NSW KPI Technical Documentation - MedicalDirector...NSW KPI Technical Documentation 4 Introduction The purpose of this document is to guide you through the process of accurately recording

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NSW KPI Technical Documentation

2 NSW KPI Technical Documentation

Contents Introduction 4

KPI 01 Population Health - Smoking Assessment 5



KPI 02 Population Health - Smoking Cessation 9

KPI 03 Population Health - Healthy Weight 11

KPI 03 Population Health - Healthy Weight 14

KPI 04 Population Health - Absolute Risk 16




KPI 05 Population Health - Kidney Function Testing 24

KPI 06 Population Health - Diabetes Key Measurables 25

KPI 07 Diabetes HbA1c Result 27

KPI 08 Population Health - GP Management Plans 28

KPI 09 Population Health - GP Management Plan Reviews 29

KPI 10 Population Health - Health Checks (Pracsoft) 33

KPI 11 Population Health - Team Care Arrangements 34

KPI 12 Population Health - Team Care Arrangements Reviews 35

KPI 13 Population Health - Child Immunisation 39

KPI 14 Population Health - Influenza Vaccination Pregnancy 41

KPI 15 Population Health - Influenza Vaccination Children 43

KPI 16 Population Health - Influenza Vaccination Adults 44

KPI 17 Population Health - Pertussis Vaccination 45

KPI 18 Population Health - Hepatitis B 46

KPI 19 Population Health - Hepatitis B 47

KPI 20 Population Health - Hepatitis C 49

KPI 20 Population Health - Hepatitis C 51

KPI 21 Population Health - STI 53

KPI 21 Population Health - STI 55

KPI 22 Population Health - STI / HIV Test 56

KPI 23 Population Health - AUDIT-C 58

KPI 24 Population Health - Alcohol Condition 60

KPI 25 Population Health - Drug and/or Alcohol Support Plan (Pracsoft) 63

KPI 26 Mental Health - GP Mental Health Plan 65

KPI 27 Mental Health - GP Mental Health Plan Review 66

Appendix 1: Creating and Processing A Claim 70

Appendix 2: DOCLE Codes 73

Appendix 3: Blood Pressure Drug Treatments 78


Appendix 4: Lipid Lowering Drug Treatments 81

Appendix 5: Recording eGFR and ACR 82

Appendix 6: Diabetes 84

Appendix 7: Processing Claims 89

Appendix 9: Childhood Immunisations 92

Appendix 10: LOINC Codes 93

Appendix 11: Drug-Related Conditions 98

Appendix 12: High-Impact Mental Illness 99

Appendix 13: Low-Impact Mental Illness 100

Appendix 14: NSW KPI MBS Item Numbers 102

Appendix 15: NSW KPI MBS Item Numbers Aboriginal and Torres Strait Islander Mental Health Assessment 103


Introduction The purpose of this document is to guide you through the process of accurately recording data points during a clinical consult to ensure effective NSW KPI reports can be created.

Aboriginal Patient Definition

A client who is recorded in the clinical software identifying as Aboriginal or Torres Strait Islander.

Regular Patient Definition

A client who has 3 or more visits within the previous 2 years recorded in the clinical software. Note: this does not include Deceased and Inactive patients.

Patient Age Definition:

A patient's age is defined by the difference between today's date and their date of birth as present in their 'Patient Details'.


KPI 01 Population Health - Smoking Assessment 1.1 Smoking Status Recorded

Description

Proportion of regular Aboriginal clients aged 15 years and older whose smoking status has been recorded.

Business Rules

• Patient is identified as Aboriginal and Torres Strait Islander per the Australian and Torres Strait Islander dropdown in the Patient Details window.

• Patient's age is defined by the difference between today's date and their date of birth as present in their 'Patient Details'.

• Patient must have any smoking status (Smoker/Ex-smoker/Never Smoked) recorded in the Smoking tab of the Patient Details window. The ‘Smoker’ field cannot be empty.

Numerator

The number of regular Aboriginal clients aged 15 years and older whose smoking status has been recorded.

Denominator

The number of regular Aboriginal clients aged 15 years and older.

Example - How to Record a Patient’s Smoking Status

1. Open a patient’s record

2. Select Patient > Details


3. Select the Smoking tab

4. Set smoking status via the Smoker drop-down, and click Save


KPI 01 Population Health - Smoking Assessment

1.2 Smoking Status Recorded

Description

Proportion of regular Aboriginal clients aged 15 years and older whose most recent smoking status has been recorded as:

• Smoker OR

• Ex-smoker OR

• Never Smoked

Business Rules

• Patient's Aboriginal and Torres Strait Islander status is defined as outlined in 1.1

• Patient's age is defined as outlined in 1.1

• Patient must have any smoking status recorded as outlined in 1.1

Numerator

The number of regular Aboriginal clients aged 15 years and older whose most recent smoking status has been recorded as Smoker OR Ex-smoker OR Never Smoked.

Denominator

The number of regular Aboriginal clients aged 15 years and older whose smoking status has been recorded.

Example - How to Record a Patient’s Smoking Status

To record the smoking status correctly please use instructions as per section 1.1 of this document.


KPI 01 Population Health - Smoking Assessment

1.3 Current Smokers with Health Assessment

Description

Of those regular Aboriginal clients aged 15 years and older with a smoking status recorded as a Smoker or Ex-smoker, the proportion that had an MBS Health Assessment for Aboriginal and Torres Strait Islander People (MBS Item 715) claimed in the past 12 months.

Note: You must be using MedicalDirector Pracsoft in conjunction with MedicalDirector Clinical. For the MBS health assessment to be recorded in MedicalDirector Insights, the 715 Item must be transmitted to Medicare, and a payment report must be actioned (accepted, rejected or exceptions resolved).

Business Rules



• Patient must have any smoking status recorded as Smoker or Ex-smoker in the Smoking tab of the Patient Details window as outlined in 1.1

• Patient must have claimed an MBS Item 715 in the previous 12 months.

Numerator

The number of regular Aboriginal clients aged 15 years and older whose most recent smoking status has been recorded as a Smoker or Ex-smoker, who have claimed an MBS Item 715 in the previous 12 months.

Denominator

The number of regular Aboriginal clients aged 15 years and older whose most recent smoking status has been recorded as a Smoker or Ex-smoker.

Processing Medicare Items

Please refer to Appendix 7: Processing Claims


KPI 02 Population Health - Smoking Cessation

2.1 Smoking Cessation

Description

Proportion of regular Aboriginal Clients aged 15 years and older who are recorded as a Smoker, who have a recorded smoking cessation intervention.

A ‘Smoking cessation intervention’ may include one or more of the following:

• brief intervention;

• prescription of Nicotine Replacement Therapy;

• prescription of other pharmacotherapies relating to cessation of smoking;

Note: A smoking cessation intervention needs to be recorded during all smoking assessments, along with any comments, during consultations through which brief interventions for smoking cessation are carried out.

Example - How to Record A Patient’s Smoking Status

To record smoking cessation please use section 1.1 of this document.

Smoking cessation Intervention tick box is available from MedicalDirector 3.17.1b+


Business Rules:



• Patient must have any smoking status recorded as Smoker in the Smoking tab of the Patient Details window.

• A recorded smoking intervention is defined as a patient whose clinical files contains a check in the 'Smoking cessation intervention discussed with patient' field in the Smoking tab of the Patient Details window.

• Prescription of nicotine replacement therapy or other pharmacotherapies relating to cessation of smoking is defined as patients with at least one of the following drugs having been prescribed in the past 12 months:

o Nicotine

o Varenicline

o Bupropion

Numerator

The number of regular Aboriginal clients aged 15 years and older whose most recent smoking status has been recorded as a Smoker, who have undertaken a smoking cessation intervention (recorded or active) within the past 12 months.

Denominator

The number of regular Aboriginal clients aged 15 years and older whose most recent smoking status has been recorded as a Smoker.


KPI 03 Population Health - Healthy Weight

3.1 Children Above Healthy Weight

Description

Proportion of regular Aboriginal clients aged between 2 and 18 years who had their height and weight measured and recorded (on the same occasion) within the last 12 months and the proportion that were above a healthy weight (overweight and obese).

Business Rules



• BMI recorded in the past 12 months in the Weight Calculator available in the Tool Box.

• A patient’s BMI will fall into the overweight or obese categories if the recorded value is above the value in the table below.

Age (in months) Male BMI Female BMI

24 18.162194733 18.018205792

36.5 17.326273561 17.166336426

48.5 16.925010281 16.800576707

60.5 16.840758382 16.801971953

72.5 17.01417786 17.099741723

84.5 17.40121891 17.625566704

96.5 17.955754442 18.317175943

108.5 18.632222229 19.119373164

120.5 19.390411298 19.983997788

132.5 20.196674371 20.869840136

144.5 21.023859692 21.742626772

156.5 21.851043669 22.575061126

168.5 22.663250919 23.346890452

180.5 23.451170652 24.045025332

192.5 24.21087038 24.663724748

204.5 24.943618051 25.204822177

216.5 25.656012444 25.67786376

228.5 26.360539323 26.099934651

240.5 27.076448741 26.495016788


Calculation A: Proportion of Children Aged 2 To 18 Years with Weight Classified

Numerator

The number of regular Aboriginal clients aged 2 years and older but less than 18 years who have had their weight status classified within the previous 12 months.

Denominator

The number of regular Aboriginal clients aged 2 years and older but less than 18 years.

Calculation B: Proportion of Children Aged 2 To 18 Years with Weight Classified as Overweight or Obese

Numerator

The number of regular Aboriginal clients aged 2 years and older but less than 18 years who have had their weight status classified as overweight or obese within the previous 12 months.

Denominator

The number of regular Aboriginal clients aged 2 years and older but less than 18 years who have had their weight status classified within the previous 12 months.

Example - How to Enter A Patient's Height And Weight


2. Select Tools > Tool Box > Weight


3. Input height and weight values

4. Click Save


KPI 03 Population Health - Healthy Weight

3.2 Adults Above Healthy Weight

Description

Proportion of regular Aboriginal clients aged 18 years and older who had a weight recorded within the last 12 months and the proportion that were above a healthy weight (overweight and obese).

Business Rules



• BMI recorded in the past 12 months in the Weight Calculator available in the Tool Box.

• BMI is defined as overweight or obese if the BMI ≥ 25

Calculation A: Proportion of Adults Aged 18 Years and Over with Weight Classified

Numerator

The number of regular Aboriginal clients aged 18 years and older who have had their BMI classified within the previous 12 months.

Denominator


Calculation B: Proportion of Adults Aged 18 Years with Weight Classified as Overweight or Obese

Numerator

The number of regular Aboriginal clients aged 18 years and older who have had their BMI classified as overweight or obese (25) within the previous 12 months.

Denominator

The number of regular Aboriginal clients aged 18 years and older who have had their BMI classified within the previous 12 months.


Specific Counting Rules

Counts Aboriginal and Torres Strait Islander clients who recorded 3 or more visits in the previous 2 years, whose BMI was classified using a weight measurement taken within the previous 12 months and a height measurement taken since the client turned 25 (or taken within the previous 12 months for clients aged 18-24 years).

Example - How to Enter A Patient's Height and Weight to Calculate BMI

To calculate the patient's BMI correctly please enter the height and weight, following the instructions as per section 3.1 The BMI will then be automatically calculated in the Weight Calculator.


KPI 04 Population Health - Absolute Risk

4.1 Absolute CVD Risk Assessment Factors

Description

Proportion of regular Aboriginal clients aged 35 to 74 years, without cardiovascular disease (CVD), who have had the necessary risk factors assessed within the previous 24 months to enable a Cardiovascular Disease Risk Assessment.

Business Rules

• Patient's Aboriginal and Torres Strait Islander status Is defined as outlined in 1.1


• Cardiovascular disease (CVD) is defined as patients whose files contain a diagnosis of one of the diseases below, entered as one of the below DOCLE codes. NOTE: to be included in this calculation, the patient's file must not contain any of the DOCLE codes included in Appendix 2

• Has had all the following risk factors assessed as defined below:

o Smoking status recorded as per 1.1

o Total cholesterol recorded per the following measurement present in the patient file: MD_MEASURE.TYPE='LIPIDDATE' or MD_MEASURE.TYPE='CHOL' - This is recorded through the diabetes assessment screen.

o HDL recorded per the following measurement present in the patient file: MD_MEASURE.TYPE='HDL' - This is recorded through the diabetes assessment screen.

o Blood pressure recorded per the following measurement present in the patient file: ‘SYSTOLIC’ and ‘DIASTOLIC’ - This is recorded via Tools > Tool Box > Blood Pressure.

