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Overview

The CDSA Tool has been developed to report on the completeness of patient demographic and health summary data within the general practice clinical system. It provides the following reports:

  • 'Data Quality Dashboard Report' to indicate the overall status of data quality based on the data indicators.
  • 'Data Completeness Report' to report the % of completeness for each data indicator.
  • 'Data Completeness Patient Graph' to provide a graphical view of the data indicators and allow re-identification of patients where data is missing.
  • 'Duplicate Patients Report' to list patient records within the clinical system where duplication is suspected.



The CDSA Tool is available in CAT Version 3 for clinical systems where the CAT data extract meets to CAT data specifications version 1_12 or higher. It can be accessed from the CAT4 view under the 'Data Quality' tab. Under that tab are four different tabs which are described in more detail below.

Warning

Please note that the percentages shown on the Data Quality Dashboard are an in some cases an average value of the individual indicators. The Allergies and adverse reaction dashboard is a combination of Allergy Status recorded, Coded Allergy recorded and Reaction Completed.

Generally speaking the Data Completeness Report will give much more detail than the dashboard and is the recommended report to understand the data quality dashboard.


 

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Data
Indicators

The data indicators are based on the data content outlined in the RACGP data recommendations http://www.racgp.org.au/ehealth/summary
and are grouped into sections as follows:

  1. Allergies and Adverse Reactions
  2. Medicines
  3. Medical History
  4. Health Risk Factors
  5. Immunisations
  6. Relevant Family History
  7. Relevant Social History


Detailed data indicator information is provided in Appendix A at the end of this guide.
Some indicators may not be available for some clinical systems. These are provided in Appendix B at the end of this guide.

Data Quality Dashboard

 

Data Quality
> Dashboard
Report

The Data Quality Dashboard provides a report indicating the overall status of data quality based on the data indicators. It displays each data content section with a 'Traffic Light' status icon
calculated from the % completeness of each data indicator within the section. Each indicator contributes equal weight to the overall status Indicators that are not available for a clinical system do not contribute to the overall status.
.

The 'Traffic Light' status icons will display:
RED : 0 – 60% for all
ORANGE : > 60 – 90% for allergies, >60 - 75% for the other indicators
GREEN : > 90% for allergies, > for the other indicators

An additional section for 'Duplicate Patients' is included. The dashboard status for this section is calculated as the percentage of patients where no potential duplication exists.
Note: There will always be some potential duplication that is not an error but with a 'clean' database this should be small and the status icon should be green.

The Data Quality Dashboard provides links to the relevant RACGP fact sheets which provide information on addressing identified gaps and improving overall clinical data quality. The RACGP has not published

updated fact sheets for the 5th Edition of their guidelines, but the recommendations have not changed.

 

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Data Completeness Reports

 

Data Quality
> Data
Completeness
Report

The Completeness Report provides a % of completeness for each data indicator.

For each data indicator the report displays:
Measure = measure description
Count = the number of data items correctly recorded
Eligible population = the possible number of data items for this measure (the measure denominator)
% = the count as a % of the eligible population

The eligible population is generally Active patients (3 visits in the last 2 years). Where an indicator has a different denominator this is highlighted on the report.

Indicators that are not available for a clinical system are highlighted in the report as 'Not Available'.

 

 

Data Quality
> Data
Completeness
Graph

The Completeness graph provides a graphical view of the data indicators by patient and allows re-identification of patients where data is missing.

For each data indicator the report displays a patient in one of the following categories:
Green = Recorded (all items for this measure are recorded)
Orange = Partially recorded (some items for this measure are recorded)
Red = Not recorded (no items for this measure are recorded)
Grey = Not Available (no items for this measure are available for recording)

The eligible population is the Active patients (3 visits in the last 2 years). Where an indicator has a subset denominator this is highlighted in the report label.

 

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Data
Completeness
Worksheet

Patient data can be exported from the Data Completeness Graph using the 'Worksheet' button.

The worksheet provides patient demographic details and a summary of the data contributing to each indicator. This allows missing data to be easily identified for follow up.


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