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The AIHW maintains and reports on the national key performance indicators (nKPI) data collection using data submitted by Indigenous specific primary healthcare organisations through the Australian Government Department of Health's web-based reporting tool - OCHREStreams.

The purpose of nKPIs is to improve the delivery of primary health-care services by supporting continuous quality improvement (CQI) activity among service providers. The nKPIs also support policy and planning at the national and state/territory level by monitoring progress and highlighting areas for improvement.

The framework involved in the collection, transmission, storage, access to, and reporting of, nKPI and OSR data in the OCHREStreams environment, including the organisations, legislation, agreements and processes involved is available on the On-line Services Reporting, Department of Health website, OSR and nKPI data framework (942KB PDF).

How submitted nKPI data are used

The AIHW disseminates information about the nKPIs in a variety of ways to meet the needs of different audiences. 

Tailored reports and PowerPoint presentations of nKPI data are prepared for primary health care organisations to support quality improvement activities - including improvement of service delivery practices and enhancing CQI models. For example, time trend data allows organisations to track their results over time and national, jurisdictional and regional results allow them to make comparisons with other primary health organisations nationally and in their jurisdictions and regions.

The AIHW also prepares national reports that include results by state/territory, by remoteness, and organisational level factors.

The nKPI data are also made available in other published reports, including the Aboriginal and Torres Strait Islander Health Performance Framework (published by AHMAC) and its companion report, Aboriginal and Torres Strait Islander Health Performance Framework 2012: detailed analyses (published by the AIHW).

To preserve confidentiality, information about specific individual primary health care is not available in these reports. Information in national reports is useful to monitor areas of improvement and to identify areas requiring improvement.

For more information about how nKPIs are used, see the AIHW national Key Performance Indicators database: user guide reporting period ending 30 June 2016 (426KB PDF).

List of nKPIs and their description

An overview and description of the nKPIs are included in the table below. For more information on individual indicators and general tips for health organisations in checking and submitting data, refer to the AIHW national Key Performance Indicators database: user guide reporting period ending 30 June 2016 (426KB PDF).

Table: Overview of nKPIs
nKPI Indicator Description
PI01 Birthweight recorded Number and proportion of Aboriginal and/or Torres Strait Islander babies born within the previous 12 months whose birthweight has been recorded at the primary health care service.
PI02 Birthweight result (low, normal or high)

Number and proportion of Aboriginal and/or Torres Strait Islander babies born within the previous 12 months whose birthweight results were categorised as one of the following:

  • low (less than 2,500 grams)
  • normal (2,500 grams to less than 4,500 grams)
  • high (4,500 grams and over).
PI03 Health assessment
(MBS item 715)
Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, aged 0-4 years and for whom a Medicare Benefits Schedule (MBS) Health Assessment for Aboriginal and Torres Strait Islander People was claimed within the previous 12 months AND number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, aged 25 years and over and for whom an MBS Health Assessment for Aboriginal and Torres Strait Islander People was claimed within the previous 24 months.
PI04 Fully immunised children

Number and proportion of Indigenous children who are regular clients, aged:

  • 12 months to less than 24 months;
  • 24 months to less than 36 months;
  • 60 months to less than 72 months;

and who are 'fully immunised'.

PI05 HbA1c test recorded (clients with type 2 diabetes) Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, have type 2 diabetes and who have had an HbA1c measurement result recorded at the primary health care service within the previous 6 months AND number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, have type 2 diabetes and who have had an HbA1c measurement result recorded at the primary health care service within the previous 12 months.
PI06 HbA1c result (clients with type 2 diabetes)

Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, have type 2 diabetes and whose HbA1c measurement result, recorded within either the previous 6 months or 12 months, was categorised as one of the following:

  • less than or equal to 7% (less than or equal to 53 mmol/mol)
  • greater than 7% but less than or equal to 8% (greater than 53 mmol/mol but less than or equal to 64 mmol/mol)
  • greater than 8% but less than 10% (greater than 64 mmol/mol but less than 86 mmol/mol) or
  • greater than or equal to 10% (greater than or equal to 86 mmol/mol).
PI07 GP Management Plan
(MBS item 721)
Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, have a chronic disease (type 2 diabetes) and for whom a GP Management Plan (MBS Item 721) was claimed within the previous 24 months.
PI08 Team Care Arrangement
(MBS item 723)
Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, have a chronic disease (type 2 diabetes) and for whom a Team Care Arrangement (MBS Item 723) was claimed within the previous 24 months.
PI09 Smoking status recorded Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, aged 15 and over and whose smoking status has been recorded at the primary health care service.
PI10 Smoking status result

Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, aged 15 and over and whose smoking status has been recorded as one of the following:

