Page History

Introduction

As part of the National part of the National Indigenous Reform Agreement (NIRA), the Council of Australian Governments (COAG) agreed that the Department of Health and Ageing, in partnership with the state and territory health departments and in collaboration with the Australian Institute of Health and Welfare (AIHW), would develop a set of national key performance indicators (KPIs) for Indigenous specific primary health care services. AIHW have provided specifications for these indicators. More information can be found on their website http://www.aihw.gov.au/indigenous-primary-health-care-nkpi/

The CAT National KPI module is available in CAT4 , for clinical systems where the CAT data extract meets the CAT data specifications version 1_6 or higher Indicators PI01 and PI02 are only available for CAT data specifications version 1_10 or higher
Indicator PI13 is only available for CAT data specifications version 1_15 or higher or Communicare v13.2. The module provides:

• A summary indicator report
• An extended indicator report which provides additional breakdown by age and gender
  
  
  The Standard NKPI Report displays data for regular clients as defined by AIHW.
  
  MBS Item Indicators in the report (indicators P103, P107 and P108) are available where the clinical and billing systems are provided by the same vendor or are supported by CAT.

About this Guide

This guide provides a description of each indicator in the report. The 'CAT User Guide Appendices Data Mappings' provides an explanation of where most of the data items are collected from in each clinical system. This guide provides any additional explanations required and details of any calculations used.

Notes:
1) A regular client is a patient who has visited the health service at least 3 times in the past 2 years.
2) A visit is any patient contact that has been recorded in the progress notes.
3) Reporting at 30/06/2012 includes inactive/archived patients
4) Reporting at 31/12/2012 includes inactive/archived patients and deceased patients Extract files dated from 1^st November 2012 will include deceased patients. This will be indicated at the top of the report.

Number of regular Indigenous clients, aged 15 years and over, who have had an AUDIT-C result recorded in the previous 24 months      

with a score of:

• greater than or equal to 4 in males and 3 in females; or
• less than 4 in males and 3 in females. 

This indicator has two tables, one for male and one for female patients.

Male/Female, and                                                                       

• 15

PI18 Kidney function test in patients with Diabetes II

or CVD

• Male/Female, and

Extended report breakdown by:
 

• 15-24 years
• 25-34 years
• 35-44 years
• 45-54 years
• 55-64 years
• >= 65 years

How to find patients with missing data using CAT 
                                                                  

Use the new NPKI graph Alcohol AUDIT-C Results on the Chronic Disease Risk Factors page to see a the results represented in a graph  

and double click on the part of the graph 

(M:Score<4, F:Score<3 or M:Score>=4, F:Score>=3 to see the patient details. No filters are required

PI18 Kidney function test in patients with Diabetes II

or CVD

Regular Indigenous clients aged >=15 years who have had a kidney function test in the last 12 months who are diagnosed with                 

A: Type II Diabetes

Kidney function tests included are

a)eGFR only

b) ACR ACR or other microalbumin test (includes microalbumin spot test, albumin urinary excretion and            
albumin urininary excretion 24hr) only

c) eGFR and ACR

d) Not Recorded

B: CVD

Kidney function tests included are

a) eGFR

b) Not Recorded

• Male/Female, and

Extended report breakdown by:
 

• 15-24 years
• 25-34 years
• 35-44 years
• 45-54 years
• 55-64 years
• >= 65 years

Calculation A

Calculation A:

In the CAT filters set the following:

1)     General tab >  “Active” checkbox ticked

2)     Ethnicity tab > “Indigenous” checkbox ticked

3)     Conditions tab > Diabetes Type II ticked

4)     Results tab > select results “<=12 mths”

Click Recalculate

In the CAT graphs open the Pathology > eGFR, ACR, Microalbumin tabs                                                                      

Select the “No Data’ segment on each graph

Click Report (under top menu bar)

Calculation B:

In the CAT filters set the following:

