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Indigenous-specific primary health care: PI07b-Proportion of Indigenous regular clients with a chronic disease who have a Chronic Disease Management Plan prepared, December 2020

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termPI07b-Proportion of Indigenous regular clients with a chronic disease who have a Chronic Disease Management Plan prepared, December 2020
METeOR identifier:Help on this term731846
Registration status:Help on this termIndigenous, Endorsed 14/07/2021
Description:Help on this term

Proportion of Indigenous regular clients who have a chronic disease and for whom a Chronic Disease Management Plan was prepared within the previous 24 months.

Rationale:Help on this term

Preventable chronic diseases are responsible for a significant burden of disease for Indigenous Australians and if poorly controlled increase hospitalisations, complications and the cost of health care. Care plans are the foundation for providing appropriate long-term care (NT AHKPIs).

Indicator set:Help on this termIndigenous-specific primary health care national key performance indicators December 2020 Indigenous, Endorsed 14/07/2021

Collection and usage attributes

Computation description:Help on this term

Proportion of Indigenous regular clients who have a chronic disease (type 2 diabetes) and for whom a Chronic Disease Management Plan was prepared within the previous 24 months.

Presented as a percentage.

Count is of people, not plans.

Consider only the most recent plan.

Chronic Disease Management Plan: 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. It includes MBS-rebated Chronic Disease Management Plans (MBS items: 721; 229; 92024; 92068; 92055; or 92099).

Organisations taking part in the Health Care Homes Trial: for the duration of the Health Care Homes trial (currently 1 October 2017 to 30 June 2021), clients who are part of the trial will be deemed to have had a Chronic Disease Management Plan prepared if there is evidence of a Chronic Disease Management Plan recorded.

Computation:Help on this term

(Numerator ÷ Denominator) x 100

Numerator:Help on this term

Calculation A: Number of Indigenous regular clients who have type 2 diabetes and for whom an in-person MBS-rebated Chronic Disease Management Plan (MBS items: 721, or 229) was prepared within the previous 24 months.

Calculation B: Number of Indigenous regular clients who have type 2 diabetes and for whom a Telehealth MBS-rebated Chronic Disease Management Plan (MBS items: 92024, 92068, 92055, or 92099) was prepared within the previous 24 months.

Numerator data elements:Help on this term
Data Element / Data SetPerson—diabetes mellitus status, code NN
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Type 2 diabetes only.


Data Element / Data SetPerson—Indigenous status, code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Indigenous only.


Data Element / Data SetPerson—regular client indicator, yes/no code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Regular clients only.


Data Element / Data SetPerson—chronic disease management plan type, code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Denominator:Help on this term

Calculation A and B: Total number of Indigenous regular clients who have type 2 diabetes.

Denominator data elements:Help on this term
Data Element / Data SetPerson—diabetes mellitus status, code NN
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Type 2 diabetes only.


Data Element / Data SetPerson—regular client indicator, yes/no code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Regular clients only.


Data Element / Data SetPerson—Indigenous status, code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Guide for use

Indigenous only.


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.

3. Type of Chronic Disease Management Plan:
a) In-person MBS-rebated Chronic Disease Management Plan

b) Telehealth MBS-rebated Chronic Disease Management Plan.

Disaggregation data elements:Help on this term
Data Element / Data SetPerson—sex, code X
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Data Element / Data SetPerson—age, total years N[NN]
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Data Element / Data SetPerson—chronic disease management plan type, code N
Data Source
Indigenous-specific primary health care national Key Performance Indicators (nKPI) data collection
NMDS / DSS
Indigenous-specific primary health care NBEDS December 2020
Comments:Help on this term

Census date for reporting is 31 December 2020.

Representational attributes

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

N[NN].N

Indicator conceptual framework

Framework and dimensions:Help on this termContinuous

Data source attributes

Data sources:Help on this term
Data SourceIndigenous-specific primary health care national Key Performance Indicators (nKPI) 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

Department of Health 2016. Chronic Disease ManagementProvider information. Canberra: DoH. Viewed 12 February 2017, 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: PI07b-Proportion of regular clients with a chronic disease for whom a GP Management Plan (MBS Item 721) was claimed, 2020–2021 Health, Standard 16/01/2020, Indigenous, Final 08/08/2019

See also Indigenous-specific primary health care: PI07a-Number of Indigenous regular clients with a chronic disease who have a Chronic Disease Management Plan prepared, December 2020 Indigenous, Endorsed 14/07/2021

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