Numerator

The number of regular Aboriginal clients aged 35 to 74 years who are not coded with a diagnosis matching the CVD definition who have had the following information recorded:

• smoking status AND

• systolic blood pressure result recorded within the previous 24 months AND

• total cholesterol result recorded within the previous 24 months AND

• High Density Lipoprotein (HDL) cholesterol result recorded within the previous 24 months


Denominator

The number of regular Aboriginal clients aged 35 to 74 years who are not coded with a diagnosis matching the CVD definition.

Examples of Recording Risk Factors

1. From within the Clinical Window, select Clinical > Diabetes Record

2. The Diabetes Follow Up window appears.

3. An assessment may be conducted, or alternatively values may be added directly.


4. From within the Clinical Window, select Tools > Tool Box > Blood Pressure. The Blood Pressure module appears. Record blood pressure from within this window.

5. Importing pathology results to a patients file will also update fields in the database, if results such as Cholesterol are recorded. For an in-depth guide on importing pathology results please reference the Online Help topic, The Holding File.

https://www.medicaldirector.com/help/index.htm#t=topics-clinical%2FHolding_File.htm



4.2 Absolute Risk Assessments

Description

Proportion of regular Aboriginal clients aged 35 to 74 years without cardiovascular disease (CVD) who have had an absolute CVD risk assessment within the last 12 months

Business Rules



• Cardiovascular disease (CVD) is defined as patient's whose files contain a diagnosis of one of the diseases outlined in 4.1.

• Patient has a saved Absolute CVD Risk Assessment recorded in the 'Cardiovascular Risk Calculator'.

Numerator

The number of regular Aboriginal clients aged 35-74 years who are not coded with a diagnosis matching the CVD definition, who have had an Absolute Risk Assessment recorded within the previous 12 months

Denominator

The number of regular Aboriginal clients aged 35-74 years who are not coded with a diagnosis matching the CVD definition

Example - Recording an Absolute CV Risk Assessment

See method outlined in 4.1



4.3 Absolute CVD Risk Assessment Result

Description

Proportion of regular Aboriginal clients aged 35 to 74 years without a diagnosis of cardiovascular disease (CVD), who have had an absolute CVD risk assessment within the previous 12 months, with results categorised as:

• high (greater than 15% chance of a cardiovascular event in the next 5 years), OR

• moderate (10-15% chance of a cardiovascular event in the next 5 years), OR

• low (less than 10% chance of a cardiovascular event in the next 5 years)

Business Rules




• Patient has a saved Absolute CVD Risk Assessment recorded in the 'Cardiovascular Risk Calculator' per 4.2

Calculation A: High CVD Risk Assessment

Numerator

The number of regular Aboriginal clients aged 35 to 74 years that are not coded with a diagnosis matching the CVD definition, who have had an absolute CVD risk assessment result recorded within the previous 12 months, whose most recent absolute CVD risk assessment result was categorised as high (greater than 15% chance of a cardiovascular event in the next 5 years).

Denominator

The number of regular Aboriginal clients aged 35 to 74 years that are not coded with a diagnosis matching the CVD definition, who have had an absolute CVD risk assessment result recorded within the previous 12 months.


Calculation B: Moderate CVD Risk Assessment

Numerator

The number of regular Aboriginal clients aged 35 to 74 years that are not coded with a diagnosis matching the CVD definition, who have had an absolute CVD risk assessment result recorded within the previous 12 months, whose most recent absolute CVD risk assessment result was categorised as moderate (10-15% chance of a cardiovascular event in the next 5 years).

Denominator


Calculation C: Low CVD Risk Assessment

Numerator

The number of regular Aboriginal clients aged 35 to 74 years that are not coded with a diagnosis matching the CVD definition, who have had an absolute CVD risk assessment result recorded within the previous 12 months, whose most recent absolute CVD risk assessment result was categorised as low (less than 10% chance of a cardiovascular event in the next 5 years).

Denominator




4.4 High CVD Risk Assessment Treatment

Description

Of those with an absolute risk assessment categorised as high, the proportion that have been prescribed BP and lipid lowering drug treatment in accordance with clinical guidelines

Business Rules




• Patient has a saved Absolute CVD Risk Assessment recorded in the 'Cardiovascular Risk Calculator' per 4.2 with a result > 15

• Patient has been prescribed at least one BP drug treatment as listed in Appendix 3: Blood Pressure Drug Treatments.

• Patient has been prescribed at least one Lipid Lowering drug treatment as listed in Appendix 4: Lipid Lowering Drug Treatments.

Numerator

The number of regular Aboriginal clients aged 35 to 74 years that are not coded with a diagnosis matching the CVD definition, who have had an absolute CVD risk assessment result recorded within the previous 12 months, whose most recent absolute CVD risk assessment result was categorised as high (greater than 15% chance of a cardiovascular event in the next 5 years), who are currently prescribed:

• a Blood Pressure lowering drug, AND

• a Lipid lowering drug

Denominator

The number of Regular Aboriginal clients aged 35 to 74 years that are not coded with a diagnosis matching the CVD definition, who have had an absolute CVD risk assessment result recorded within the previous 12 months, whose most recent absolute CVD risk assessment result was categorised as high (greater than 15% chance of a cardiovascular event in the next 5 years)


‘Blood pressure lowering drug’ - includes the following medication classes:

• ACE Inhibitors

• A2 Blockers

• Calcium Blockers

• Diuretics

• Beta Blockers

and the following medications:

• Methyldopa

• Clonidine

• Mixonidine (Physiotens)

‘Lipid lowering drug’ - includes the following medication classes:

• Hmg Coa Reductase Inhibitors (Statins)

• Fibrate


KPI 05 Population Health - Kidney Function Testing

5.1 Kidney Function Testing

Description

Proportion of regular Aboriginal clients aged 30 years and older who have had both an estimated Glomerular Filtration Rate and a urinary Albumin/Creatinine Ratio recorded within the previous 24 months.

Business Rules



• Albumin/Creatinine Ratio recorded is defined as patients whose records contain at least one of the following:

o Pathology results containing one of the following LOINC codes: ‘14959-1’, ‘32294-1’, ‘30001-2’, ‘30000-4’, ‘9318-7’.

o A manually recorded ACR measurement of type: ‘MALB’, ‘MALBUN’ or ‘MALDATE’.

• Glomerular Filtration Rate recorded is defined as patients whose records contain at least one of the following:

o Pathology results containing one of the following LOINC codes: ‘33914-3’, ‘62238-1’

o A manually recorded eGFR measurement of type: ‘EGFR’

Please see Appendix 5 for steps on recording eGFR and ACR.

Numerator

The number of regular Aboriginal clients aged 30 years and older who have had an:

• estimated Glomerular Filtration Rate (eGFR) result, AND

• urinary Albumin / Creatinine Ratio (ACR) result

recorded within the previous 24 months.

Denominator



KPI 06 Population Health - Diabetes Key Measurables 6.1 Diabetes Key Measurables

Description

Proportion of regular Aboriginal clients with type II diabetes with all key measurables recorded within the required timeframes. This information is available from a patient’s ‘Diabetes Record’ and to capture this data the patient must have the following recorded in the last 12 months:

• Blood pressure (both Systolic and Diastolic) measurements within the previous 12 months;

• HbA1c measurement within the previous 12 months;

• Total cholesterol or Low Density Lipoprotein measurement within the previous 12 months;

• ACR or other urinary micro albumin recording within the previous 12 months;

• Estimated Glomerular Filtration Rate recording within the previous 12 months;

• Smoking status recorded at any time.

‘Type II diabetes’ - specifically excludes Type I diabetes, secondary diabetes, gestational diabetes mellitus (GDM), previous GDM, impaired fasting glucose, and impaired glucose tolerance.

Business Rules


• Patients with type II diabetes is defined as having a condition listed under one of the below DOCLE codes:

diabm@niddm Diabetes Mellitus - NIDDM

diabm@niddm Diabetes Mellitus - Type II

diabm@niddm NIDDM

diabm@niddm NIDDM (Non Insulin dependent diabetes mellitus)

diabm@niddm Non insulin dependent diabetes mellitus

diabm@niddm&rx%insu Diabetes Type II requiring insulin

diabm@niddm&rx%insu NIDDM - requiring insulin

• Smoking status recorded as defined in 1.1

• Blood pressure recorded is defined as in 4.1

• Total Cholesterol recorded is defined as in 4.1

• ACR recorded is defined as in 4.1

• GFR recorded is defined as in 4.1

• HbA1c recorded defined by following measurement present in the patient file: MD_MEASURE.TYPE=' HBA1C'

For a guide on recording these measurements please see Appendix 6: Diabetes.


Numerator

The number of regular Aboriginal clients that are coded with a diagnosis matching the type II diabetes definition with:

• two (2) Blood Pressure (BP) measurements recorded within the previous 12 months, AND

• a HbA1c measurement recorded within the previous 12 months, AND

• a total cholesterol or Low Density Lipoprotein (LDL) measurement recorded within the previous 12 months, AND

• an ACR or other urinary micro albumin recording within the previous 12 months, AND

• an estimated Glomerular Filtration Rate (eGFR) recording within the previous 12 months, AND

• a recorded smoking status

Denominator

The number of regular Aboriginal clients that are coded with a diagnosis matching the type II diabetes definition


KPI 07 Diabetes HbA1c Result

7.1 Diabetes HbA1c Result

Description

Proportion of regular Aboriginal clients with type II diabetes, whose most recent HbA1c measurement result recorded within the previous 12 months was less than or equal to 7% (53mmol/mol). This may be recorded manually through the patients' Diabetes Record or recorded from imported pathology results.

Business Rules


• Patients with type II diabetes is defined as having a condition listed under one of the below DOCLE codes outlined in 6.1

• HbA1c recorded defined as outlined in 6.1 with a result ≥ 7% (53mmol/mol)

Numerator

The number of regular Aboriginal clients that are coded with a diagnosis matching the type II diabetes definition, whose most recent HbA1c measurement result recorded within the previous 12 months, was less than or equal to 7% (less than or equal to 53 mmol/mol).

Denominator

The number of regular Aboriginal clients that are coded with a diagnosis matching the type II diabetes definition, who have had an HbA1c test result recorded within the previous 12 months.

Example - Recording A Patient's Diagnosis of Diabetes Type II

To record a patient's diagnosis of Diabetes Type II, follow the example outlined in 6.1.

Example - Recording A Patient's Hba1c Measurement

To record a patient's HbA1c measurement, follow the example outlined in 6.1.


KPI 08 Population Health - GP Management Plans

8.1 GP Management Plans

Description

Proportion of regular Aboriginal clients with a specified chronic disease with a GP Management Plan (MBS Item 721) claimed within the previous 24 months. Please also see Example - Creating and Processing A 721 Claim.

Note: You must be using MedicalDirector Pracsoft and MedicalDirector Clinical for this KPI to be captured.

Business Rules


• Patients chronic disease is defined as having a condition listed in ‘Past History’ under one of the DOCLE codes specified in Appendix 2: DOCLE Codes

• Patients with a GP Management Plan claimed in the last 24 months is defined as 'Date Lodged' within the last 24 months.

Calculation A: Type II Diabetes

Numerator

The number of regular Aboriginal clients with Type II diabetes for whom a GP Management Plan (MBS Item 721) was claimed within the previous 24 months.

Denominator

The number of regular Aboriginal clients with type II diabetes.

Calculation B: Cardiovascular Disease

Numerator

The number of regular Aboriginal clients with cardiovascular disease for whom a GP Management Plan (MBS Item 721) was claimed within the previous 24 months.

Denominator

The number of regular Aboriginal clients with cardiovascular disease.

For the GP management plan to be collected in MedicalDirector Insights the claim needs to be transmitted to Medicare and then accepted/rejected for it to be captured.


KPI 09 Population Health - GP Management Plan Reviews

9.1 GP Management Plan Reviews

Description

Proportion of regular Aboriginal clients with a specified chronic disease with a GP Management Plan (MBS Item 721) claimed within the previous 24 months, but not in the last 12 months, where a review (MBS Item 732) has been conducted.

Business Rules


• Patients chronic disease is defined as having a condition listed under one of the DOCLE codes specified in Appendix 2: DOCLE Codes

• Patients with a GP Management Plan claimed in the last 24 months is defined as 'Date Lodged' within the last 24 months but not in the last 12 months.

Calculation A: Type II Diabetes with Zero Occurrence

Numerator

The number of regular Aboriginal clients with Type II diabetes for whom a GP Management Plan (MBS Item 721) was claimed

• within the previous 24 months, AND

• not within the previous 12 months,

where zero reviews (MBS Item 732) were claimed after the GP Management Plan (MBS Item 721) was claimed.

