Australian Government: Australian Institute of Health and Welfare METeOR Home Page

Australian Atlas of Healthcare Variation 2018: Number of MBS-subsidised services for cardiac stress tests and imaging per 100,000 population aged 18 years and over, 2016-17

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termCardiac stress tests and imaging, 18 years and over, 2016-17
METeOR identifier:Help on this term709452
Registration status:Help on this termAustralian Commission on Safety and Quality in Health Care, Standard 13/12/2018
Description:Help on this term

Number of MBS-subsidised services for cardiac stress tests and imaging per 100,000 population aged 18 years and over, age-sex standardised.

Indicator set:Help on this termAustralian Atlas of Healthcare Variation 2018 Australian Commission on Safety and Quality in Health Care, Standard 13/12/2018

Collection and usage attributes

Population group age from:Help on this term

18 years and over

Computation description:Help on this term

Inclusion codes, description and additional requirements

MBS code

Description

Additional requirements

Exercise stress test - ECG

Include MBS claims with any of the listed MBS codes. Patients who receive a service more than once, either the same type of cardiac test or any of the others listed, have more than one MBS claim counted.  

11712

MULTI CHANNEL ECG MONITORING AND RECORDING

Stress echocardiography

55116,

55122

EXERCISE STRESS ECHOCARDIOGRAPHY

55117,

55123

PHARMACOLOGICAL STRESS ECHOCARDIOGRAPHY

Myocardial perfusion scans

61302,

61303,

61651,

61652

SINGLE STRESS OR REST MYOCARDIAL PERFUSION STUDY

61306,

61307,

61653,

61654

COMBINED STRESS AND REST

Computed tomography - Coronary arteries

57360,

57361

COMPUTED TOMOGRAPHY OF THE CORONARY ARTERIES

 

For a full description of the MBS items included for this indicator see the last 2016-17 MBS schedule:  http://www.mbsonline.gov.au/internet/mbsonline/publishing.nsf/Content/Downloads-201705

 

Presented as a number of services per 100,000 population.

Rates are directly age-sex standardised, to the 2001 Australian population, using 5-year age groups: 18-24, 25-29, … , 80-84, 85 and over.

For more information about age-standardisation in general see http://meteor.aihw.gov.au/content/index.phtml/itemId/327276

 

A patient’s age is calculated in years as the difference between the patient’s date of birth and date of service, as recorded in the MBS claim. Date of birth and sex are as recorded on a patient’s last processed claim for any service in the processing period.

 

Claim records are allocated to a financial year based on the date the service was provided to the patient. For example for 2016–17, the date of service is between 1 July 2016 and 30 June 2017.

Date of claim processing is between 1 July 2016 and 28 February 2018.

 

Analysis by Statistical Area Level 3 (SA3) 2016 is based on the patient's Medicare enrolment postcode at date of service, as recorded in the MBS claim.

 

Suppress data (number and rate) if at least one of the following conditions are met:

  • the total denominator is less than 1,000

  • the total numerator is less than 20

  • number of services is less than 6
  • number of patients is less than 6
  • number of service providers is less than 6
  • top service provider contributed more than 85% of services
  • top two service providers contributed more than 90% of services.   

 

Age-sex standardised rates are also suppressed where the denominator for at least one of the age-sex groups used to calculate the rate is below 30 and results of sensitivity analysis indicate that the rates are volatile. However, for SA3 data, if the volatility of the rate is not found to have a material impact on its decile, the rate is published with caution. For more information about the sensitivity analysis, see the Technical supplement of the Third Atlas

Computation:Help on this term

100,000 x (Numerator ÷ Denominator)

Numerator:Help on this term

Number of MBS-subsidised cardiac stress tests and imaging, 18 years and over, 2016-17

Numerator data elements:Help on this term
Data Element / Data SetService event—Medicare Benefits Schedule (MBS) item identifier, NN[NNN]
Data Source
Medicare (MBS) data
Data Element / Data SetPerson—sex, code A
Data Source
Medicare (MBS) data
Data Element / Data SetPerson—date of birth, DDMMYYYY
Data Source
Medicare (MBS) data
Data Element / Data SetService event—date of Medicare service, DDMMYYYY
Data Source
Medicare (MBS) data
Data Element / Data SetService event—Medicare Benefits Schedule (MBS) processing date, DDMMYYYY
Data Source
Medicare (MBS) data
Guide for use

