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Recipe Name:

Identify all patients with a chronic disease eligible for a GP Management Plan and/or Team Care Arrangement who haven't had a claim in the last 12 months


The Chronic Disease Management — GP services on the Medicare Benefits Schedule (MBS) enable GPs to plan and coordinate the health care of patients with chronic or terminal medical conditions, including patients with these conditions who require multidisciplinary, team-based care from a GP and at least two other health or care providers. 


To effectively manage the care of patients with a chronic disease.

CAT Starting Point:

  1. CAT Open - CAT4 view (all reports) loaded
  2. Population Extract Loaded and Extract Pane “Hidden”
    1. Filter Pane open and under the ‘General’ tab ‘Active Patients’ (3x <2 years) selected (this step can be
       omitted if you want to search for all patients).


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Filter Steps

  • Under the 'Conditions' tab, choose the 'Chronic' tab, and then select Yes under the Diabetes section