Denominator

The number of regular Aboriginal Clients with Type II diabetes for whom a GP Management Plan (MBS Item 721) was claimed


• not within the previous 12 months


Calculation B: Type II Diabetes with One Review

Numerator




where one review (MBS Item 732) was claimed after the GP Management Plan (MBS Item 721) was claimed.

Denominator




Calculation C: Type II Diabetes with Two Reviews

Numerator




where two reviews (MBS Item 732) were claimed after the GP Management Plan (MBS Item 721) was claimed.

Denominator





Calculation D: Cardiovascular Disease with Zero Occurrence

Numerator

The number of regular Aboriginal clients with cardiovascular disease for whom a GP Management Plan (MBS Item 721) was claimed



where zero reviews (MBS Item 732) were claimed after the GP Management Plan (MBS Item 721) was claimed.

Denominator




Calculation E: Cardiovascular Disease with One Review

Numerator




where one review (MBS Item 732) was claimed after the GP Management Plan (MBS Item 721) was claimed.

Denominator





Calculation F: Cardiovascular Disease Two Reviews

Numerator




where two reviews (MBS Item 732) were claimed after the GP Management Plan (MBS Item 721) was claimed.

Denominator




For the GP management plan to be collected in MedicalDirector Insights the claim needs to be transmitted to Medicare and then accepted/rejected for it to be captured.


KPI 10 Population Health - Health Checks (Pracsoft)

10.1 Health Checks

Description

Proportion of regular Aboriginal clients for whom an MBS Health Assessment for Aboriginal and Torres Strait Islander People (MBS Item 715) was claimed within the previous 12 months. This assessment may be found within a patient's file under the ‘Assessment’ tab in MedicalDirector Clinical.

Business Rules


• MBS Item 715 claimed in the last 12 months is defined as 'Date Lodged' within the last 12 months.

Calculation A: Less Than 15 Years

Numerator

The number of regular Aboriginal clients aged less than 15 years who have claimed an MBS Health Assessment for Aboriginal and Torres Strait Islander People (MBS Item 715) in the previous 12 months.

Denominator

The number of regular Aboriginal clients aged less than 15 years.

Calculation B: 15 Years and Older

Numerator

The number of regular Aboriginal clients aged 15 years and older who have claimed an MBS Health Assessment for Aboriginal and Torres Strait Islander People (MBS Item 715) in the previous 12 months.

Denominator



KPI 11 Population Health - Team Care Arrangements

11.1 Team Care Arrangements

Description

Proportion of regular Aboriginal clients with a specified chronic disease with a Team Care Arrangement (MBS Item 723) claimed within the previous 24 months.

Business Rules



• MBS Item 723 claimed in the last 24 months is defined as 'Date Lodged' within the last 24 months.

Calculation A

Numerator

The number of regular Aboriginal clients with type II diabetes for whom a Team Care Arrangement (MBS Item 723) was claimed within the previous 24 months

Denominator

The number of regular Aboriginal clients with type II diabetes

Calculation B

Numerator

The number of regular Aboriginal clients with cardiovascular disease for whom a Team Care Arrangement (MBS Item 723) was claimed within the previous 24 months

Denominator

The number of regular Aboriginal clients with cardiovascular disease.


KPI 12 Population Health - Team Care Arrangements Reviews

12.1 Team Care Arrangement Reviews

Description

Proportion of regular Aboriginal clients with a specified chronic disease with a Team Care Arrangement (MBS Item 723) claimed within the previous 24 months, but not in the last 12 months, where a review (MBS Item 732) has been conducted.

Business Rules



• MBS Item 723 claimed in the last 24 months is defined as 'Date Lodged' within the last 24 months. Note for this calculation there must not have been an MBS Item 723 claimed in the last 12 months.

Calculation A: Type II Diabetes with Zero Reviews

Numerator

The number of regular Aboriginal clients with type II diabetes for whom a Team Care Arrangement (MBS Item 723) was claimed



where zero reviews (MBS Item 732) were claimed after the Team Care Arrangement (MBS Item 723) was claimed

Denominator





Calculation B: Type II Diabetes with One Review

Numerator




where one review (MBS Item 732) was claimed after the Team Care Arrangement (MBS Item 723) was claimed

Denominator




Calculation C: Type II Diabetes with Two Reviews

Numerator




where two reviews (MBS Item 732) were claimed after the Team Care Arrangement (MBS Item 723) was claimed

Denominator





Calculation D: Cardiovascular Disease with Zero Reviews

Numerator

The number of regular Aboriginal clients with cardiovascular disease for whom a Team Care Arrangement (MBS Item 723) was claimed



where zero reviews (MBS Item 732) were claimed after the Team Care Arrangement (MBS Item 723) was claimed

Denominator




Calculation E: Cardiovascular Disease with One Review

Numerator




where one review (MBS Item 732) was claimed after the Team Care Arrangement (MBS Item 723) was claimed

Denominator





Calculation F: Cardiovascular Disease with Two Reviews

Numerator




where two reviews (MBS Item 732) were claimed after the Team Care Arrangement (MBS Item 723) was claimed

Denominator




Example - Creating and processing a 723 claim

Follow the example set out in 8.1 replacing 721 with a 723 claim.


KPI 13 Population Health - Child Immunisation

13.1 Child Immunisation

Description

Proportion of regular Aboriginal clients who are less than 72 months and are ‘fully immunised’.

Business Rules



• For a 12-month-old child to be considered ‘fully immunised’ their record must show the information in Appendix 9: Childhood Immunisations

• For a 24-month-old child to be considered ‘fully immunised’ their record must show the information in Appendix 9: Childhood Immunisations

• For a 60-month-old child to be considered ‘fully Immunised’ their record must show the information in Appendix 9: Childhood Immunisations

• Immunisation data transmitted to AIR through billing package. A guide on this process may be found hyperlink to Immunisation transmission guide

See the Online Help for recording Immunisations in Clinical

See the Online Help for transmitting to AIR in Pracsoft

Calculation A: 12 Months to Less Than 24 Months

A child is considered ‘fully immunised’ if they have received the following vaccinations at 12 months:

• 3 doses DTPa

• 3 doses Polio

• 2 or 3 doses HiB

• 2 or 3 doses Hep B

Numerator

The number of regular Aboriginal clients aged 12 months to less than 24 months, who are ‘fully immunised’.

Denominator

The number of regular Aboriginal clients aged 12 months to less than 24 months.

https://www.medicaldirector.com/help/#t=topics-clinical%2FChildhood_Immunisations.htm

https://www.medicaldirector.com/help/#t=topics-pracsoft%2FImmunisation_Claims_with_Medical_Director.htm


Calculation B: 24 Months to Less Than 36 Months


• 3 doses DTPa

• 3 doses Polio

• 3 or 4 doses HiB

• 3 doses Hep B

• 1 dose MMR

Numerator


Denominator


Calculation C: 60 Months to Less Than 72 Months


• 4 doses DTPa

• 4 doses Polio

• 2 doses MMR

Numerator


Denominator



KPI 14 Population Health - Influenza Vaccination Pregnancy

14.1 Influenza Vaccination During Pregnancy

Description

Proportion of female Aboriginal clients coded as being pregnant during the last 12 months who were vaccinated against influenza.

‘Influenza vaccination’ - refers to a recorded influenza vaccination, whether this vaccination was performed in the clinical service or elsewhere.

Business Rules



• Pregnancy defined as having a pregnancy recorded in the 'obstetric tab' with a start date in the past 12 months

• Patient's influenza immunisation status is defined in the 'immunisation record' under the code ‘flu’ or Description ‘influenzae’. If this is present in the patient's file, the date between the immunisation date and date of reporting is calculated. If this date difference is >= 12 months, the record is included.

Numerator

The number of Aboriginal clients who had an ‘open’ pregnancy record within the previous 12 months with a recorded influenza vaccination in the previous 12 months.

Denominator

The number of Aboriginal clients who had an ‘open’ pregnancy record within the previous 12 months.

Notes

‘‘Open’ pregnancy record’ - refers to a recorded pregnancy, which can be ongoing or completed (i.e. completed date falls within the last 12 months, or record is not marked as completed but start date is less than 10 months prior to collection period).

From information on recording immunisations please refer to the Online Help.

https://www.medicaldirector.com/help/#t=topics-clinical%2FAdult_Immunisations.htm


Example - Recording Pregnancy

1. Open a female patient’s record

2. Select the Obstetric tab

3. Right-click in the white space to add a New Item

4. Input the value for Date of LMP or gestational age by scan and click Save


KPI 15 Population Health - Influenza Vaccination Children

15.1 Influenza Vaccination Children

Description

Proportion of Aboriginal clients aged between 6 months to less than 5 years vaccinated against influenza

Business Rules



• Patient's Influenza Immunisation status is defined as per 14.1

Numerator

The number of Aboriginal clients aged 6 months and older at 1/3/xx AND less than 5 years at 30/9/xx, who have received an influenza vaccination within the previous 9 months.

Denominator

The number of Aboriginal clients aged 6 months and older at 1/3/xx AND less than 5 years at 30/9/xx.

Current year is to be substituted for ‘xx’ within this indicator.


KPI 16 Population Health - Influenza Vaccination Adults

16.1 Influenza Vaccination Adults

Description

Proportion of Aboriginal clients aged 15 years and over vaccinated against influenza

Business Rules



• Patient's Influenza Immunisation status is defined as per 14.1

Numerator

The number of Aboriginal clients aged 15 years and older at 30/9/xx who have received an influenza vaccination within the previous 9 months.

Denominator

The number of Aboriginal clients aged 15 years and older at 30/9/xx.

Current year is to be substituted for ‘xx’ within this indicator.


KPI 17 Population Health - Pertussis Vaccination

17.1 Pertussis Vaccination

Description

Proportion of female Aboriginal clients who were pregnant and in the third trimester during the last 12 months, who received a pertussis vaccination.

Pertussis Vaccination: a recorded acellular pertussis (dTpa) vaccination, whether this vaccination was performed in the clinical service or elsewhere.

Pregnant: a recorded pregnancy, which can be ongoing or completed.

Third Trimester: a gestational age of 28 weeks to delivery inclusive.

Business Rules



• Pregnancy defined as per 14.1

• Patient in third trimester defined is calculated by the gestational age as determined by:

o The last known menstrual period

OR if none present

o The pregnancy finish date (where birth gestational age is greater than 28 weeks)

OR if none present

o The estimated date of conception

• Pertussis (dTpa) vaccination must be received after any recorded LMP or EDC date and before any recorded delivery date

Numerator

The number of female Aboriginal clients who were recorded as pregnant AND within the third trimester during the last 12 months, with a recorded pertussis vaccination performed during pregnancy.

Denominator

The number of female Aboriginal clients who were recorded as pregnant AND within the third trimester during the last 12 months.


KPI 18 Population Health - Hepatitis B

18.1 Hepatitis B Test

Description

Proportion of regular Aboriginal Clients born before May 2000 who are recorded as ever being tested for Hepatitis B infection. This information may be viewed from the patient’s file by clicking on the ‘Results’ tab and navigating to ‘Cumulative results’.

Example: A view of the ‘Cumulative results’ window.

‘Hepatitis B infection’ - includes the following ICPC-2 plus codes:

• D72003 Hepatitis B

Business Rules



• Tested for Hepatitis B is defined as pathology results received containing any of the LOINC codes found in Appendix 10: LOINC Codes - Hepatitis B

Numerator

The number of regular Aboriginal clients born prior to May 2000 with a Hepatitis B test recorded.

Denominator

The number of regular Aboriginal clients born prior to May 2000.


KPI 19 Population Health - Hepatitis B

19.1 Hepatitis B with Viral Load and Liver Test

Description

Proportion of regular Aboriginal clients with chronic Hepatitis B infection who have had a HBV DNA viral load and liver function tests in the previous 12 months.

Chronic Hepatitis B Infection: a recorded diagnosis of Hepatitis B infection

Hepatitis B infection: includes the following ICPC-2 plus codes:

• D72003 Hepatitis B

HBV DNA Viral Load Test: the pathology test request

• HBV viral load

Liver Function Test: a pathology test request

• Liver function test

• LFT

Business Rules


• Patient's diagnosis of chronic Hepatatis B Infection is having defined by a condition listed under one of the below DOCLE codes:

o infe<hepab Hepatitis B

o infe<hepab Hepatitis B infection

o infe<hepab Infection - Hepatitis B

• HBV DNA viral load tests include:

o HepB

o Hep B

o hepatitis B

o HBV

o HBV Viral Load

• Liver function tests include:

o Liver Function Test

o LFT


Numerator

The number of regular Aboriginal Clients with chronic Hepatitis B infection with a:

• HBV DNA viral load test AND

• liver function test

requested within the previous 12 months

Denominator

The number of regular Aboriginal Clients with chronic Hepatitis B infection.

