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This page refers to the Performance and Accountability Framework, an intergovernmental document that assigned various reporting responsibilities to the former National Health Performance Authority. From 1 July 2016, activities related to reporting against the indicators contained in the Framework are the responsibility of the Australian Institute of Health and Welfare.

Note: All indicators for Medicare Locals will be reported by Indigenous and non-Indigenous status where statistically possible.

As the Medicare Locals will be newly established independent corporations a large number of indicators will require data development work and it is envisaged that the indicators below will be introduced progressively over time. However, some primary care data is already collected, including through the Divisions of General Practice’s National Performance Indicators framework.

6.3.1 Effectiveness - Safety and quality

6.3.1.1 Selected potentially avoidable hospitalisations;

6.3.1.2 Percentage of diabetic patients who have a GP annual cycle of care;

6.3.1.3 Percentage of asthma patients with a written asthma plan;

6.3.1.4 Aged standardised mortality of potentially avoidable deaths; and

6.3.1.5 Five year survival proportions of selected cancers.

6.3.2 Effectiveness - Patient experience

6.3.2.1 Measures of patient experience.

6.3.3 Equity and effectiveness - Access

6.3.3.1 Access to services by type of service compared to need;

6.3.3.2 GP type service use;

6.3.3.3 Allied health type service use;

6.3.3.4 Specialist service utilisation;

6.3.3.5 Waiting times for GP services;

6.3.3.6 Waiting times for community health services;

6.3.3.7 Screening rates for breast, cervical and bowel cancer;

6.3.3.8 Vaccination rates for children;

6.3.3.9 GP service utilisation by residents of Residential Aged Care Facilities;

6.3.3.10 Proportion of children with three year old developmental health check;

6.3.3.11 Number of women with at least one antenatal visit in the first trimester;

6.3.3.12 After hours GP service utilisation;

6.3.3.13 Primary care-type Emergency Department attendances;

6.3.3.14 Percentage of the population receiving primary mental health care; and

6.3.3.15 Rates of contact with primary mental health care by children and young people.

6.3.4 Efficiency - Financial performance

6.3.4.1 Financial performance against budget.
Note: further financial indicators to be developed by the Authority.

6.3.5 Population health outcome measures: included in healthy communities reports to provide context for the interpretation of Medicare Local performance indicators
Note: Initially these measures are expected to provide contextual and planning information for Medicare Locals. Over the long term, and as the Framework and measures become more sophisticated, relative changes in these measures may be used to assess Medicare Local performance.

6.3.5.1 Incidence of selected cancers;

6.3.5.2 Incidence of ischaemic heart disease;

6.3.5.3 Prevalence of diabetes;

6.3.5.4 Prevalence of smoking;

6.3.5.5 Prevalence of overweight and obese status;

6.3.5.6 Incidence of end stage kidney disease;

6.3.5.7 Estimated life expectancies at birth;

6.3.5.8 Infant/young child mortality rate; and

6.3.5.9 Proportion of babies born with low birth weight.

Figure 6: Application of the RoGS process model to Medicare Local indicators

PAF section 6.3 figure 6 - Application of the RoGS process model to Medicare Local indicators

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View the text description of Figure 6