Data source type: Administrative by-product data


Denominator:Help on this term

Total population aged 18 years and over, as at 30 June 2016

Denominator data elements:Help on this term
Data Element / Data SetPerson—estimated resident population of Australia, total people N[N(7)]
Data Source
ABS Australian Demographic Statistics
Guide for use

Data source type: Census based plus administrative by-product data


Disaggregation:Help on this term

SA3 2016 by:

• remoteness (ASGS Remoteness structure 2016) and Socio-Economic Indexes for Areas (SEIFA 2016) Index of Relative Socioeconomic Disadvantage (IRSD 2016)

Primary Health Network (PHN) 2017

State and territory

 

State and territory by:

  • age group (18-44 years, 45-79 years, 80 years and over)

  • referral provider type (GP, cardiologist and other)

  • cardiac test type (exercise stress test - ECG, stress echocardiography, myocardial perfusion scans, computed tomography - coronary arteries)

 

Disaggregation data elements:Help on this term
Data Element / Data SetAddress—Australian postcode, code (Postcode datafile) NNNN
Data Source
Medicare (MBS) data
Data Element / Data SetPerson—date of birth, DDMMYYYY
Data Source
Medicare (MBS) data
Data Element / Data SetData Element

Service/care provider—specialty of requesting provider, health professional derived specialty code NNNN 

Medicare Benefits Schedule (MBS) subsidised services—MBS aggregate item code, NNNNN


Data Source
Medicare (MBS) data
Data Element / Data SetData Element

 

 

 


Data Source
Medicare (MBS) data
Guide for use

GPO postcodes 2001, 2124, 3001, 4001, 5001, 6843 excluded from the SA3 analysis but included in state/territory and national level analysis.

Data source type: Administrative by-product data

Used for disaggregation by Statistical Area Level 3.


Data Element / Data SetData Element

Address—statistical area, level 3 (SA3) code (ASGS 2016) NNNNN


Representational attributes

Representation class:Help on this termRate
Data type:Help on this termInteger
Unit of measure:Help on this termService event
Format:Help on this term

NN[NNNN]

Data source attributes

Data sources:Help on this term
Data SourceMedicare (MBS) data
Frequency
Monthly
Data custodian
Department of Health

Data SourceABS Australian Demographic Statistics
Frequency
Quarterly
Data custodian

Australian Bureau of Statistics


Accountability attributes

Methodology:Help on this term

Statistical Area Level 3 (SA3s) are geographic areas defined in the ABS Australian Statistical Geography Standard (ASGS). The aim of SA3s is to create a standard framework for the analysis of ABS data at the regional level through clustering groups of SA2s that have similar regional characteristics. There are 340 spatial SA3s covering the whole of Australia without gaps or overlaps. They are designed to provide a regional breakdown of Australia. SA3s generally have a population of between 30,000 and 130,000 people. There are approximately 78 with fewer than 30,000 people and 46 with more than 130,000 as at 30 June 2016. The Other Territories of Jervis Bay, Cocos (Keeling) Islands, Christmas Island and Norfolk Island are each represented by a SA3 in the 2016 ASGS. For further information see the ABS publication, Population by Age and Sex, Regions of Australia, 2016. ABS. cat. no. 3235.0.

Further information on the Medicare Benefits Schedule (MBS) can be found at <http://www.mbsonline.gov.au/internet/mbsonline/publishing.nsf/Content/Home>

Reporting requirements:Help on this term

Australian Commission on Safety and Quality in Health Care

The Third Australian Atlas of Healthcare Variation 2018

Organisation responsible for providing data:Help on this term

Australian Institute of Health and Welfare

Accountability:Help on this term

Australian Commission on Safety and Quality in Health Care

Release date:Help on this term11/12/2018

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

My items Help on this term
Download Help on this term