Example - Requesting Pathology Tests

1. Open a patient's record

2. Select Correspondence > Pathology Request

3. The Pathology Request Portal appears.

4. Select your pathology provider, copy-to doctors and the test you wish to order, for example LFT or HepB

5. Click Print


KPI 20 Population Health - Hepatitis C

20.1 Hepatitis C Positive

Description

Proportion of regular Aboriginal clients aged 18 years and over who have been diagnosed with Hepatitis C, who have received Direct Acting Antiviral (DAA) treatment in the last 12 months

Business Rules



• Patient's diagnosis of Hepatitis C is having defined by a condition listed under one of the below DOCLE codes:

o infe<hepac Hepatitis C

o infe<hepac Hepatitis C infection

o infe<hepac Infection - Hepatitis C

• Patient's date of Hepatitis C diagnosis is determined by the received date of a positive pathology result of any of the below LOINC codes: '75888-8', '50023-1', '49378-3', '49377-5', '10676-5', '29609-5', '11011-4', '49758-6', '34704-7', '34703-9', '49379-1', '49376-7', '49604-2', '49603-4', '42617-1', '38180-6', '49608-3', '49605-9', '49374-2', '49373-4', '42003-4', '47252-2', '49375-9', '49372-6', '49370-0', '49369-2', '20571-6', '20416-4', '49371-8', '49380-9'.

• Direct Acting Antiviral (DAA) treatment received is defined as patient's prescribed one of the below medications:

o Peginterferon Alfa-2A

o Peginterferon Beta-1A

o Ribavirin/Peginterferon Alfa-2B

o Daclatasvir

o Ledipasvir/Sofosbuvir

o Ribavirin

o Sofosbuvir

o Dasabuvir/Paritaprevir/Ritonavir/Ombitasvir

o Dasabuvir/Paritaprevir/Ribavirin/Ritonavir/Ombitasvir


Numerator

The number of regular Aboriginal clients aged 18 years and over who have completed DAA treatment within the previous 12 months

Denominator

The number of regular Aboriginal clients aged 18 years and over who have been recorded as HCV RNA positive OR with a diagnosis of Hepatitis C

HCV RNA Positive: a recorded pathology result of HCV RNA positive in the client’s record

Hepatitis C Diagnosis: a recorded diagnosis of Hepatitis C infection in the client record

Completed DAA Treatment: the recorded expiration date of a prescription of Direct Acting Antivirals medications including:

• pegylated interferon

• daclatasvir

• sofosbuvir + ledipasvir

• ribavirin

• sofosbuvir

• paritaprevir + ritonavir + ombitasvir + dasabuvir

• paritaprevir + ritonavir + ombitasvir + dasabuvir + ribavirin

For KPI 20 to be recorded the user must request a pathology request and enter in the correct reason for visit listed above under business rule 3 and a prescription of the medications listed in business rule 5.


KPI 20 Population Health - Hepatitis C

20.2 Hepatitis C Positive with Virological Suppression

Description

Proportion of regular Aboriginal clients aged 18 years and over who have been diagnosed with Hepatitis C, who initiated DAA treatment between 12 and 24 months ago who have achieved sustained virological suppression.

Business Rules



• Patient's diagnosis of Hepatitis C is having defined by a condition listed under one of the below DOCLE codes:

o infe<hepac Hepatitis C

o infe<hepac Hepatitis C infection

o infe<hepac Infection - Hepatitis C

• Patient's date of Hepatitis C diagnosis is defined per 20.1

• Direct Acting Antiviral (DAA) treatment received is defined per 20.1

• Sustained virological suppression defined by an undetectable HCV RNA result in the past 12 months after the completion of the DAA treatment.

Numerator

The number of regular Aboriginal clients aged 18 years and over who have been recorded as HCV RNA positive OR with a diagnosis of Hepatitis C, who completed DAA treatment within the previous 24 months, but not within the previous 12 months, who have sustained virological suppression.

Denominator

The number of regular Aboriginal clients aged 18 years and over who have been recorded as HCV RNA positive OR with a diagnosis of Hepatitis C, who completed DAA treatment within the previous 24 months, but not within the previous 12 months.

HCV RNA Positive: a recorded pathology result of HCV RNA positive in the client record.

Hepatitis C Diagnosis: a recorded diagnosis of Hepatitis C infection in the client record. This may be recorded as a reason for visit listed under Business Rules 3.


Completed DAA Treatment: the recorded expiration date of a prescription of Direct Acting Antivirals medications including:

• pegylated interferon

• daclatasvir

• sofosbuvir + ledipasvir

• ribavirin

• sofosbuvir

• paritaprevir + ritonavir + ombitasvir + dasabuvir

• paritaprevir + ritonavir + ombitasvir + dasabuvir + ribavirin

Sustained Virological Suppression: where the client has an undetectable HCV RNA pathology result OR an inactive/resolved diagnosis at least 12 months after the completion of DAA treatment

HCV RNA Viral Load: the pathology test:

• HCV RNA test (quantitative or qualitative)


KPI 21 Population Health - STI

21.1 STI Tests

Description

Proportion of regular Aboriginal clients aged 15-30 years (inclusive) who were tested for Chlamydia and/or Gonorrhoea within the last 12 months. This also includes patients who have a diagnosis recorded within the last 12 months from a positive pathology request.

Chlamydia Test: includes the following tests:

• Urine Chlamydia

• Chlamydia

Gonorrhoea Test: includes the following tests:

• Gonorrhoea

• Gonococcus

Business Rules



• Tested for Chlamydia and/or Gonorrhoea includes patient whose files contain:

o A diagnosis of Chlamydia and/or Gonorrhoea via a positive pathology result from one of the LOINC codes in Appendix 10: LOINC Codes - Chlamydia.

o Pathology test requested for Chlamydia (Urine Chlamydia or Chlamydia) or Gonorrhoea (Gonorrhoea, Gonococcus or Gonorrhea)

Numerator

The number of regular Aboriginal clients aged 15-30 years who have a:

• Chlamydia, OR

• Gonorrhoea

test recorded within the previous 12 months

Denominator

The number of regular Aboriginal clients aged 15-30 years.



To request pathology including STI tests follow the method outlined in 19.1

Example - Record STI Tests

STI Tests can be recorded in the Past History tab of the patient’s record


KPI 21 Population Health - STI

21.2 STI Tests Including Blood

Description

Proportion of regular Aboriginal clients aged 15-30 years (inclusive) who were tested for Chlamydia or Gonorrhoea, and who received a Syphilis test within the previous 12 months

Chlamydia Test: includes the following tests:

• Urine Chlamydia PCR

• Chlamydial PCR

Gonorrhoea Test: includes the following tests:

• Gonococcus PCR

Syphilis Test: includes the following tests:

• Syphilis Serology

Business Rules



• Tested for Chlamydia and/or Gonorrhoea defined per 21.1

• Syphilis test recorded is defined as either:

• A received positive pathology result of one of the LOINC codes in Appendix 10: LOINC Codes - Syphilis

• Syphilis test requested including Syphilis and Syphilis Serology

Numerator

The number of regular Aboriginal clients aged 15-30 years who have:

• Chlamydia AND Syphilis OR

• Gonorrhoea AND Syphilis

tests recorded within the previous 12 months

Denominator

The number of regular Aboriginal clients aged 15-30 years who have a:

• Chlamydia, OR

• Gonorrhoea

test recorded within the previous 12 months


KPI 22 Population Health - STI / HIV Test

22.1 STI / HIV Test

Description

Proportion of regular Aboriginal clients (any age) with a positive Chlamydia, Gonorrhoea, or Syphilis result in the last 12 months who received a HIV test within 30 days of the first positive pathology result actioned to the patients file.

Business Rules



• Positive ‘Chlamydia result’ - includes the following tests: Urine Chlamydia PCR and Chlamydial PCR. These are recorded in the patient file under the LOINC codes in Appendix 10: LOINC Codes - Chlamydia OR Positive ‘Chlamydia result’ indicated by the initiation of treatment including one or more of the following prescriptions:

o Azithromycin 1 g oral

o Doxycycline 100mg oral

o Ceftriaxone 500mg IMI stat

o Erythromycin 500mg QID

• Positive Gonorrhoea result - includes the following test: Gonococcus PCR. These are recorded in the patient file under the LOINC codes in Appendix 10: LOINC Codes - Gonorrhoea. OR Positive ‘Gonorrhoea result’ is indicated by the initiation of treatment including one or more of the following prescriptions:

o Ceftriaxone 500mg IMI stat AND Azithromycin 1g oral stat

o Ceftriaxone 500mg IMI stat AND Azithromycin 1g oral stat AND Doxycycline 100mg Oral

o Amoxicillin 3g Oral stat AND Probenecid 1g oral stat AND Azithromycin Oral Stat

• Positive Syphilis result- includes the following test: Syphilis Serology. These are recorded in the patient file under the LOINC codes in Appendix 10: LOINC Codes - Syphilis. OR Positive ‘Syphilis result’ is indicated by the initiation of treatment including one or more of the following prescriptions:

o Benzathine Penicillin 1.8g IMI

o Procaine Penicillin 1.5g IMI

o Benzathine Penicillin 1.8g

o Procaine Penicillin 1.5g


• HIV test requested is - includes the following tests: HIV Screen and AIDS Screen. A pathology result will be recorded in a patient's file with one of the LOINC codes in Appendix 10: LOINC Codes - HIVAIDS

Numerator

The number of Regular Aboriginal clients who have a positive result OR initiated treatment for:

• Chlamydia, OR

• Gonorrhoea, OR

• Syphilis

recorded within the previous 12 months, with a HIV test recorded within 30 days of the first positive result OR initiation of treatment

Denominator

The number of regular Aboriginal clients who have a positive result OR initiated treatment for:

• Chlamydia, OR

• Gonorrhoea, OR

• Syphilis

recorded within the previous 12 months


To request pathology including STI tests follow the method outlined in 19.1


KPI 23 Population Health - AUDIT-C

23.1 AUDIT-C Result

Description

Proportion of regular Aboriginal clients aged 15 or over who have had an AUDIT-C result recorded within the previous 12 months with a ‘positive’ score (>=4 for men, >= 3 for women).

Business Rules



• AUDIT-C result recorded in the 'alcohol' tab of the 'Patient Details' menu.

Numerator

The number of regular Aboriginal clients who have had an AUDIT-C result recorded within the previous 12 months, whose most recent AUDIT-C result was positive (greater than or equal to 4 for males, greater than or equal to 3 for females)

Denominator

The number of regular Aboriginal clients who have had an AUDIT-C result recorded within the previous 12 months

‘AUDIT-C’ - is a three-item alcohol screen (modified version of the 10 question AUDIT instrument) that can help identify persons who are hazardous drinkers or have active alcohol use disorders (including alcohol abuse or dependence).


Example - Recording Alcohol Consumption


2. Select Assessment > Audit-C

3. The Audit-C Assessment is presented

4. Input data and click Save

Note that prior to your first use of the Audit-C Assessment, MedicalDirector Clinical will read the last assessment recorded using the old alcohol assessment tool (pre-Clinical v3.16a), and attempt to map it to the Audit-C fields.


KPI 24 Population Health - Alcohol Condition 24.1 Alcohol Referral

Description

Proportion of regular Aboriginal clients with a relevant alcohol related condition coded that have an alcohol related referral.

Alcohol Related Referral: a referral made by a practitioner to a service which could be a residential rehabilitation, home or hospital withdrawal programs, psychological counselling and family support programs due to a condition related to the harmful use and/or dependence on alcohol.

Business Rules



• Diagnosis of an ‘Alcohol related condition’ is defined as a ‘Past History’ event containing one of the following conditions related to the harmful use and/or dependence on alcohol:

abus@alco Abuse - Alcohol

abus@alco Alcohol abuse

abus@alco Alcohol addiction

abus@alco Alcohol dependence

abus@alco Alcoholic

abus@alco Alcoholism

withdraw@alco Acute alcohol withdrawal

withdraw@alco Alcohol withdrawal

withdraw@alco Delirium tremens

withdraw@alco Withdrawal - Alcohol

ppoc@stop@alco Alcohol cessation - treatment

ppoc@redu@alco Alcohol reduction - treatment

bing@alco Alcoholic binge

prob@alco Alcohol excess

prob@alco Alcohol use disorder

prob@alco Problem - Alcohol

prob@alco Problem Drinker

• An Alcohol related referral is defined as patients who have a reason for visit AND a ‘Past History’ item of one of the following:

refe@abus@alco Alcohol referral

refe@abus@alco Referral, alcohol condition


Numerator

The number of regular Aboriginal clients coded with an alcohol related condition with an alcohol related referral.

