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Indigenous primary health care NBEDS 2020–21

Identifying and definitional attributes

Metadata item type:Help on this termData Set Specification
METeOR identifier:Help on this term715320
Registration status:Help on this termHealth, Candidate 05/12/2019
DSS type:Help on this termData Set Specification (DSS)
Scope:Help on this term

The Indigenous primary health care national best endeavours data set (IPHC NBEDS) is primarily designed to support the collection of aggregate information from Indigenous-specific primary health-care services. The IPHC NBEDS describes the aggregate data to be reported by those Indigenous-specific primary health-care services.

For the purposes of the IPHC NBEDS, Aboriginal and Torres Strait Islander primary health care is defined as:

“…socially and culturally appropriate, universally accessible, scientifically sound, first level care. It is provided by health services and systems with a suitably trained workforce comprised of multidisciplinary teams supported by integrated referral systems in a way that: gives priority to those most in need and addresses health inequalities; maximises community and individual self-reliance, participation and control and; involves collaboration and partnership with other sectors to promote public health. Comprehensive primary health care includes health promotion, illness prevention, treatment, and care of the sick, community development, advocacy, and rehabilitation services.”

This definition has been endorsed by the Aboriginal Medical Services Alliance of the Northern Territory (AMSANT), the Australian General Practice Network (AGPN), the Australian Primary Health Care Research Institute (APHCRI), and the Australian Medical Association (AMA).

Aboriginal and Torres Strait Islander primary health care services include:

1. Aboriginal Community Controlled Health Service (ACCHS): primary health-care services initiated and operated by the local Aboriginal community to deliver holistic, comprehensive, and culturally appropriate health care to the community which controls it (through a locally elected Board of Management); and

2. Other Aboriginal and Torres Strait Islander primary health-care services: health services funded principally to provide services to Aboriginal and Torres Strait Islander individuals with funding provided by the Australian Government and/or state or territory governments. These non community-controlled services mainly exist in the Northern Territory and northern part of Queensland.

Indigenous-specific primary health-care services aggregate their data using cohort definitions and specialised software and then submit the data to the Health Data Portal (HDP). The HDP is the Commonwealth Department of Health’s secure web-based data submission platform.

No individual level client data will be supplied by Indigenous-specific primary health-care services. The data do not include data elements describing any details relating to or arising from individual client visits, at the client visit level, e.g. blood pressure measurements, body mass index (BMI) values and so on. As such, the IPHC NBEDS refers to aggregate data at health-service level only.

Aggregate data were initially collected from a limited number of primary health-care services, i.e. those funded by the Office for Aboriginal and Torres Strait Islander Health (OATSIH; Commonwealth Department of Health) via the Healthy for Life program. From mid-2012, data collection was extended to the remainder of services funded by OATSIH to deliver primary health care.

Collection and usage attributes

Statistical unit:Help on this term

Each unit represents aggregated data from an individual Indigenous-specific primary health care service.

Collection methods:Help on this term

The IPHC NBEDS describes only the aggregated data. Client Information Systems (CIS) contain many variables related to individual clients, but only those data items specified by nKPI technical specifications are extracted. Many of these CIS are able to extract, aggregate and upload the de-individualised data directly to the Health Data Portal (HDP) though a direct-load process. Services with systems unable to complete the direct-load process are able to manually enter aggregated data directly into a web-based form through the HDP.

Once these data have been uploaded, reviewed and approved by the Indigenous-specific primary health-care service, they are then accessible to the AIHW. The AIHW reviews the data and works with the service on any potential data quality issues. Once the data are finalised, they are accessible to the Commonwealth Department of Health.

The regular client status of a client will be determined by the service.

National reporting arrangements

Each service funded to provide Indigenous-specific primary health care should record service provision in clinical information management systems that allow the electronic transmission of data for reporting.

Periods for which data are collected and nationally collated

Data collections and data reporting will be on a 6-monthly basis.

