Indigenous primary health care: PI21b-Proportion of regular clients aged 35 to 74 years who have had an absolute cardiovascular disease (CVD) risk assessment with results within specified levels, 2020–2021

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Indicator
Short name:PI21b-Proportion of regular clients, aged 35 to 74 years, who have had absolute cardiovascular disease (CVD) risk assessment with results within specified levels, 2020–2021
METeOR identifier:717354
Registration status:Health, Standard 16/01/2020
Indigenous, Final 08/08/2019
Description:

Proportion of Indigenous regular clients, aged 35 to 74 and with no known history of cardiovascular disease (CVD), who have had an absolute CVD risk assessment recorded within the previous 24 months and whose CVD risk was categorised as one of the following:

  • High (greater than 15% chance of a cardiovascular event in the next 5 years)
  • Moderate (10-15% chance of a cardiovascular event in the next 5 years)
  • Low (less than 10% chance of a cardiovascular event in the next 5 years).
Rationale:

Early identification of persons at high CVD risk is important for effective prevention and management of the underlying disease. This is particularly the case for Indigenous Australians because of their poor CVD outcomes.

Since a number of risk factors contribute to the development of CVD in an accumulative fashion, using two or more risk factors to assess risk has greater predictive power and is more accurate than if considered alone. Basing management decisions using multiple CVD risk factors therefore should improve health outcomes.

Indicator set:Indigenous primary health care key performance indicators 2020–2021 Health, Standard 16/01/2020
Indigenous, Final 08/08/2019
Outcome area:Indigenous Australians achieve health outcomes comparable to the broader population Indigenous, Endorsed 21/07/2010

Collection and usage attributes

Population group age from:

35 years

Population group age to:

74 years

Computation description:

Proportion of Indigenous regular clients, aged 35 to 74 and with no known history of cardiovascular disease (CVD), who have had an absolute CVD risk assessment recorded within the previous 24 months and whose CVD risk was categorised as one of the following:

  • High (greater than 15% chance of a cardiovascular event in the next 5 years)
  • Moderate (10-15% chance of a cardiovascular event in the next 5 years)
  • Low (less than 10% chance of a cardiovascular event in the next 5 years).

‘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.

Computation:

(Numerator ÷ Denominator) x 100

Numerator:

Calculation A: Number of Indigenous regular clients, aged 35 to 74 and with no known history of cardiovascular disease (CVD), who have had an absolute CVD risk assessment recorded within the previous 24 months with risk assessed as high (greater than 15% over the next 5 years).

Calculation B: Number of Indigenous regular clients, aged 35 to 74 and with no known history of cardiovascular disease (CVD), who have had an absolute CVD risk assessment recorded within the previous 24 months with risk assessed as moderate (10-15% over the next 5 years).

Calculation C: Number of Indigenous regular clients, aged 35 to 74 and with no known history of cardiovascular disease (CVD), who have had an absolute CVD risk assessment recorded within the previous 24 months with risk assessed as low (less than 10% over the next 5 years).

Numerator data elements:
Data Element / Data SetPerson—Indigenous status, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2020–21
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2020–21
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 2020–21
Data Element / Data SetPerson—absolute cardiovascular disease risk assessment result categories, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2020–21
Data Element / Data SetPerson—cardiovascular disease recorded indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2020–21
Data Element / Data SetPerson—absolute cardiovascular disease risk assessment result recorded indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2020–21
Denominator:

Number of regular clients who are Indigenous, aged 35 to 74, are not recorded as having CVD and who have had an absolute CVD risk assessment result recorded within the previous 24 months.

Denominator data elements:
Data Element / Data SetPerson—Indigenous status, code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2020–21
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2020–21
Data Element / Data SetPerson—absolute cardiovascular disease risk assessment result recorded indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2020–21
Data Element / Data SetPerson—cardiovascular disease recorded indicator, yes/no code N
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2020–21
Disaggregation:

1. Sex
a) Male
b) Female

2. Age group:
a) 35–44 years
b) 45–54 years
c) 55–64 years
d) 65–74 years

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 2020–21
Data Element / Data SetPerson—sex, code X
Data Source
Indigenous primary health care data collection
NMDS / DSS
Indigenous primary health care NBEDS 2020–21
Comments:

This indicator covers a 24 month reporting period from 1 January 2020 to 31 December 2021:

  • Indigenous primary health care NBEDS 2019–20 covers the period 01/01/2020 to 30/06/2020
  • Indigenous primary health care NBEDS 2020–21 covers the period 01/07/2020 to 30/06/2021
  • Indigenous primary health care NBEDS 2021–22 (to be released) will cover the period 01/07/2021 to 31/12/2021.

Representational attributes

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

N[N].N

Indicator conceptual framework

Framework and dimensions:Effective/Appropriate/Efficient

Data source attributes

Data sources:
Data SourceIndigenous primary health care data collection
Frequency
6 monthly
Data custodian

Australian Institute of Health and Welfare


Source and reference attributes

Submitting organisation:

Australian Institute of Health and Welfare

Australian Government Department of Health

Relational attributes

Related metadata references:

See also Indigenous primary health care: PI21a-Number of regular clients aged 35 to 74 years who have had an absolute cardiovascular disease (CVD) risk assessment with results within specified levels, 2020–2021 Health, Standard 16/01/2020, Indigenous, Final 08/08/2019

Supersedes Indigenous primary health care: PI21b-Proportion of regular clients aged 35 to 74 years who have had an absolute cardiovascular disease (CVD) risk assessment with results within specified levels, 2018-2019 Health, Superseded 16/01/2020, Indigenous, Endorsed 17/10/2018