Denominator

The number of regular Aboriginal clients coded with an alcohol related condition.

Example - Recording Past History

1. Select the Past History tab

2. Right click within the white space to add a new item

3. The New History Item window appears.

4. Fill In the appropriate date and data.


Example - Recording Reason for Contact

1. Open the patient’s record

2. Select the Progress tab

3. Click the Reason button.

4. The Reason for Contact window appears. Input data and click OK


KPI 25 Population Health - Drug and/or Alcohol Support Plan (Pracsoft)

25.1 Drug and/or Alcohol Support Plan

Description

Proportion of regular Aboriginal clients with a coded drug and / or alcohol condition within the previous 3 months with a care plan in place.

Note for the GP Mental Health plan to be recorded in the MD Insights collection the health plan needs to be recorded, transmitted and accepted/rejected by Medicare.

Alcohol Related Condition: a condition related to the harmful use and/or dependence on alcohol

Drug Related Condition: a condition related to the harmful use and/or dependence on illicit or licit drugs; including tobacco and prescription drugs

Care Plan: detailed written or documented plan developed in consultation with the patient, and based on a comprehensive assessment, which sets clear and concrete goals that the patient wants to achieve. The plan should include the type of treatment and support services to be provided, as well as the intended frequency and duration of these services. This indicator may be required to be collected manually.

Business Rules



• Diagnosis of an ‘Alcohol related condition’ is defined per 24.1

• Diagnosis of a ‘Drug related condition’ is defined as a ‘Past History’ item containing one of the conditions listed in Appendix 11: Drug-Related Conditions.

• Care Plan in place is defined as either

o Patients with a reason for visit Including:

▪ ppoc@care@plan@abus@drug Support plan, drug

▪ ppoc@care@plan@abus@drug Drug support plan

▪ ppoc@care@plan@abus@alco Support plan, alcohol

▪ ppoc@care@plan@abus@alco Alcohol support plan

o An MBS 721 or 723 item claimed.


Numerator

The number of regular Aboriginal clients with an:

• alcohol, OR

• drug

related condition recorded within the previous 3 months, with a care plan in place

Denominator

The number of regular Aboriginal clients with an:

• alcohol, OR

• drug

related condition recorded within the previous 3 months


KPI 26 Mental Health - GP Mental Health Plan

26.1 GP Mental Health Plan

Description

Proportion of regular Aboriginal clients with an identified mental illness/es who have had a GP Mental Health Plan (MBS Item 2700, 2701, 2715 or 2717) claimed within the previous 24 months. A care plan may be accessed from within the Clinical window by clicking the ‘Assessment’ tab and then selecting ‘Care Plan’.

Note for the GP Mental Health plan to be recorded in the MD insights collection the health plan needs to be recorded, transmitted and accepted/rejected by Medicare. Recording the care plan in the Clinical software does not have an impact on the reporting for this KPI.

Business Rules



• Diagnosis of ‘high-impact mental illness’ is defined as patients with a history of one of the conditions listed in Appendix 12: High-Impact Mental Illness

• Diagnosis of ‘low-impact mental illness’ is defined as patients with a history of one of conditions listed in Appendix 13: Low-Impact Mental Illness

• GP Mental Health plan claimed as defined by the claiming of MBS item numbers 2700, 2701, 2715 or 2717

Calculation A: High Impact

Numerator

The number of regular Aboriginal clients with a diagnosis matching the high impact mental illness definition, with a GP Mental Health Plan (MBS Item 2700, 2701, 2715, OR 2717) claimed within the previous 24 months

Denominator

The number of regular Aboriginal clients with a diagnosis matching the high impact mental illness definition

Calculation B: Low Impact

Numerator

The number of regular Aboriginal clients with a diagnosis matching the low impact mental illness definition, with a GP Mental Health Plan (MBS Item 2700, 2701, 2715, OR 2717) claimed within the previous 24 months

Denominator

The number of regular Aboriginal clients with a diagnosis matching the low impact mental illness definition


KPI 27 Mental Health - GP Mental Health Plan Review

27.1 GP Mental Health Plan Reviews

Description

Proportion of regular Aboriginal clients with an identified mental illness/es who have had a GP Mental Health Plan (MBS Item 2700, 2701, 2715 or 2717) claimed within the previous 24 months, but not in the last 12 months, where a review (MBS Item 2712) has been conducted. A care plan may be accessed from within the Clinical window by clicking the ‘Assessment’ tab and then selecting ‘Care Plan’.

Note: For the GP Mental Health care plan review to recorded you will need to transmit the claim to Medicare and either accept the claim or have the claim rejected for it to be recorded in the collection. Recording the care plan in the Clinical software does not have an impact on the reporting for this KPI.

Business Rules



• Diagnosis of 'Mental Illness' defined per 26.1

• 'Had a GP Mental Health Plan' defined per 26.1

Calculation A: High Impact with Zero Reviews

Numerator

The number of regular Aboriginal clients with a diagnosis matching the high impact mental illness definition, with a GP Mental Health Plan (MBS Item 2700, 2701, 2715, OR 2717) claimed



where zero reviews (MBS Item 2712) were claimed after the GP Mental Health Plan (MBS Item 2700, 2701, 2715, OR 2717) was claimed

Denominator





Calculation B: High Impact with One Review

Numerator




where one review (MBS Item 2712) was claimed after the GP Mental Health Plan (MBS Item 2700, 2701, 2715, OR 2717) was claimed

Denominator




Calculation C: High Impact with Two Reviews

Numerator




where two reviews (MBS Item 2712) were claimed after the GP Mental Health Plan (MBS Item 2700, 2701, 2715, OR 2717) was claimed

Denominator





Calculation D: Low Impact with Zero Reviews

Numerator

The number of regular Aboriginal clients with a diagnosis matching the low impact mental illness definition, with a GP Mental Health Plan (MBS Item 2700, 2701, 2715, OR 2717) claimed



where zero reviews (MBS Item 2712) were claimed after the GP Mental Health Plan (MBS Item 2700, 2701, 2715, OR 2717) was claimed

Denominator




Calculation E: Low Impact with One Review

Numerator




where one review (MBS Item 2712) was claimed after the GP Mental Health Plan (MBS Item 2700, 2701, 2715, OR 2717) was claimed

Denominator





Calculation F: Low Impact with Two Reviews

Numerator




where two reviews (MBS Item 2712) were claimed after the GP Mental Health Plan (MBS Item 2700, 2701, 2715, OR 2717) was claimed

Denominator





Appendix 1: Creating and Processing A Claim

The following instructions relate to Pracsoft. Within the Waiting Room, select the patient's record, and either;

1. Open MedicalDirector Pracsoft

2. Add Patient to the Pracsoft Waiting Room.

• See ‘Adding Patients to the Waiting Room’ for instructions.

3. Right-click the patient’s name, and click Record Visit

4. Select the following:

• Select Bulk Bill via the Invoice To drop-down list

• Select the associated Doctor via the Seen By drop-down list.

• Service Details: Item No: 715

https://www.medicaldirector.com/help/#t=topics-pracsoft%2FAdding_Patients_to_the_Waiting_Room.htm


After recording a visit / issuing an account to Bulk Bill or Vet Affairs, you must batch all the claim vouchers before they can be sent to Medicare Australia / Veterans’ Affairs for processing. The following information explains the process of batching claims for both Bulk Bill and Veterans’ Affairs claims.

1. Select either;

• Processing > Batch Bulk Claims > Medicare, OR

• Processing > Batch Bulk Claims > Veterans’ Affairs (for batching Vet Affairs claims).

2. Click to process the batch. You will be prompted to confirm this action. Upon successfully processing a batch, the Batching Bulk Claims window will indicate that the batch has been processed, and the Process button will no longer be available for this batch.

3. Use the forward (right) or backward (left) buttons to scroll through the remaining batches and process them as desired.

4. Once you have completed processing batches, you can either;

• Click on the Batching Bulk Claims window to send the batch now, or

• Click on the Batching Bulk Claims window to save the processed batches, for sending in bulk later.


From the Pracsoft Waiting Room, select Processing > Online Claiming. The Medicare Australia Online Claiming window appears.

This window will only display claims for practitioners who have indicated that they use Medicare Australia Online (via the Practitioner Details window).

The left-hand section of this window displays Claims that have been batched but not yet prepared and Transmitted. The right-hand side displays claims that have been prepared or Transmitted. Claims can be moved to the right or left of this screen by simply double-clicking them.

1. Once you have placed the Claims you wish to prepare into the ‘Claims Selected to Prepare’ section, click

The Prepare Claims Data tab will be displayed. Go to Step 2 - Preparing Claiming Data for Transmission.

2. Click to begin preparing vouchers.

3. You will be prompted to double-check that the correct claims have been selected for processing.

o If you are using a location certificate only and the Practitioner for whom you are preparing the claim on behalf of does not use an individual token, the claim will process once you respond with 'Yes'.

o If you are preparing claim for a Practitioner who uses an individual token, the Practitioner must insert the Individual Token or iKey and type in the password for each Practitioner when prompted.

o If a claim has been prepared successfully you will be notified in this window.

o If issues are discovered they will be displayed in this window and recorded in a log file (called hiconline.log, found in the Pracsoft home directory on your computer).

o If a claim has failed preparation, take note of the reasons displayed (e.g. invalid provider number,

invalid data item) and then click to call an edit window in which you can make the appropriate changes. Once any errors with the claims are rectified, proceed to the Medicare Australia Online Claiming window via Processing > Online Claiming and attempt to process the claims again.

4. Once all claims have processed successfully click The Print Claims Reports tab will be displayed. Go to Step 3 - Printing claims Reports.


Appendix 2: DOCLE Codes

CHD - DOCLE Codes

angip Angina

angip Angina pectoris

angip@prin Angina pectoris - Prinzmetal angip@prin Coronary artery spasm

angip@prin Prinzmetal angina

angip@prin Variant angina

angip@unst Acute coronary insufficiency

angip@unst Angina pectoris - unstable

angip@unst Preinfarction syndrome

angip@unst Unstable Angina

angip@unst:high@risk Unstable Angina - High risk

angip@unst:low@risk Unstable Angina - Low risk

angip@unst:moderate@risk Unstable Angina - Moderate risk

atherosc Arteriosclerosis

atherosc Atherosclerosis

ihd Atherosclerotic heart disease

ihd Coronary artery disease

ihd Coronary heart disease

ihd Coronary insufficiency

ihd IHD

ihd IHD (Ischaemic Heart Disease) ihd Ischaemic heart disease

ihd Myocardial insufficiency

myoci Acute myocardial infarction

myoci AMI (Acute Myocardial Infarction) myoci Myocardial Damage

myoci Myocardial infarction

myoci:sans,st@elev Myocardial infarction - without ST elevation

myoci:sans,st@elev Non-ST-elevation myocardial infarction (NSTEMI) myoci:sans,st@elev NSTEMI (non-ST-elevation myocardial infarction) myoci:st@elev Myocardial Infarction - with ST elevation

myoci:st@elev STEMI (ST-Elevation Myocardial Infarction) myoci@ante Anterior myocardial infarct

myoci@ante Myocardial infarction - anterior

myoci@antel Anterolateral myocardial infarct

myoci@antel Myocardial infarction - anterolateral myoci@inf Inferior myocardial infarction

myoci@inf Myocardial infarction - inferior

myoci@posterio Myocardial infarction - posterior

myoci@posterio Posterior myocardial infarct

myoci@sile Myocardial infarction - silent


CHD - DOCLE Codes

myoci@sile Silent myocardial infarction

myoci@subendoc Myocardial infarction - subendocardial myoci@subendoc Subendocardial myocardial infarct

myoci@supe Myocardial infarction - superior

myoci@supe Superior myocardial infarct

occl@coroa Blockage Coronary Artery

occl@coroa Coronary Occlusion

occl@coroa Occlusion - Coronary Artery

occl@coroa:acut ACS (acute coronary syndrome) occl@coroa:acut Acute coronary syndrome

