Indigenous primary health care: PI06b-Proportion of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, 2013

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Indicator
Short name:PI06b-Proportion of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, 2013
METeOR identifier:468100
Registration status:Health, Superseded 21/11/2013
Indigenous, Archived 21/11/2013
Description:

Proportion of regular clients who are Indigenous, have Type II diabetes and whose HbA1c measurement result, recorded within either the previous 6 months or 12 months, was categorised as one of the following:

  • less than or equal to 7%;
  • greater than 7% but less than or equal to 8%;
  • greater than 8% but less than 10% or;
  • greater than or equal to 10%
Rationale:

Chronic diseases such as diabetes are a major cause of morbidity and mortality among Aboriginal and Torres Strait Islander people. Monitoring glycosylated haemoglobin (HbA1c) levels plays a key role in the management of the disease.

Indicator set:Indigenous primary health care key performance indicators (2013) Health, Superseded 21/11/2013
Indigenous, Archived 21/11/2013

Collection and usage attributes

Computation description:

Proportion of regular clients who are Indigenous, have Type II diabetes and whose HbA1c measurement result, recorded within either the previous 6 months or 12 months, was categorised as one of the following:

  • less than or equal to 7%;
  • greater than 7% but less than or equal to 8%;
  • greater than 8% but less than 10% or;
  • greater than or equal to 10%

‘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.

HbA1c: glycosylated haemoglobin.

Exclude Type I diabetes, secondary diabetes, gestational diabetes mellitus (GDM), previous GDM, impaired fasting glucose, impaired glucose tolerance.

Presented as a percentage.

Calculated separately for each HbA1c range, for each time period.

Include only the most recent HbA1c measurement from each time period.

If the client has had their HbA1C measured more than once in the relevant period, only the most recently recorded result is included in this calculation.

Computation:(Numerator ÷ Denominator) x 100
Numerator:

Calculation A: Number of regular clients who are Indigenous, have Type II diabetes and whose HbA1c measurement result, recorded in the previous 6 months, was less than or equal to 7%.

Calculation B: Number of regular clients who are Indigenous, have Type II diabetes and whose HbA1c measurement result, recorded in the previous 6 months, was greater than 7% but less than or equal to 8%.

Calculation C: Number of regular clients who are Indigenous, have Type II diabetes and whose HbA1c measurement result, recorded in the previous 6 months, was greater than 8% but less than 10%.

Calculation D: Number of regular clients who are Indigenous, have Type II diabetes and whose HbA1c measurement result, recorded in the previous 6 months, was greater than or equal to 10%.

Calculation E: Number of regular clients who are Indigenous, have Type II diabetes and whose HbA1c measurement result, recorded in the previous 12 months, was less than or equal to 7%.

Calculation F: Number of regular clients who are Indigenous, have Type II diabetes and whose HbA1c measurement result, recorded in the previous 12 months, was greater than 7% but less than or equal to 8%.

Calculation G: Number of regular clients who are Indigenous, have Type II diabetes and whose HbA1c measurement result, recorded in the previous 12 months, was greater than 8% but less than 10%.

Calculation H: Number of regular clients who are Indigenous, have Type II diabetes and whose HbA1c measurement result, recorded in the previous 12 months, was greater than or equal to 10%.

Numerator data elements:
Data Element / Data SetPerson—glycosylated haemoglobin level, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2012-14
Guide for use
Response to this is conditional on responding 'yes' to having had an HbA1c measurement result recorded in either the previous 6 months or 12 months.
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—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, B, C, D: Total number of regular clients who are Indigenous, have Type II diabetes and have had an HbA1c measurement result recorded within the previous 6 months.

Calculation E, F, G, H: Total number of regular clients who are Indigenous, have Type II diabetes and have had an HbA1c measurement result recorded within the previous 12 months.

Denominator data elements:
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—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—glycosylated haemoglobin measurement result recorded 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—regular client indicator, yes/no 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—sex, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care DSS 2012-14
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

Representational attributes

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

Indicator conceptual framework

Framework and dimensions:Effective/Appropriate/Efficient

Data source attributes

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

Australian Institute of Health and Welfare


Source and reference attributes

Submitting organisation:

Australian Institute of Health and Welfare (AIHW)

Department of Health and Ageing (DoHA)

Relational attributes

Related metadata references:

See also Indigenous primary health care: PI06a-Number of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, 2013 Health, Superseded 21/11/2013, Indigenous, Archived 21/11/2013

Supersedes Indigenous primary health care: PI06b-Proportion of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, 2012 Health, Superseded 23/02/2012

Has been superseded by Indigenous primary health care: PI06b-Proportion of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level, 2014 Health, Superseded 13/03/2015, Indigenous, Archived 13/03/2015