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Definition

An indicator of whether a GP Management Plan (MBS Item 721) has been claimed for a person, as represented by a code.

Components

Data Element (this item)

Representation

This representation is based on the value domain for this data element, more information is available at " Yes/no code N ".
Data Type Boolean
Format N
Maximum character length 1
Values
Value Meaning Start Date End Date
Permissible Values 2 No
1 Yes

Comments

Guide for use:

CODE 1 Yes

A GP Management Plan has been claimed for a person.

CODE 2 No

A GP Management Plan has not been claimed for a person.

Origin:

DoH (Australian Government Department of Health) 2014a. Chronic Disease Management (formerly Enhanced Primary Care or EPC) — GP services. Canberra: DoH. Viewed 4 November 2014,

<http://www.health.gov.au/internet/main/publishing.nsf
/Content/mbsprimarycare-chronicdiseasemanagement
>.

DoH 2014b. Questions and Answers on the Chronic Disease Management (CDM) items. Canberra: DoH. Viewed 4 November 2014,

<http://www.health.gov.au/internet/main/publishing.nsf
/Content/mbsprimarycare-chronicdiseasemanagement-qanda
>.

DoH 2011. Medicare Benefits Schedule – Item 721. Canberra: DoH. Viewed 27 May 2011,

<http://www9.health.gov.au/mbs/fullDisplay.cfm?type=item&qt=ItemID&q=721>

Comments:

The Chronic Disease Management Medicare items on the Medicare Benefits Schedule enable GPs to plan and coordinate the health care of patients with chronic or terminal medical conditions. This item is designed for patients who require a structured approach to their care. To be eligible for a GP Management Plan (GPMP) a patient must have a chronic (or terminal) medical condition; one that has been or is likely to be present for 6 months or longer, including, but not limited to asthma, cancer, cardiovascular illness, diabetes mellitus and musculoskeletal conditions (DoH 2014a).

A GPMP is required by legislation to be a comprehensive written plan that describes:

  • the patient’s health care needs, health problems and relevant conditions
  • management goals with which the patient agrees
  • actions to be taken by the patient
  • treatment and services the patient is likely to need
  • arrangements for providing these treatment and services
  • a date to review these matters (DoH 2014b).

This chronic disease management service is for a patient who has at least one medical condition that:

(a) has been (or is likely to be) present for at least six months; or

(b) is terminal (DoH 2011).

References

Related content

Relation Count
Inclusion in Data Set Specifications 1
Inclusion in Data Distributions 0
As a numerator in an Indicator 4
As a denominator in an Indicator 2
As a disaggregation in an Indicator 4