Indigenous primary health care: PI07b-Proportion of regular clients with a chronic disease who have received a GP Management Plan (MBS Item 721), 2012

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Indicator
Short name:PI07b-Proportion of regular clients with a chronic disease who have received a GP Management Plan (MBS Item 721), 2012
METeOR identifier:432523
Registration status:Health, Superseded 23/02/2012
Description:

NOTE: THIS PERFORMANCE INDICATOR HAS BEEN SUPERSEDED BY ITS EQUIVALENT FOR 2013, WITHOUT BEING MADE A STANDARD.

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

Rationale:Effective 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Indicator set:Indigenous primary health care key performance indicators (2012) Health, Superseded 23/02/2012

Collection and usage attributes

Computation description:

Proportion of regular clients who are Indigenous, have a chronic disease and who have received a GP Management Plan (MBS Item 721) 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 (Department of Health and Ageing 2011). 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:

(Numerator ÷ Denominator) x 100

Numerator:Calculation A: Number of regular clients who are Indigenous, have Type II diabetes and who have received a GP Management Plan (MBS Item 721) within the previous 24 months.
Numerator data elements:
Data Element / Data SetPerson—diabetes mellitus status, code NN
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2012-14
Guide for use
Type II diabetes only.
Data Element / Data SetPerson—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 2012-14
Data Element / Data SetPerson—Indigenous status, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2012-14
Data Element / Data SetPerson—regular client indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2012-14
Denominator:Calculation A: Total number of regular clients who are Indigenous and have Type II diabetes.
Denominator data elements:
Data Element / Data SetPerson—diabetes mellitus status, code NN
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2012-14
Guide for use
Type II diabetes only.
Data Element / Data SetPerson—regular client indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2012-14
Data Element / Data SetPerson—Indigenous status, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2012-14
Disaggregation:

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:
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2012-14
Data Element / Data SetPerson—sex, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2012-14

Representational attributes

Representation class:Percentage
Data type:Real
Unit of measure:Person

Indicator conceptual framework

Framework and dimensions:Continuous

Data source attributes

Data sources:
Data SourceIndigenous primary health care data collection
Frequency
6 monthly
Data custodian

Australian Institute of Health and Welfare


Accountability attributes

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 (AIHW)

Department of Health and Ageing (DoHA)

Origin:

Department of Health and Ageing 2011. Department of Health and Ageing, Canberra. Viewed 27 May 2011,

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

Relational attributes

Related metadata references:

See also Indigenous primary health care: PI07a-Number of regular clients with a chronic disease who have received a GP Management Plan (MBS Item 721), 2012 Health, Superseded 23/02/2012

Has been superseded by Indigenous primary health care: PI07b-Proportion of regular clients with a chronic disease who have received a GP Management Plan (MBS Item 721), 2013 Health, Superseded 21/11/2013, Indigenous, Archived 21/11/2013