Identifying and definitional attributes
|Metadata item type:||Indicator|
|Indicator type:||Output measure|
|Short name:||PI08a-Number of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2020–2021|
|Registration status:||Health, Standard 16/01/2020|
Indigenous, Final 08/08/2019
Number of regular clients who are Indigenous, have a chronic disease and for whom a Team Care Arrangement (MBS Item 723) was claimed within the previous 24 months.
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. As good quality care for people with chronic disease can involve multiple health-care providers across multiple settings, the development of multidisciplinary care plans is one way in which the client and primary health-care provider can ensure appropriate care is arranged and coordinated.
|Indicator set:||Indigenous primary health care key performance indicators 2020–2021 Health, Standard 16/01/2020|
Indigenous, Final 08/08/2019
Collection and usage attributes
Count of regular clients who are Indigenous, have a chronic disease and for whom a Team Care Arrangement (MBS Item 723) 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.
Team Care Arrangement (MBS Item 723): 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, including patients with these conditions who require multidisciplinary, team-based care from a GP and at least two other health or care providers (DoH 2016). Team Care Arrangements, for the purpose of this indicator, are defined in the MBS (Item 723).
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 723 claimed if there is evidence of a Team Care Arrangement 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.
Calculation A: Number of regular clients who are Indigenous, have Type II diabetes and for whom a Team Care Arrangement (MBS Item 723) was claimed within the previous 24 months.
|Numerator data elements:|
2. Age group:
|Disaggregation data elements:|
This indicator covers a 24 month reporting period from 1 January 2020 to 31 December 2021:
|Unit of measure:||Person|
Indicator conceptual framework
|Framework and dimensions:||Continuous|
Data source 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
Australian Institute of Health and Welfare
Australian Government Department of Health
DoH (Australian Government Department of Health) 2016. Chronic Disease Management—Provider information. Canberra: DoH. Viewed 12 February 2018, http://www.health.gov.au/internet/main/publishing.nsf/
|Related metadata references:|
Supersedes Indigenous primary health care: PI08a-Number of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2018-2019 Health, Superseded 16/01/2020, Indigenous, Endorsed 17/10/2018
See also Indigenous primary health care: PI08b-Proportion of regular clients with a chronic disease for whom a Team Care Arrangement (MBS Item 723) was claimed, 2020–2021 Health, Standard 16/01/2020, Indigenous, Final 08/08/2019