  • current smoker
  • ex-smoker or
  • never smoked.
PI11 Smoking status results of women who gave birth

Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, aged 15 and over, who gave birth within the previous 12 months and whose smoking status has been recorded as one of the following:

  • current smoker
  • ex-smoker or
  • never smoked.
PI12 BMI (overweight or obese) Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, aged 25 and over and who have had their BMI classified as overweight or obese within the previous 24 months.
PI13 First antenatal care visit

Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, who gave birth within the previous 12 months and who had gestational age recorded at their first antenatal care visit with results either:

  • less than 13/40 weeks
  • 13/40 weeks to less than 20/40 weeks
  • at or after 20/40 weeks or
  • no result.
PI14 Influenza immunisation (aged 50 and over) Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, aged 50 and over and who are immunised against influenza.
PI15 Influenza immunisation (type 2 diabetes or COPD clients) Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, aged 15‑49, are recorded as having type 2 diabetes or chronic obstructive pulmonary disease (COPD) and are immunised against influenza.
PI16 Alcohol consumption recorded Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, aged 15 and over and who have had their alcohol consumption status recorded at the primary health care service within the previous 24 months.
PI17** Alcohol consumption result

Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, aged 15 and over and who have had an AUDIT-C result recorded in the previous 24 months with a score of:

  • greater than or equal to 4 in males and 3 in females; or
  • less than 4 in males and 3 in females.
PI18 Kidney function test recorded (type 2 diabetes or CVD clients)

Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, aged 15 and over who are recorded as having type 2 diabetes and have had an estimated glomerular filtration rate (eGFR) recorded AND/OR an albumin/creatinine ratio (ACR) or other microalbumin test result recorded within the previous 12 months.

AND

Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, aged 15 and over who are recorded as having cardiovascular disease (CVD) and have had an eGFR recorded within the previous 12 months.

PI19 eGFR and ACR results

Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, aged 15 and over, are recorded as having type 2 diabetes or cardiovascular disease (CVD) and who have had an estimated glomerular filtration rate (eGFR) recorded within the previous 12 months with a result of (ml/min/1.73m²):

  • greater than or equal to 90
  • greater than or equal to 60 but less than 90
  • greater than or equal to 45 but less than 60
  • greater than or equal to 30 but less than 45
  • greater than or equal to 15 but less than 30 or
  • less than 15. 

OR

**Number and proportion of regular clients who are male, Aboriginal and/or Torres Strait Islander, aged 15 and over, who are recorded as having type 2 diabetes and who have had an albumin/creatinine ratio (ACR) recorded within the previous 12 months with a result of (mg/mmol):

  • less than 2.5
  • greater than or equal to 2.5 but less than or equal to 25
  • greater than 25

OR

**Number and proportion of regular clients who are female, Aboriginal and/or Torres Strait Islander, aged 15 and over, who are recorded as having type 2 diabetes and who have had an albumin/creatinine ratio (ACR) recorded within the previous 12 months with a result of (mg/mmol):

  • less than 3.5
  • greater than or equal to 3.5 but less than or equal to 35
  • greater than 35.
PI20*

Necessary risk factors assessed to enable cardiovascular risk assessment

Number and proportion of Aboriginal and/or Torres Strait Islander regular clients, with no known cardiovascular disease (CVD), aged 35–74, with information available to calculate their absolute CVD risk.
PI21** Absolute cardiovascular risk assessment result

Number and proportion of Aboriginal and/or Torres Strait Islander regular clients, aged 35–74 and with no known history of cardiovascular disease (CVD), who have had an absolute CVD risk assessment recorded within the previous 2 years and whose CVD risk was categorised as 1 of the following:

  • high (greater than 15% chance of a cardiovascular event in the next 5 years)
  • moderate (10%–15% chance of a cardiovascular event in the next 5 years)
  • low (less than 10% chance of a cardiovascular event in the next 5 years).
PI22 Cervical screening recorded Number and proportion of female regular clients who are Aboriginal and/or Torres Strait Islander, aged 20 to 69, who have not had a hysterectomy and who have had a cervical screening within the previous 2 years, 3 years and 5 years.
PI23 Blood pressure recorded (clients with type 2 diabetes) Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, have type 2 diabetes and who have had a blood pressure measurement result recorded at the primary health care service within the previous 6 months.
PI24 Blood pressure less than or equal to 130/80 mmHg (clients with type 2 diabetes) Number and proportion of regular clients who are Aboriginal and/or Torres Strait Islander, have type 2 diabetes and whose blood pressure measurement result, recorded within the previous 6 months, was less than or equal to 130/80 mmHg.

Note: 

  • Indicator specifications marked with * will be reported from June 2016.
  • Indicator specifications marked with ** will be reported from December 2016.