1)     General tab >  “Active” checkbox ticked

2)     Ethnicity tab > “Indigenous” checkbox ticked

3)     Conditions tab > Cardiovascular Disease (CVD) Diabetes Type II ticked

4)     Results tab > select results “<=12 mths”

Click Recalculate

In the CAT graphs open the Pathology > eGFR tab, ACR, Microalbumin tabs                                                                      

Select the “No Data’ segment on each graph

Click ExportReport (under top menu bar)

Calculation B:

In the CAT filters set the following:

1)     General tab >  “Active” checkbox ticked

2)     Ethnicity tab > “Indigenous” checkbox ticked

3)     Conditions tab > Cardiovascular Disease (CVD) ticked

4)     Results tab > select results “<=12 mths”

Click Recalculate

In the CAT graphs open the Pathology > eGFR tab

Select the “No Data’ segment

Click Export

PI19 Kidney function test results in patients
with Type II Diabetes or CVD

The proportion of regular Indigenous clients, aged 15 years and over who are recorded as  having Type II Diabetes and/or CVD who have

had an estimated glomerular filtration rate (eGFR) recorded within the previous 12 months. The results are represented in a table

showing the following values as numbers and percentage of the total:

1. >= 90
2. >= 60 and < 90
3. >= 45 and < 60
4. >= 30 and < 45
5. >= 15 and < 30
6. <15
   
   
    

Calculation A (clients with Diabetes)                                                                                                                                    

Calculation A (clients with Diabetes)                                                                                                                                    

In the CAT filters set the following:

General tab > Age

Start age = 15 Yrs

Ethnicity tab > “Indigenous” checkbox ticked

Conditions tab > Diabetes Type II ticked

Results tab > select results “<=12 mths”

Click Recalculate

In the CAT graphs open the Pathology > eGFR tab

Select the “No Data’ segment on the graph

Click Export

Calculation B (clients with CVD)

In the CAT filters set the following:

General tab > Age

Start age = 15 Yrs

Ethnicity tab > “Indigenous” checkbox ticked

Conditions tab > Cardiovascular Disease Diabetes Type II ticked

Results tab > select results “<=12 mths”

Click Recalculate

In the CAT graphs open the Pathology > eGFR tab

Select the “No Data’ segment on the graph

Click Export

Proportion of Indigenous clients aged 35 to 74 years who are regular clients of the service, without a diagnosis of CVD, who have had the

necessary risk factors recorded to enable CVD assessment:

• Age
• Gender
• Systolic BP (<24mths)
• Total Cholesterol (<24mths)
• HDL (<24mths)
• Smoking Status
• Diabetes

Calculation B (clients with CVD)

In the CAT filters set the following:

General tab > Age

Start age = 15 Yrs

Ethnicity tab > “Indigenous” checkbox ticked

Conditions tab > Cardiovascular Disease ticked

Results tab > select results “<=12 mths”

Click Recalculate

In the CAT graphs open the Pathology > eGFR tab

Select the “No Data’ segment on the graph

Click Export

Proportion of Indigenous clients aged 35 to 74 years who are regular clients of the service, without a diagnosis of CVD, who have had the

necessary risk factors recorded to enable CVD assessment:

• Age
• Gender
• Systolic BP (<24mths)
• Total Cholesterol (<24mths)
• HDL (<24mths)
• Smoking Status
• Diabetes

Due to the large number of different risk factors involved in this

Due to the large number of different risk factors involved in this indicator you will have to check the corresponding reports as listed:

In the CAT filters set the following:                                                                                                                                        

For missing Age and Gender please refer to the guide at the end of this document. Follow that guide and add

Ethnicity tab > "Indigenous" checkbox ticked

Conditions tab > Chronic > CVD ' No' ticked

For missing BP, Cholesterol and HDL:

General tab> 'Active' box ticked

Start Age = 35, End Age = 74

Ethnicity tab > "Indigenous" checkbox ticked

Conditions tab > Chronic > CVD ' No' ticked

Date Range Result tab> <=24mths selected

For BP check the Measures>BP>No BP recorded part of the graph

For Cholesterol check the Pathology>Lipids>Cholesterol> No Cholesterol recorded part of the graph