ppoc@reha@ihd Coronary artery disease - Rehabilitation

pres@angip Antiangina agent prescription

pres@angip Prescription - Angina pectoris

surg.coroa Coronary artery surgery

surg.coroa Surgery - Coronary artery

surg.coroa@balloon Angioplasty - coronary

surg.coroa@balloon Balloon coronary angioplasty

surg.coroa@balloon Coronary artery balloon angioplasty

surg.coroa@balloon PCTA

surg.coroa@balloon Percutaneous transluminal angioplasty

surg.coroa@balloon Surgery - Coronary artery balloon angioplasty

surg.coroa@enda Coronary artery endarterectomy

surg.coroa@enda Surgery - Coronary artery endarterectomy

surg.coroa@graf Bypass - coronary

surg.coroa@graf CABG (Coronary Artery Bypass Graft) surg.coroa@graf Coronary artery bypass graft

surg.coroa@graf Surgery - Coronary artery bypass graft

surg.coroa@stent Angioplasty - coronary (with stent) surg.coroa@stent Coronary Angiography and Stent

surg.coroa@stent Coronary artery stent

surg.coroa@stent Stent - Coronary artery

surg.coroa@stent Surgery - Coronary artery stent

surg.coroa@stent@eluting Arterial stent - Coronary artery, drug-eluting

surg.coroa@stent@eluting Coronary artery, drug-eluting stent

surg.coroa@stent@eluting Stent - Coronary artery, drug-eluting

surg.coroa@stent@eluting@non Arterial stent - Coronary artery, not drug-eluting

surg.coroa@stent@eluting@non Coronary artery, not drug-eluting stent

surg.coroa@stent@eluting@non Stent - Coronary artery, not drug-eluting


ACS - DOCLE Codes

angip@unst Acute coronary insufficiency

angip@unst Angina pectoris - unstable

angip@unst Preinfarction syndrome

angip@unst Unstable Angina


myoci:sans,st@elev Non-ST-elevation myocardial infarction (NSTEMI)

myoci:sans,st@elev NSTEMI (non-ST-elevation myocardial infarction)

myoci:st@elev Myocardial Infarction - with ST elevation

myoci:st@elev STEMI (ST-Elevation Myocardial Infarction)

occl@coroa:acut ACS (acute coronary syndrome)

occl@coroa:acut Acute coronary syndrome

MI - DOCLE Codes

myoci Acute myocardial infarction

myoci AMI (Acute Myocardial Infarction)

myoci Myocardial Damage

myoci Myocardial infarction


myoci:sans,st@elev Non-ST-elevation myocardial infarction (NSTEMI)

myoci:sans,st@elev NSTEMI (non-ST-elevation myocardial infarction)

myoci:st@elev Myocardial Infarction - with ST elevation

myoci:st@elev STEMI (ST-Elevation Myocardial Infarction)

myoci@ante Anterior myocardial infarct

myoci@ante Myocardial infarction - anterior

myoci@antel Anterolateral myocardial infarct

myoci@antel Myocardial infarction - anterolateral

myoci@inf Inferior myocardial infarction

myoci@inf Myocardial infarction - inferior

myoci@posterio Myocardial infarction - posterior

myoci@posterio Posterior myocardial infarct

myoci@sile Myocardial infarction - silent

myoci@sile Silent myocardial infarction

myoci@subendoc Myocardial infarction - subendocardial

myoci@subendoc Subendocardial myocardial infarct

myoci@supe Myocardial infarction - superior

myoci@supe Superior myocardial infarct


Stroke - DOCLE Codes

cva Cerebral Infarction

cva Cerebrovascular Accident

cva CVA (Cerebrovascular Accident)

cva Stroke

cva@isch Ischaemic Stroke

cva@isch Stroke - Ischaemic

cva@lacu Lacunar Stroke

cva@lacu Stroke - Lacunar

cva@migr Migranous Stroke

cva@migr Stroke - Migranous

cva@thrombos Stroke - Thrombotic

cva@thrombos Thrombotic - Stroke

embo.cere Cerebral Embolism

embo.cere Embolism - Cerebral

ich Cerebral Haemorrhage

ich Haemorrhage - intracerebral

ich Haemorrhagic CVA

ich Haemorrhagic Stroke

ich Intracerebral bleed

ich Intracerebral haemorrhage

ich Stroke - Haemorrhagic

sah Haemorrhage - subarachnoid

sah Subarachnoid bleed

sah Subarachnoid haemorrhage

tia Arterial Embolism - minor

tia Cerebral TIA

tia Cerebral Transient Ischaemia

tia Cerebral Transient Ischaemic Attacks

tia TIA (Transient Ischaemic Attack)

tia Transient Ischaemic Attack

PVD - DOCLE Codes

Cvi Cerebrovascular insufficiency

Pvd Arteriosclerosis obliterans

Pvd Peripheral Vascular Disease

pvd PVD

raynp Raynaud's phenomenon


Carotid Stenosis - DOCLE codes

sten.caroa Carotid Stenosis

surg.caroa@bypa@graf Carotid artery bypass surgery

surg.caroa@enda Carotid Endarterectomy

surg.caroa@enda Endarterectomy - Carotid

surg.caroa@stent Arterial stent - Carotid artery

surg.caroa@stent Carotid artery stent

surg.caroa@stent Stent - Carotid artery

Renal Stenosis - DOCLE Codes

sten.renaa Renal artery stenosis

sten.renaa Stenosis - Renal artery

surg.renaa Angioplasty - renal

surg.renaa@stent Arterial stent - Renal artery

surg.renaa@stent Renal artery stent

surg.renaa@stent Stent - Renal artery


Appendix 3: Blood Pressure Drug Treatments

Generic Ingredients ATC Code

Candesartan C09CA06

Eprosartan C09CA02

Irbesartan C09CA04

Losartan C09CA01

Olmesartan C09CA08

Telmisartan C09CA07

Valsartan C09CA03

Candesartan/Hydrochlorothiazide C09DA06

Eprosartan/Hydrochlorothiazide C09DA02

Irbesartan/Hydrochlorothiazide C09DA04

Olmesartan/Amlodipine C09DB02

Olmesartan/Amlodipine/Hydrochlorothiazide C09DX03

Olmesartan/Hydrochlorothiazide C09DA08

Telmisartan/Amlodipine C09DB04

Telmisartan/Hydrochlorothiazide C09DA07

Valsartan/Amlodipine C09DB01

Valsartan/Amlodipine/Hydrochlorothiazide C09DX01

Valsartan/Hydrochlorothiazide C09CA03

Valsartan/Sacubitril C09DX04

Captopril C09AA01

Enalapril C09AA02

Fosinopril C09AA09

Lisinopril C09AA03

Perindopril C09AA04

Quinapril C09AA06

Ramipril C09AA05

Trandolapril C09AA10

Enalapril/Hydrochlorothiazide C09BA02

Enalapril/Lercanidipine C09BB02

Fosinopril/Hydrochlorothiazide C09BA09



Perindopril/Amlodipine C09BB04

Perindopril/Indapamide C09BA04

Quinapril/Hydrochlorothiazide C09BA06

Ramipril/Felodipine C09BB05

Trandolapril/Verapamil C09BB10

Atenolol C07AB03

Bisoprolol C07AB07

Carvedilol C07AG02

Esmolol C07AB09

Labetalol C07AG01

Metoprolol succinate C07AB02

Metoprolol tartrate C07AB02

Nebivolol C07AB12

Oxprenolol C07AA02

Pindolol C07AA03

Propranolol C07AA05

Sotalol C07AA07

Amlodipine C08CA01

Clevidipine C08CA16

Felodipine C08CA02

Lercanidipine C08CA13

Nimodipine C08CA06

Amlodipine/Atorvastatin C10BX03

Enalapril/Lercanidipine C09BB02

Olmesartan/Amlodipine C09DB02


Perindopril/Amlodipine C09BB04

Ramipril/Felodipine C09BB05

Telmisartan/Amlodipine C09DB04

Valsartan/Amlodipine C09DB01


Diltiazem C08DB01



Verapamil C08DA01

Trandolapril/Verapamil C09BB10

Bumetanide C03CA02

Etacrynic acid C03CC01

Furosemide C03CA01

Amiloride C03DB01

Eplerenone C03DA04

Spironolactone C03DA01

Hydrochlorothiazide/Amiloride C03EA01

Hydrochlorothiazide C03AA03

Hydrochlorothiazide/Triamterene C03EA01

Candesartan/Hydrochlorothiazide C09DA06

Eprosartan/Hydrochlorothiazide C09DA02

Irbesartan/Hydrochlorothiazide C09DA04


Olmesartan/Hydrochlorothiazide C09DA08

Telmisartan/Hydrochlorothiazide C09DA07


Valsartan/Hydrochlorothiazide C09DA03

Enalapril/Hydrochlorothiazide C09BA02

Fosinopril/Hydrochlorothiazide C09BA09

Quinapril/Hydrochlorothiazide C09BA06

Chlortalidone C03BA04

Indapamide C03BA11

Perindopril/Indapamide C09BA04

Methyldopa C02AB01

Clonidine C02AC01

Moxonidine C02AC05


Appendix 4: Lipid Lowering Drug Treatments

Generic Ingredients ATCCode

Atorvastatin C10AA05

Fluvastatin C10AA04

Pravastatin C10AA03

Rosuvastatin C10AA07

Simvastatin C10AA01

Amlodipine/Atorvastatin C10BX03

Atorvastatin/Ezetimibe C10BA05

Simvastatin/Ezetimibe C10BA02

Fenofibrate C10AB05

Gemfibrozil C10AB04

Colestipol C10AC02

Colestyramine C10AC01

Ezetimibe C10AX09

Nicotinic acid C10AD02

Omega-3 triglycerides C10AX06


Appendix 5: Recording eGFR and ACR Example - Record Kidney Function Test (GFR Result) Manually


2. Select Tools > Tool Box > Renal Function Calculator. The Renal Function Calculator appears.

3. Enter value for creatine to generate eGFR value and click Save


Example - Recording ACR Manually


2. Select Clinical > Diabetes Record. The Diabetes Follow Up window appears.

3. An assessment must be conducted. While completing the Diabetes Assessment, record the Microalbumin ratio on the Investigations screen.


Appendix 6: Diabetes

Example - Reviewing A Patient's Diabetes Record.


2. Select Clinical > Diabetes Record



Example - Record HbA1c Values to the Patient’s Record


2. Select Clinical > Diabetes Record



4. Click Add Values. The Diabetes Record window appears.

5. Input a value for Blood Gluc and click Save

Example - Record Type II Diabetes to Patient’s Record In ‘Reason for Visit’


2. Select the Progress tab

3. Click Reason. The Reason for Contact window appears.

4. Enter Diabetes Mellitus - Type II and tick the Save In Past Medical History check box.

5. Click OK


Example - Record Type II Diabetes to Patient’s Record in ‘History’


2. Select the Past History tab

3. Right click within the white space to add a new item

4. The New History Item window appears.

5. Fill In the appropriate date and enter Diabetes Mellitus - Type II In the condition field.

6. Click OK


Example - Record Blood Pressure


2. Select Tools > Tool Box > Blood Pressure

3. The Blood Pressure module appears.

4. Enter values for blood pressure and then click Save


Appendix 7: Processing Claims

Example - Creating and Processing A 721 Claim

1. Open MedicalDirector Pracsoft

2. Add a patient to the Pracsoft Waiting Room.

• See ‘Adding Patients to the Waiting Room’ for instructions.

3. Right-click the patient’s name, and click Record Visit

4. Select the following:

• Select Bulk Bill via the Invoice To drop-down list

• Select the associated Doctor via the Seen By drop-down list.

