Indigenous primary health care: PI08a-Number of regular clients with a chronic disease who have received a Team Care Arrangement (MBS Item 723), 2013

Count of regular clients who are Indigenous, have a chronic disease and who have received a Team Care Arrangement (MBS Item 723) 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.

Team Care Arrangement (MBS Item 723): 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, including patients with these conditions who require multidisciplinary, team-based care from a GP and at least two other health or care providers (Department of Health and Ageing 2011). Team Care Arrangements, for the purpose of this indicator, are defined in the MBS (Item 723).

Presented as a number.

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.