For HDL check the Pathology>Lipids>HDL> No HDL recorded part of the graph

For missing Smoking Status:

General tab> 'Active' box ticked

Start Age = 35, End Age = 74

Ethnicity tab > "Indigenous" checkbox ticked

Conditions tab > Chronic > CVD ' No' ticked

Check the graph Smoking>Status> Nothing Recorded

of the graph

For HDL check the Pathology>Lipids>HDL> No HDL recorded part of the graph

For missing Smoking Status:

General tab> 'Active' box ticked

Start Age = 35, End Age = 74

Ethnicity tab > "Indigenous" checkbox ticked

Conditions tab > Chronic > CVD ' No' ticked

Check the graph Smoking>Status> Nothing Recorded

Number of Indigenous regular clients, aged 35 to 74 years and with no known history of cardiovascular disease (CVD), who have had an  

absolute CVD risk assessment recorded within the previous 2 years 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).

Use the new NPKI graph Absolute CVD Risk Result on the Chronic Disease Risk Factors page to see a the results represented in a graph    

and double click on the part of the graph 

• low risk (<10%)
• moderate risk (10-15%)
• high risk (>15%)
• not recorded

 to see the patient details. No filters are required

PI22 Cervical Screening

Proportion of Indigenous women aged 20-74 years who are regular clients of the service, who have had a cervical screening in the            

specified period (includes pap test prior to 1/12/2017 or HPV test from 1/12/2017)

PI22 Cervical Screening

The Proportion of Regular Indigenous women aged 20-69 years who have had a cervical screening in the specified period:                         

1. 2 years
2. 3 years
3. 5 years
   
   Counting:
   Exclude patients who have had a hysterectomy

 A hysterectomy is indicated by either 1) a coded diagnosis of
hysterectomy recorded in the patient record or 2) the patient being marked for exclusion from further pap smears.

General tab > enter

“Active” checkbox ticked

Gender “Female” checkbox ticked

“Start Age” = 20

“End Age” = 69

Ethnicity tab > “Indigenous” checkbox ticked

Click Recalculate

a) In the CAT graphs open the Screening > Pap Smear > Pap Smear Recorded                       

Select the “No Pap Smear Recorded” segment

Click Export

b) In the CAT graphs open the Screening > Pap Smear > “Pap Smear Done Date”

Select the segments outside the specified period

Click Export

General tab > enter

“Active” checkbox ticked

Gender “Female” checkbox ticked

“Start Age” = 20

“End Age” = 74

Ethnicity tab > “Indigenous” checkbox ticked

Click Recalculate

a) In the CAT graphs open the Screening > Cervical Screening > Cervical Screening Last Recorded                      

Select the “Not Recorded” segment

b) Select HPV > 5yrs or Pap > 2yrs (no HPV)

Click Export

This will show a list of all indigenous women who are regular patients with either no cervical screening recorded or no HPV in the last five

years or no Pap smear in the last 2 years.

PI22 Cervical Screening                                                          

Proportion of Indigenous women aged 20-74 years who are regular clients of the service, who have had a cervical screening in the            

specified period (includes pap test prior to 1/12/2017 or HPV test from 1/12/2017)

• Female

• Last 2 years
• Last 3 years
• Last 5 years

Recorded/Not Recorded

PI23 Diabetes BP Recorded                                                   

Regular Indigenous clients with Type II Diabetes who have had BP recorded in the last 6 months                                                                                      

• Male/Female, and

• 0-4 years
• 5-14 years
• 15-24 years
• 25-34 years
• 35-44 years
• 45-54 years
• 55-64 years
• >= 65 years

General tab > enter

"Active" checkbox ticked

Ethnicity tab > "Indigenous" checkbox ticked

Conditions tab > Diabetes Type II ticked

Results tab > select results "<=6 mths"

Click Recalculate
 

In the CAT graphs open the Measures > BP tab                                                                              
Select the "No BP Recorded" segment
Click Export