• Service Details: Item No 721

5. Click Voucher

https://www.medicaldirector.com/help/#t=topics-pracsoft%2FAdding_Patients_to_the_Waiting_Room.htm


Example - Processing a Patient Claim

1. Select Processing > Batch Bulk Claims > Medicare

2. Enter a Claim Number (5 digits)

3. Click Process

4. Click Yes

5. Click Send

6. Click Yes to proceed. The Select Claims Tab is presented.


7. Click Next Step. The Prepare Claim Tab is presented. Click Prepare

8. When prompted, click Yes for claim item

9. Click Next Step. The Transmit Claims tab is presented.

10. Click Transmit. The Transmit Claims window appears.

11. Locate and tick the item(s) for transmitting.

12. Click Transmit

13. Click OK


Appendix 9: Childhood Immunisations

Minimum Count Antigens

Each of the antigens have been immunised for times equal or larger than the minimum count. Not to sum up all in the same group

DTPa count 3 DIPTHERIA, TETANUS, PERTUSSIS

Polio count 3 POLIO

HiB count 2 HIB

Hep B count 2 HEPB

MMR count 0 MEASLES, MUMPS, RUBELLA

For a 24-month-old child to be considered ‘fully Immunised’ their record must show the following:




Polio count 3 POLIO

HiB count 3 HIB

Hep B count 3 HEPB


For a 60-month-old child to be considered ‘fully Immunised’ their record must show the following:




Polio count 4 POLIO


HiB count 0 HIB

Hep B count 0 HEPB


Appendix 10: LOINC Codes

LOINC Codes - Hepatitis B

45159-1 83100-8 49600-0 5008-8 72841-0 61166-5 75408-5 49495-5

74856-6 22319-8 49359-3 5009-6 72840-2 61168-1 39007-0 58405-2

59052-1 5186-2 49367-6 32366-7 49882-4 61165-7 32178-6 49177-9

39005-4 5185-4 40459-0 16934-2 72851-9 61164-0 77176-6 48070-7

51658-3 31204-1 45161-7 6421-2 72850-1 61156-6 33633-9 58452-4

22316-4 24113-3 49361-9 72056-5 61161-6 30937-7 49883-2 63557-3

5187-0 10673-2 49366-8 54210-0 61160-8 10397-8 42322-8 70154-0

5188-8 77190-7 32686-8 72849-3 61163-2 22321-4 33629-7 77739-1

22317-2 39006-2 23869-1 49877-4 61169-9 5189-6 55275-2 50967-9

21005-4 51659-1 29900-8 49878-2 61154-1 5190-4 16935-9 42505-8

16933-4 49358-5 49364-3 49879-0 61173-1 22320-6 5194-6 5195-3

13952-7 49357-7 49363-5 72848-5 61155-8 13953-5 5193-8 5197-9

75378-0 11258-1 20442-0 72847-7 61158-2 75407-7 22323-0 65633-0

47440-3 42595-9 29615-2 72846-9 61159-0 41151-2 21006-2 5196-1

47358-7 49368-4 47216-7 72845-1 61157-4 33463-1 42504-1 7905-3

22318-0 49360-1 48650-6 49880-8 61171-5 31845-1 22322-2 75410-1

13919-6 49602-6 49365-0 72844-4 61172-3 5191-2 10900-9 47364-5

32685-0 49601-8 49362-7 72843-6 61170-7 31844-4 39535-0 10674-0

40725-4 48398-2 5007-0 72842-8 61162-4 5192-0 75409-3 10675-7

51914-0 49606-7 29610-3 49881-6 61167-3 13954-3 32019-2 43279-9

62871-9

48163-0


LOINC Codes - Chlamydia

13217-5 32007-7 22182-0 45105-4 31767-7 35718-6 45007-2 16596-9 31774-3 28556-9 26668-4 53926-2 44982-7 82178-5 6915-3 54044-3

32005-1 27371-4 5083-1 45104-7 6347-9 35736-8 45130-2 5090-6 6352-9 31298-3 26626-2 4993-2 22169-7 10652-6 44081-8 57817-9

27368-0 44987-6 5084-9 45103-9 561-1 35723-6 30204-2 45001-5 6353-7 44988-4 44985-0 43304-5 16581-1 34645-2 31307-2 43846-5

31294-2 22200-0 25369-0 31764-4 35711-1 35725-1 45008-0 44999-1 31776-8 43058-7 40855-9 50411-8 22170-5 7821-2 5080-7 46179-8

44996-7 18490-3 29677-2 20755-5 35710-3 35728-5 45009-8 41157-9 14472-5 28558-5 43174-2 45068-4 6912-0 16585-2 51808-4 43847-3

22194-5 22201-8 29664-0 45109-6 35713-7 35726-9 22187-9 40710-6 14511-0 49096-1 51734-2 44807-6 50612-1 16584-5 43868-9

14199-4 18491-1 43063-7 31763-6 32774-2 35717-8 5087-2 43061-1 31775-0 47212-6 44984-3 44806-8 31301-5 34707-0 22179-6

16597-7 13221-7 34264-2 6343-8 35412-6 35730-1 5088-0 27167-6 14474-1 45090-8 40854-2 43406-8 58758-4 33943-2 16587-8

44995-9 44986-8 22183-8 6344-6 35722-8 45093-2 31293-4 22193-7 14513-6 16599-3 43173-4 36902-5 31302-3 43216-1 22180-4

22195-2 22202-6 16591-0 45107-0 35724-4 14461-8 45006-4 45000-7 31772-7 21187-0 44983-5 45072-6 51806-8 35639-4 6916-1

14200-0 18492-9 5085-6 45106-2 35727-7 45094-0 45004-9 6920-3 14471-7 21189-6 40856-7 45067-6 44981-9 24402-0 16588-6

31295-9 41482-1 33410-2 45108-8 34708-8 14462-6 45005-6 44998-3 14510-2 21190-4 43175-9 80361-9 22171-3 59065-3 5081-5

44994-2 77166-7 38467-7 31765-1 35716-0 14463-4 22188-7 44997-5 31777-6 6356-0 47211-8 45069-2 16582-9 22993-0 51809-2

22196-0 74241-1 45010-6 6345-3 35729-3 45095-7 16594-4 34710-4 6354-5 45086-6 45089-0 80365-0 22172-1 22992-2 44977-7

14201-8 82957-2 21185-4 6346-1 45097-3 45096-5 22189-5 31768-5 6355-2 80363-5 57287-5 45073-4 6913-8 20752-2 43057-9

13218-3 62865-1 56909-5 45133-6 45099-9 80367-6 6918-7 14468-3 44005-7 51578-3 38469-3 45075-9 44080-0 7822-0 27404-3

32006-9 69865-4 22184-6 45132-8 24005-1 14465-9 44079-2 14507-8 26663-5 21191-2 21188-8 45074-2 31303-1 22175-4 22181-2

27370-6 39224-1 10848-0 45131-0 556-1 14467-5 22190-3 47234-0 46176-4 6357-8 45078-3 80360-1 31304-9 22994-8 6917-9

44993-4 31292-6 24238-8 32003-6 45098-1 14464-2 16595-1 31769-3 43356-5 45084-1 50387-0 45070-0 51807-6 20754-8 23000-3

22197-8 45011-4 56910-3 31766-9 557-9 6349-5 5089-8 6350-3 46177-2 43404-3 16600-9 80362-7 24004-4 22996-3 31779-2

14202-6 7823-8 57679-3 20756-3 45101-3 43405-0 26715-3 6351-1 43355-7 21613-5 23838-6 45076-7 43844-0 22995-5 6338-8

16598-5 16590-2 24239-6 20757-1 6348-7 36903-3 45002-3 31770-1 46178-0 50311-0 45085-8 47362-9 22173-9 22176-2 6339-6

44992-6 5082-3 56911-1 45114-6 558-7 77577-5 43848-1 14469-1 43357-3 26664-3 57288-3 21184-7 16583-7 5079-9 22999-7

22198-6 16589-4 57680-1 45113-8 559-5 72828-7 45135-1 14508-6 31296-7 26665-0 80364-3 5078-1 22174-7 14198-6 20753-0

14203-4 38468-5 22185-3 45115-3 45100-5 70163-1 43062-9 31771-9 44990-0 26666-8 82306-2 47052-6 6914-6 31305-6 22998-9

13220-9 45012-2 16592-8 16593-6 560-3 70162-3 27185-8 14470-9 43060-3 26667-6 21192-0 30205-9 44980-1 31306-4 31780-0

44991-8 75757-5 5086-4 32004-4 35721-0 70161-5 22191-1 14509-4 28557-7 33605-7 53925-4 11254-0 44979-3 44978-5 6340-4

22199-4 23967-3 21186-2 45112-0 35712-9 70164-9 45003-1 45091-6 31297-5 33575-2 16601-7 43845-7 10651-8 22177-0 6341-2

14204-2 23990-5 22186-1 32671-0 35714-5 64017-7 6919-5 34709-6 44989-2 33604-0 42931-6 31299-1 31778-4 16586-0 22997-1

13219-1 27273-2 10849-8 32001-0 35715-2 7824-6 22192-9 45092-4 43059-5 33574-5 45080-9 31300-7 29722-6 22178-8 23001-1


LOINC Codes - Gonorrhoea

43405-0 45075-9 31525-9 21416-3

36903-3 45074-2 5261-3 32705-6

77577-5 80360-1 32704-9 43403-5

72828-7 45070-0 42987-8 24111-7

70163-1 80362-7 27021-5 50326-8

70162-3 45076-7 22430-3 57458-2

70161-5 47362-9 9568-7 33904-4

70164-9 14127-5 53762-1 32198-4

64017-7 30099-6 31905-3 50388-8

45068-4 688-2 6487-3 57289-1

44807-6 690-8 6488-1 80366-8

44806-8 691-6 6489-9 60255-7

43406-8 692-4 6490-7 32199-2

36902-5 80368-4 31906-1 53927-0

45072-6 694-0 29311-8 60256-5

45067-6 695-7 35735-0 53879-3

80361-9 696-5 21414-8 5028-6

45069-2 697-3 47387-6 43305-2

80365-0 693-2 57180-2 50412-6


LOINC Codes - Syphilis

75180-0 22461-8 39015-3 43238-5 47361-1

75181-8 20507-0 51474-5 51475-2 34147-9

75193-3 5292-8 49800-6 50695-6 47236-5

75199-0 22463-4 11597-2 22590-4 47514-5

75182-6 47360-3 63464-2 26009-1 47063-3

75194-1 21030-2 17724-6 34382-2 22594-6

75185-9 22464-2 5392-6 5394-2 51839-9

62877-6 14904-7 17725-3 71793-4 17728-7

83319-4 46203-6 41122-3 47512-9 69946-2

39231-6 31146-4 22586-2 47051-8 6562-3

75197-4 11084-1 50689-9 22592-0 47237-3

22460-0 31147-2 9826-9 51838-1 40680-1

5289-4 50690-7 22587-0 17727-9 17729-5

22462-6 47476-7 24312-1 58031-6 53605-2

20508-8 47235-7 8041-6 58751-9 49799-0

5291-0 29310-0 24110-9 6561-5 41163-7

43813-5 76766-5 57032-5 47238-1 73752-8

51783-9 22585-4 5393-4 40679-3 68502-4

22459-2 13288-6 17723-8 17726-1 34954-8

5290-2 47511-1 46206-9 47513-7


LOINC Codes - HIV / AIDS

10901-7 16975-5 32827-8 35565-1 9662-8 57977-1 45233-4

10902-5 16977-1 32842-7 38998-1 9663-6 57978-9 51866-2

11078-3 18396-2 33508-3 40437-6 9664-4 59052-1

11079-1 19110-6 33660-2 40438-4 9666-9 49580-4

11080-9 21007-0 33806-1 40439-2 9667-7 49718-0

11081-7 21334-8 33807-9 40732-0 9668-5 49905-3

11082-5 21335-5 33866-5 40733-8 9669-3 48023-6

12855-3 21336-3 34591-8 41144-7 9821-0 48345-3

12856-1 21337-1 34592-6 41145-4 9836-8 47359-5

12857-9 21338-9 34699-9 42600-7 9837-6 44872-0

12858-7 21339-7 35437-3 42627-0 62456-9 44873-8

12859-5 21340-5 35439-9 42917-5 68961-2 45212-8

12870-2 24012-7 35440-7 43009-0 69353-1 73905-2

12871-0 25835-0 35441-5 43010-8 5017-9 73906-0

12872-8 25841-8 35442-3 43011-6 5018-7 74853-3

12875-1 25842-6 35443-1 43012-4 5221-7 74856-6

12876-9 28004-0 35444-9 43013-2 5222-5 77368-9

12893-4 29327-4 35445-6 44531-2 5225-8 77369-7

12894-2 29893-5 35446-4 44532-0 53379-4 7917-8

12895-9 30361-0 35447-2 44533-8 53825-6 7918-6

13920-4 31072-2 35448-0 44871-2 54086-4 7919-4

14092-1 31201-7 35449-8 80387-4 56888-1 79379-4

14126-7 31430-2 35450-6 81641-3 57974-8 79380-2

16132-3 32571-2 35452-2 9660-2 57975-5 47029-4

16974-8 32602-5 35564-4 9661-0 57976-3 30245-5


Appendix 11: Drug-Related Conditions

abus@amph Abuse - Amphetamine

abus@amph Amphetamine abuse

abus@amph Amphetamine addiction

abus@amph Drug abuse - Amphetamines

abus@amph Speed addiction

abus@amph Speed user

abus@amph@mdma Drug abuse - Ecstasy

abus@benzd Abuse - Benzodiazepine

abus@benzd Benzodiazepine addiction

abus@benzd Benzodiazepine dependence

abus@cann Abuse - cannabis

abus@cann Cannabis dependence

abus@cann Cannabis use

abus@cann Drug abuse - cannabis

abus@cann Marijuana addiction

abus@cann Marijuana use

abus@coca Abuse - Cocaine

abus@coca Cocaine addiction

abus@coca Cocaine dependence

abus@drug Abuse - Drug

abus@drug Drug abuse

abus@drug Drug addict

abus@drug Drug addiction

abus@drug Drug dependence

abus@drug@iv Intravenous drug abuse

abus@drug@iv Intravenous drug(s) use

abus@drug@iv IV drug use

abus@drug@pres Prescription Drug Abuse

abus@halla Abuse - Hallucinogen

abus@halla Hallucinogen abuse

abus@lysea Abuse - LSD

abus@lysea LSD abuse

abus@methamph Abuse - ice (methamphetamine)

