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Definition

Proportion of regular clients who are Indigenous, have a chronic disease and who have received a GP Management Plan (MBS Item 721) within the previous 24 months.

Indicator Summary

Numerator
Calculation A: Number of regular clients who are Indigenous, have Type II diabetes and who have received a GP Management Plan (MBS Item 721) within the previous 24 months.
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Denominator
Calculation A: Total number of regular clients who are Indigenous and have Type II diabetes.
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Computation

Proportion of regular clients who are Indigenous, have a chronic disease and who have received a GP Management Plan (MBS Item 721) within the previous 24 months.

‘Regular client’ refers to a client of an OATSIH-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; …

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Disaggregation

1. Sex:
a) Male
b) Female

2. Age:
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

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Calculation rules

Computation Rule
Description

Proportion of regular clients who are Indigenous, have a chronic disease and who have received a GP Management Plan (MBS Item 721) within the previous 24 months.

‘Regular client’ refers to a client of an OATSIH-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 OATSIH-funded primary health care service at least 3 times in 2 years.

GP Management Plan (MBS Item 721): 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 (Department of Health and Ageing 2011). GP Management Plans, for the purpose of this indicator, are defined in the MBS (Item 721).

Presented as a percentage.

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.

Numerators
Calculation A: Number of regular clients who are Indigenous, have Type II diabetes and who have received a GP Management Plan (MBS Item 721) within the previous 24 months.
Denominators
Calculation A: Total number of regular clients who are Indigenous and have Type II diabetes.
Disaggregation

1. Sex:
a) Male
b) Female

2. Age:
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

Comments

Origin:

Department of Health and Ageing 2011. Department of Health and Ageing, Canberra. Viewed 27 May 2011,

<http://www.health.gov.au/internet/main/publishing.nsf/Content/mbsprimarycare-chronicdiseasemanagement>

References

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