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Introduction

As 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.

The CAT National KPI module is available in CAT Version 3, 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. This report can be submitted to the Improvement Foundation portal.

    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 1st November 2012 will include deceased patients. This will be indicated at the top of the report.

...

PI03 Indigenous Health Assessments  (MBS 715)

Calculation A: Regular Indigenous clients who have had a health check done in the last 12 months

  • 0-4 years


    Calculation B: Regular Indigenous clients who have had a health check done in the last 24 months
  • Male/Female, and
  • 25-34 years
  • 35-44 years
  • 45-54 years
  • 55-64 years
  • >= 65 years

Note: MBS Item Indicators in the report are available where the clinical and billing systems are provided by the same vendor.                          

How to find patients with missing data using CAT

 Calculation A:

  In the CAT filters set the following:

General tab >

"End Age" = 4,
"Active" checkbox ticked

Ethnicity tab >

"Indigenous" checkbox ticked

Results tab > select results "<=12 mths"

Click Recalculate
In the CAT graphs open the MBS Item > Not Recorded tab
Select all "715" bars
Click Export 

 

Calculation B:In the CAT filters set the following:

General tab >

"Start Age" = 25
"Active" checkbox ticked

Ethnicity tab >

"Indigenous" checkbox ticked

Results tab >

select results "<=24 mths"

Click Recalculate
In the CAT graphs open the MBS Item > Not Recorded tab
Select all "715" bars
Click Export
NOTE: old MBS health assessment numbers (pre May 10) are considered here if they have been billed in

the last 24 months


 

PI04 Indigenous Children who are Fully Immunised

Regular Indigenous children who are fully immunised

  • At 12 months – ages 12 months to < 24 months
  • At 24 months – ages 24 months to < 36 months

At 60 months – ages 60 months to < 72 months


Fully immunised: Children who have received all immunisations that are due according to the National         

Immunisation Program Schedule Refer

http://www.health.gov.au/internet/immunise/publishing.nsf/content/nips2
or Australian Standard Vaccination www.immunise.health.gov.au for the immunisations DTPa, HiB,

Polio, HepB and MMR. Immunisations to be received on or before last birthday.
Overdue Immunisations: In the worksheet of the NKPI Essential Immunisations report the

overdue vaccine is indicated by an * next to the number

...

How to find patients with missing data using CAT

 

In the CAT filters set the following: 

General tab >  "Start Age" = 15

"Active" checkbox ticked 

Ethnicity tab > "Indigenous" checkbox ticked 

Conditions tab > Diabetes Type II ticked

Click Recalculate
  

 

In the CAT graphs open the Smoking tab
Select select the "Nothing Recorded" segment
Click Export

...

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            

 excretion and

albumin urininary excretion 24hr) only

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:

Male/Female, and

 

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

...

PI19 eGFR results for Patients with Type II Diabetes Diabetes     

and/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
showingthe 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


     

How to find patients with missing data using CAT         

Calculation

B

A (clients with

CVD

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 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

...

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


 

 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.



How to find patients with missing data using CATCAT         

In the CAT filters set the following:

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

 

 

PI23 Diabetes BP RecordedRecorded                                                   

Regular Indigenous clients with Type II Diabetes who have had BP recorded in the last 6 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
How to find patients with missing data using CAT        In the CAT filters set the following:

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

...

PI24 Diabetes BP LevelLevel                                                          

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

6

6    
months and whose level was <=130/80

  • 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

...

Missing Gender and/or Age Data

Total counts for the following measures are also submitted:

  • Regular Indigenous clients without a gender or age recorded
  • Regular Indigenous clients with a gender recorded but not an age
  • Regular Indigenous clients with an age recorded but not a gender
  • Regular Indigenous clients with both a gender and age recorded



    Missing age:
    In the

...

  • CAT filters set the following:
  1. General tab > enter

"Active" checkbox ticked

  1. Ethnicity tab

"Indigenous" checkbox ticked

  1. Conditions General tab > Diabetes Type II ticked
  2. Results tab > select results "<=6 mths"
  3. tick 'Age' = No Age

Click Recalculate
Click View Pop.Missing gender: Click Recalculate
In the CAT graphs open the Measures > BP tab
Select the ">130/80 and <=140/90", ">140/90" and "Incomplete Data" segments
Click Export |

...

Missing Gender and/or Age Data

Total counts for the following measures are also submitted:

...

  1. General tab > enter

"Active" checkbox ticked

  1. Ethnicity tab

"Indigenous" checkbox ticked

  1. General tab > tick 'Age' = No Age

Click Recalculate
Click View Pop.Missing gender:
In the CAT filters set the following:

  1. General tab > enter

"Active" checkbox ticked

  1. Ethnicity tab

"Indigenous" checkbox ticked

  1. General tab > tick 'Gender' = Other

...

Further Information

...

filters set the following:

  1. General tab > enter

"Active" checkbox ticked

  1. Ethnicity tab

"Indigenous" checkbox ticked

  1. General tab > tick 'Gender' = Other

Click Recalculate
Click View Pop.How to find patients with missing data using CAT

|

Further Information

Further information is available from http://www.aihw.gov.au
AIHW Metadata Online Registry http://meteor.aihw.gov.au

 

In the CAT filters set the following:

1)     General tab > enter

“Active” checkbox ticked

Gender “Female” checkbox ticked

“Start Age” = 20

“End Age” = 69

2)     Ethnicity tab

“Indigenous” checkbox ticked

 

Click Recalculate

1.     In the CAT graphs open the Screening > Pap Smear > Pap Smear Recorded

Select the “No Pap Smear Recorded” segment

Click Export

2.     In the CAT graphs open the Screening > Pap Smear > “Pap Smear Done Date”

Select the segments outside the specified period

Click Export