abus@methamph Abuse - methamphetamine

abus@methamph Drug abuse - ice (methamphetamine)

abus@methamph Ice (methamphetamine) abuse

abus@methamph Methamphetamine abuse

abus@opia Abuse - Narcotic

abus@opia Abuse - Opiate

abus@opia Drug abuse - Opiates

abus@opia Heroin addiction

abus@opia Heroin dependence

abus@opia Morphine addiction

abus@opia Morphine dependence

abus@opia Narcotic abuse

abus@opia Narcotic addiction

abus@opia Narcotic dependence

abus@opia Opiate abuse

abus@opia Opiate addiction

abus@opia Opiate dependence

abus@subs Abuse - Substance

abus@subs Substance abuse

abus@subs@mult Abuse - Polysubstance

abus@subs@mult Poly-substance use

abus@subs@mult Polysubstance Abuse

abus@subs@mult Substance use - Poly

abus@subs@shopper Drug Seeker

abus@volas Abuse - Volatile solvent(s)

abus@volas Petrol sniffing

abus@volas Solvent abuse

abus@volas Volatile solvent dependence

behap@intoxica Acute intoxication

behap@intoxica Behavioural Problem - Intoxication

behap@intoxica Drunken Behaviour

behap@intoxica Drunken State

behap@intoxica Intoxicated State

drug@seeking@beha Drug seeking behaviour

inju&ctx@ill,drug@use Drug Use Injury

inju&ctx@ill,etha@use Ethanol Use Injury

overdose Overdose

overdose@barb Acute barbiturate intoxication

overdose@drug Overdose - drug

overdose@opia Acute opiate intoxication

overdose@opia Narcotic overdose

overdose@opia Opiate overdose

overdose@opia Overdose - opiate

ppoc@bupr Buprenorphine treatment program - enrolled in

ppoc@deto Detoxification treatment

ppoc@deto@fail Detoxification - failed attempt

ppoc@deto@fail Failed detoxification attempt

ppoc@deto@home Detoxification treatment - at home

ppoc@deto@hosp Detoxification treatment - at hospital/institution

ppoc@methadon Methadone Program

ppoc@methadon Methadone Therapy

ppoc@nalt@impl Implant - naltrexone

ppoc@nalt@impl Naltrexone Implant

pres@@opia@repl Opioid Replacement Therapy - Prescription supplied

pres@@opia@repl Prescription for Opioid Replacement Therapy

prob@druga Problem - Drug abuse

refe@counsell@use@subs Substance use --> referral for counselling

sh@user@drug Drug social use

sh@user@drug Recreational drug usage

sh@user@drug User - Drug

urin@drug@screen:eval,find:posi Positive urine drug screen test

urin@drug@screen:eval,find:posi Urine drug screen test - Positive

use@subs Substance use

use@subs@diso Substance use disorder

withdraw@benzd Benzodiazepine withdrawal

withdraw@benzd Withdrawal - Benzodiazepine

withdraw@cann Cannabis withdrawal

withdraw@drug Drug withdrawal

withdraw@drug Withdrawal - Drug

withdraw@opia Narcotic withdrawal

withdraw@opia Withdrawal - Narcotic


Appendix 12: High-Impact Mental Illness

psychosi@drug Drug induced Psychosis

psychosi@drug Psychosis - Drug Induced

senip Psychosis - senile

senip Senile psychosis

senip Para schizophrenia

schip@paranoia Paranoid schizophrenia

schip@paranoia Schizophrenia - paranoid

schip@catatoni Catatonic schizophrenia

schip@catatoni Schizophrenia - catatonic

schizoafd Schizo-affective disorder

schip@chro Schizophrenia - Chronic

paranoia Paranoia

paranoia Paranoid traits

paranoid Paranoid

paranoid Paranoid feeling

paranoid Persecution thoughts

paranoia Paranoid traits

paranoid Paranoid feeling

schip Schizophrenia

mdi Manic depressive illness

mdi Bipolar affective disorder

mdi Manic depressive illness

mdi Manic depressive psychosis

depr@postn Depression - Post Natal

depr@postn Post Natal Depression

depr@postn Depression - Post Natal

depr@postn Post Natal Depression

anorn Anorexia nervosa

anorn Anorexia syndrome

psychosi Psychosis

psychosi Psychotic disorders

psychosi@drug Psychosis - Drug Induced

psyck Korsakoff's psychosis


Appendix 13: Low-Impact Mental Illness

anxid Anxiety anxid Anxiety disorder anxid Anxiety neurosis anxid Nervous Anxiety anxid Neurotic anxiety adjud Adjustment Disorder adjud Environment Change Stress Disorder adjud Stress Environment Adjustment Disorder

grier@norm Bereavement grier Pathological grief grier Grief reaction grier Mourning reaction grier Pathological mourning feel*l Feeling depressed feel*l Depressed feel*l Dysthymia feel*l Dysthymic feel*l Feeling low feel*l Feeling sad feel*l Melancholy feel*l Mood - low feel*l Sad feeling

abus@alco Alcohol addiction abus@alco Alcohol dependence abus@alco Abuse - Alcohol abus@alco Alcohol abuse abus@alco Alcoholic abus@alco Alcoholism abus@toba Tobacco abuse abus@toba Tobacco dependence abus@toba Abuse - Tobacco abus@toba Cigarette abuse abus@toba Cigarette dependence abus@toba Nicotine use disorder abus@toba Smoking abus@toba Tobacco abuse abus@toba Tobacco dependence abus@toba Abuse - Tobacco abus@toba Cigarette abuse abus@toba Cigarette dependence abus@toba Nicotine use disorder

drug@seeking@beha Drug seeking behaviour abus@drug Drug addiction abus@drug Drug dependence

abus@drug Abuse - Drug abus@drug Drug abuse abus@drug Drug addict abus@opia Heroin addiction abus@opia Heroin dependence

abus@amph Amphetamine addiction abus@amph Abuse - Amphetamine abus@amph Amphetamine abuse abus@amph Drug abuse - Amphetamines abus@amph Speed addiction abus@amph Speed user

abus@amph@mdma Drug abuse - Ecstasy abus@cann Marijuana addiction abus@cann Abuse - cannabis abus@cann Cannabis dependence abus@cann Cannabis use abus@cann Drug abuse - cannabis abus@cann Marijuana use abus@lysea Abuse - LSD abus@lysea LSD abuse abus@coca Cocaine addiction abus@coca Cocaine dependence abus@coca Abuse - Cocaine abus@opia Narcotic abuse abus@opia Narcotic addiction abus@opia Narcotic dependence abus@opia Opiate abuse abus@opia Opiate addiction abus@opia Opiate dependence abus@opia Abuse - Narcotic abus@opia Abuse - Opiate abus@opia Drug abuse - Opiates abus@opia Heroin addiction abus@opia Heroin dependence abus@opia Morphine addiction abus@opia Morphine dependence abus@halla Abuse - Hallucinogen abus@halla Hallucinogen abuse behap@chil Behaviour problem - Child behap@chil Behaviour problems - Child behap@chil Child behaviour problem behap@chil Behaviour problem - Child behap@chil Behaviour problems - Child behap@chil Child behaviour problem

behap@adol Adolescent behaviour problem behap@adol Behaviour problem - Adolescent behap@adol Adolescent behaviour problem behap@adol Behaviour problem - Adolescent

abus@gambling Abuse - Gambling abus@gambling Addiction - Gambling abus@gambling Gambling Addiction

condd CD (conduct disorder) condd Conduct disorder

ppoc@counsell@grie Counselling - Grief ppoc@counsell@grie Grief Counselling

ppoc@cogn@beha@therapy Cognitive Behavioural Therapy ppoc@cogn@beha@therapy Focussed Psychological Strategy

anxid Anxiety anxid Anxiety disorder anxid Anxiety neurosis anxid Nervous Anxiety anxid Neurotic anxiety anxid Anxiety neurosis anxid Nervous Anxiety anxid Neurotic anxiety anxid Anxiety anxid Anxiety disorder

anxid@pani Panic disorder anxid@pani Anxiety attacks anxid@pani Anxiety with panic attacks anxid@pani Panic attacks anxid@pani Anxiety attacks anxid@pani Anxiety with panic attacks anxid@pani Panic attacks anxid@pani Panic disorder

depr Depression depr Melancholia depr Organic depression

depr@reac Reactive Depression depr@reac Depression - Reactive

depr@endog Depression - Endogenous depr@endog Endogenous depression

anxi@depr Anxiety/Depression anxi@depr Depressive anxiety disorder

anxi@depr Mixed anxiety/depressive disorder

depr:majo Major depressive disorder depr:majo Depression - Major


anxi@soci Social Phobia anxi@soci Anxiety - social anxi@soci Social Anxiety Disorder

persd Borderline personality disorder persd Inadequate personality persd Personality disorder

auti Autism autis Autistic spectrum disorder

prob@deat@spou Death of partner prob@deat@spou Loss of partner prob@deat@spou Problem - Death - Spouse

prob@deat@chil Death of child prob@deat@chil Problem - Death - Child

behap@chil Behaviour problem - Child

behap@chil Behaviour problems - Child behap@chil Child behaviour problem grier@norm Bereavement

prob@deat@pare Death of parent prob@deat@pare Problem - Death - Parent

eatid Eating Disorder buli Bulimia

behap Problem behaviour abus@gambling Addiction - Gambling

abus@drug Drug addiction

&ctx@dx[adjud],with[feel@anxi] Adjustment disorder with anxious mood

adjud@anxi@depr Adjustment disorder with depressed and anxious mood

&ctx@dx[adjud],with[feel*l] Adjustment disorder with depressed mood

prob@alco Alcohol excess anxid@general Anxiety - generalised

feel@anxi@performa Anxiety - performance Behap Behaviour problem

anxid@general Generalised Anxiety Disorder (GAD) feel@anxi Mood - anxious

persd:dx,ctx:bord Personality disorder - Borderline Ptsd Post-traumatic stress disorder Ptsd PTSD (post-traumatic stress disorder)


Appendix 14: NSW KPI MBS Item Numbers MBS item numbers provided by http://www.mbsonline.gov.au/internet/mbsonline/publishing.nsf/Content/Home

No. Related KPI Item Description

732 NSW KPI 12 Attendance by a general practitioner to review or coordinate a review of:

• a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 applies; or

• team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 applies

715 NSW KPI 01 Aboriginal and Torres Strait Islander Peoples Health Assessment

NSW KPI 10 Details of the requirements for the Aboriginal and Torres Strait Islander Peoples Health Assessment, The Aboriginal and Torres Strait Islander Peoples Health Assessment is available to:

• Children between ages of 0 and 14 years,

• Adults between the ages of 15 and 54 years,

• Older people over the age of 55 years.

721 NSW KPI 08 GP Management Plans, Team Care Arrangements, Multidisciplinary Care Plans

NSW KPI 09 Attendance by a general practitioner for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 apply)

723 NSW KPI 11 NSW KPI 12

Attendance by a general practitioner to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 apply)

http://www.mbsonline.gov.au/internet/mbsonline/publishing.nsf/Content/Home

NSW KPI Technical Documentation

Appendix 15: NSW KPI MBS Item Numbers Aboriginal and Torres Strait Islander Mental Health Assessment

No. Related KPI Item Description


Professional attendance by a general practitioner (including a general practitioner who has not undertaken mental health skills training) of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient


Professional attendance by a general practitioner (including a general practitioner who has not undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient


Professional attendance by a general practitioner (including a general practitioner who has undertaken mental health skills training of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient


Professional attendance by a general practitioner (including a general practitioner who has undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient

Documents

NSW KPI Technical Documentation - MedicalDirector...NSW KPI Technical Documentation 4 Introduction The purpose of this document is to guide you through the process of accurately recording