Implementation start date:Help on this term01/07/2020
Implementation end date:Help on this term30/06/2021

Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

Department of Health

Relational attributes

Related metadata references:Help on this term

Supersedes Indigenous primary health care NBEDS 2019–20 Health, Standard 12/12/2018, Indigenous, Endorsed 02/04/2019

See also Indigenous primary health care key performance indicators 2020–2021 Health, Candidate 08/11/2019, Indigenous, Final 08/08/2019

Metadata items in this Data Set SpecificationHelp on this term

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Seq No.Help on this termMetadata itemHelp on this term ObligationHelp on this term Max occursHelp on this term
-Address—address site name, text X[X(49)]Conditional2
-Address—Australian postcode, code (Postcode datafile) NNNNMandatory2
-Address—Australian state/territory identifier, code AA[A]Mandatory2
-Address—electronic communication address, text X[X(1099)]Mandatory7
-Address—electronic communication medium, code N[N]Mandatory7
-Address—road name, text X[X(44)]Mandatory2
-Address—road number 1, road number XXXXXXMandatory2
-Address—road number 2, road number XXXXXXConditional2
-Address—road type, code AA[AA]Mandatory2
-Address—sub-dwelling unit number, identifier X[X(6)]Conditional2
-Address—suburb/town/locality name, text X[X(45)]Mandatory2
-Child—fully immunised recorded indicator, yes/no code NMandatory1
-Female—cervical screening indicator, yes/no/not stated/inadequately described code NConditional3
-Female—hysterectomy indicator, yes/no code NConditional1
-Organisation—name type, code NMandatory1
-Organisation—organisation name, text X[X(199)]Mandatory1
-Person—absolute cardiovascular disease risk assessment result categories, code NConditional1
-Person—absolute cardiovascular disease risk assessment result recorded indicator, yes/no code NMandatory1
-Person—age, total years N[NN]Mandatory1
-Person—albumin/creatinine ratio (ACR) result, code NMandatory1
-Person—alcohol consumption status recorded indicator, yes/no code NConditional1
-Person—AUDIT-C result recorded indicator, yes/no code NMandatory1
-Person—AUDIT-C result, code NConditional1
-Person—birthweight recorded indicator, yes/no code NConditional1
-Person—blood pressure measurement result less than or equal to 130/80 mmHg indicator, yes/no code NConditional1
-Person—blood pressure measurement result recorded indicator, yes/no code NConditional1
-Person—body mass index (classification), code N[.N]Conditional1
-Person—body mass index recorded indicator, yes/no code NConditional1
-Person—cardiovascular disease recorded indicator, yes/no code NMandatory1
-Person—chronic obstructive pulmonary disease recorded indicator, yes/no code NMandatory1
-Person—diabetes mellitus status, code NNMandatory1
-Person—estimated glomerular filtration rate (eGFR) recorded indicator, yes/no code NMandatory1
-Person—estimated glomerular filtration rate (eGFR) result, code N[A]Conditional1
-Person—glycosylated haemoglobin level, code NConditional2
-Person—glycosylated haemoglobin measurement result recorded indicator, yes/no code NConditional2
-Person—GP Management Plan (MBS Item 721) indicator, yes/no code NConditional1
-Person—HDL cholesterol measurement result recorded indicator, yes/no code NMandatory1
-Person—Indigenous status, code NMandatory1
-Person—influenza immunisation indicator, yes/no code NConditional1
-Person—MBS Health Assessment for Aboriginal and Torres Strait Islander People (MBS Item 715) indicator, yes/no code NConditional2
-Person—microalbumin urine test result recorded indicator, yes/no code NMandatory1
-Person—regular client indicator, yes/no code NMandatory1
-Person—sex, code XMandatory1
-Person—smoking status recorded indicator, yes/no code NConditional1
-Person—systolic blood pressure measurement result recorded indicator, yes/no code NMandatory1
-Person—Team Care Arrangement (MBS Item 723) indicator, yes/no code NConditional1
-Person—tobacco smoking status, code NConditional1
-Person—total cholesterol measurement result recorded indicator, yes/no code NMandatory1
-Pregnancy—birth plurality, code NConditional1
-Pregnancy—estimated duration of pregnancy at the first antenatal care visit, total completed weeks N[N]Conditional1
-Product of birth—birth status, code NConditional1
-Product of birth—birthweight, code NConditional1
-Service provider organisation—Australian state/territory identifier, code NMandatory1
-Service provider organisation—day of operation, code NMandatory7
-Service provider organisation—full-time equivalent staff (paid), total N[NNN{.N}]Mandatory1
-Service provider organisation—number of service operation days (7 day period), total N[N]Mandatory1
-Service provider organisation—number of service operation hours (24 hour period), total NNMandatory1
-Service provider organisation—number of service operation weeks (calendar year), total NNMandatory1
-Service provider organisation—standards assessment indicator, yes/no code NMandatory1
-Service provider organisation—standards assessment level, code NMandatory1
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