Introduction

The national Key Performance Indicators (nKPIs) are a set of 24 indicators provided by organisations receiving funding under the Indigenous Australians’ Health Programme (IAHP) to deliver comprehensive and culturally appropriate primary health care services to Indigenous Australians.

The nKPIs are collected for Indigenous regular clients of each organisation twice a year in:

  • July—covering the period 1 January–30 June
  • January—covering the period 1 July–31 December.

Indigenous regular clients

Organisations collecting nKPIs may see a mix of Indigenous and non-Indigenous clients. Some of these are considered regular clients of the organisation. Only data for Indigenous regular clients are provided to the nKPIs.

For the purposes of the nKPIs, an Indigenous regular client is defined as an Aboriginal or Torres Strait Islander Australian who has an active medical record—that is, who attended a particular primary health care organisation at least 3 times in the previous 2 years. This definition is consistent with the RAGCP definition of an active patient (RACGP 2020). See Technical notes and Glossary for more information.

The nKPIs cover 15 process-of-care and 9 health-outcome indicators organised under three domains (see Technical notes for a list of indicators by domain and type). While the process-of-care indicators are largely (but not completely) under the control of organisations and indicate good practice in primary health care, health outcomes are influenced by a range of factors known as social determinants (such as education, employment, housing, access to resources, racism) some of which are beyond the immediate control of organisations.

As such, the nKPIs needs to be viewed in context of the broader environment in which organisations operate and in which the data are collected. In particular, it is important to acknowledge that the nKPIs capture only a subset of the important work that organisations do each day. Data from this collection can make an important contribution when used by health service providers at the local level to identify opportunities and to measure progress towards achieving change, or when used by policy makers to inform policy decisions.

This chapter presents results for each nKPI, providing an indication of areas where further investigation and improvements might be needed. Where possible, trends over time are presented. However, the number of organisations included varies over time and by indicator for each period depending on the quality of the data submitted. This may limit comparability over time for some purposes (see Technical notes for more information).

The following tables show key trends over time for each indicator. Click on the link to get more information on the associated indicator.

Key: = improved; = not improved; = no change

Maternal and child health indicators

First antenatal visit before 13 weeks

Birthweight recorded

Low birthweight

 

Read more on PI13

 

Read more on PI01

 

Read more on PI02

Smoking during pregnancy (current smoker)

Child immunisation

MBS health assessment (item 715)—aged 0–4

 

Read more on PI11

 

Read more on PI04

 

Read more on PI03

Preventative health indicators

Smoking status recorded

Current smoker

Alcohol consumption status recorded

 

Read more on PI09

 

Read more on PI10

 

Read more on PI16

AUDIT-C result of high-risk

MBS health assessment (item 715)—aged 25 and over

Risk factors to enable CVD assessment

 

Read more on PI17

 

Read more on PI03

 

Read more on PI20

High absolute cardiovascular risk

Cervical screening in previous 3 years

Immunised against influenza—aged 50 and over

 

Read more on PI21

 

Read more on PI22

 

Read more on PI14

BMI classified as overweight or obese

 

 

 

 

 

Read more on PI12

 

 

 

 

Chronic disease management indicators

General Practitioner Management Plan—type 2 diabetes

Team Care Arrangement—type 2 diabetes

Blood pressure result recorded—type 2 diabetes

 

Read more on PI07

 

Read more on PI08

 

Read more on PI23

Blood pressure result of ≤130/80mmHg—type 2 diabetes

HbA1c result recorded (previous 6 months)—type 2 diabetes

HbA1c result of ≤53 mmol/mol—type 2 diabetes

 

Read more on PI24

 

Read more on PI05

 

Read more on PI06

Kidney function test recorded—type 2 diabetes

Kidney test, eGFR result of ≥60 mL/min/1.73m2—type 2 diabetes

Kidney test, ACR result of <2.5 (Males) or <3.5 (Females)—type 2 diabetes

 

Read more on PI18

 

Read more on PI19-A

 

Read more on PI19-B

Kidney function test recorded—CVD

Kidney test, eGFR result of ≥60 mL/min/1.73m2—CVD

Immunised against influenza—type 2 diabetes

 

Read more on PI18

 

Read more on PI19-A

 

Read more on PI15

Immunised against influenza—COPD

 

 

 

 

 

Read more on PI15

 

 

 

 

References

The Royal Australian College of General Practitioners. Standards for general practices. 5th edn. East Melbourne, Vic: RACGP, 2020.