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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

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termOutput measure
Short name:Help on this termPI07a-Number of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2018-2019
METeOR identifier:Help on this term687948
Registration status:Help on this termHealth, Standard 17/10/2018
Indigenous, Endorsed 17/10/2018
Description:Help on this term

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:Help on this term

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:Help on this termIndigenous primary health care key performance indicators 2018-2019 Health, Standard 17/10/2018
Indigenous, Endorsed 17/10/2018

Collection and usage attributes

Computation description:Help on this term

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 2016). GP Management Plans, for the purpose of this indicator, are defined in the MBS (Item 721).

Services taking part in the Health Care Homes Trial: For the duration of the Health Care Homes trial (currently 1 October 2017 to 30 November 2019), clients who are part of the trial will be deemed to have had an MBS Item 721 claimed if there is evidence of a GP Management Plan recorded.

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:Help on this term

Numerator only

Numerator:Help on this term

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:Help on this term
Data Element / Data SetPerson—diabetes mellitus status, code NN
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
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 2018–19
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 2018–19
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 2018–19
Disaggregation:Help on this term

1. Sex:
a) Male
b) Female

2. Age group:
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:Help on this term
Data Element / Data SetPerson—sex, code X
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2018–19

Representational attributes

Representation class:Help on this termCount
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this term

N[N(6)]

Indicator conceptual framework

Framework and dimensions:Help on this termContinuous

Data source attributes

Data sources:Help on this term
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:Help on this term

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:Help on this term

Australian Institute of Health and Welfare

Australian Government Department of Health

Origin:Help on this term

DoH (Australian Government Department of Health) 2016. Chronic Disease ManagementProvider information. Canberra: DoH. Viewed 12 February 2018, http://www.health.gov.au/internet/main/publishing.nsf/
Content/mbsprimarycare-factsheet-chronicdisease.htm
.

Relational attributes

Related metadata references:Help on this term

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 17/10/2018, Indigenous, Archived 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, 2018-2019 Health, Standard 17/10/2018, Indigenous, Endorsed 17/10/2018

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