Indigenous primary health care: PI07a-Number of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015-2017

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Output measure
Short name:PI07a-Number of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015-2017
METeOR identifier:686434
Registration status:Health, Superseded 17/10/2018
Indigenous, Archived 17/10/2018
Description:

Number of regular clients who are Indigenous, have a chronic disease and for whom a GP Management Plan (MBS Item 721) was claimed 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Indicator set:Indigenous primary health care key performance indicators (2015-2017) Health, Superseded 17/10/2018
Indigenous, Archived 17/10/2018

Collection and usage attributes

Computation description:

Count of regular clients who are Indigenous, have a chronic disease and for whom a GP Management Plan (MBS Item 721) was claimed within the previous 24 months.

‘Regular client’ refers to a client of an Australian Government Department of Health-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 Department of Health-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 (DoH 2014). GP Management Plans, for the purpose of this indicator, are defined in the MBS (Item 721).

Presented as a number.

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 only

Numerator:

Calculation A: Number of regular clients who are Indigenous, have Type II diabetes and for whom a GP Management Plan (MBS Item 721) was claimed 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 NBEDS 2017–18
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 NBEDS 2017–18
Guide for use

The implementation start date for this data element in the Indigenous primary health care NBEDS 2017-18 is 1 December 2017.


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 NBEDS 2017–18
Guide for use

The implementation start date for this data element in the Indigenous primary health care NBEDS 2017-18 is 1 December 2017.


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 NBEDS 2017–18
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 NBEDS 2017–18
Data Element / Data SetPerson—sex, code X
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2017–18
Guide for use

The implementation start date for this data element in the Indigenous primary health care NBEDS 2017-18 is 1 December 2017.


Representational attributes

Representation class:Count
Data type:Real
Unit of measure:Person
Format:

N[N(6)]

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

Australian Government Department of Health

Origin:

DoH (Australian Government Department of Health) 2014. Chronic Disease Management (formerly Enhanced Primary Care or EPC) — GP services. Canberra: DoH. Viewed 28 October 2014,

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

Relational attributes

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, 2015-2017 Health, Superseded 25/01/2018, Indigenous, Archived 27/02/2018

Has been superseded by Indigenous primary health care: PI07a-Number of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2018-2019 Health, Standard 17/10/2018, Indigenous, Endorsed 17/10/2018

See also Indigenous primary health care: PI07b-Proportion of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2015-2017 Health, Superseded 17/10/2018, Indigenous, Archived 17/10/2018