods was voluntary. Data quality and exclusions – the quality of data, and the exclusions applied to data items, vary by period as does the number of organisations submitting valid data, on the whole or for a particular data item. For example, some organisations may be unable to report accurate data in particular periods or for particular data items (for example, because of changes in their clinical information systems or record-keeping practices) and these data are excluded from national reporting. Other issues:
Effect of COVID-19 – Some impact from the COVID-19 pandemic can be seen in the results from some nKPI measures. However, variation between periods cannot be tied completely to the effects of the pandemic, and a combination of other factors as listed previously in this section also affects results over time. See Aboriginal and Torres Strait Islander specific primary health care: results from the nKPI and OSR collections for more information. |
Data products | |
Implementation start date: | 01/01/2023 |
Source and reference attributes | |
Submitting organisation: | Australian Institute of Health and Welfare |
Relational attributes | |
Related metadata references: | Supersedes Indigenous primary health care key performance indicators (December 2022) AIHW Data Quality Statements, Superseded 30/01/2024 See also Indigenous-specific primary health care national key performance indicators June 2023 Indigenous, Superseded 25/02/2024 See also Indigenous-specific primary health care NBEDS June 2023 Indigenous, Superseded 25/02/2024 |