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Population Health: MedicalDirector Insights Release Notes - 1.8.16

Changes to nKPI Reports

The Department of Health has requested modifications to several nKPI reports. The following nKPI report changes have been made.

 

Aboriginal Health Program National Key Performance Indicators changes

Indicator

Summary of changes

PI18: Proportion of Indigenous regular clients with a selected chronic disease who have a selected kidney function test result recorded.

o      Removal of age group 0-14 years (as eGFR results aren’t validated under 18 years).

o      Change of age group 15-24 years to be adjusted to 18-24 years.

PI19: Proportion of Indigenous regular clients with a selected chronic disease who have a kidney function test result within a specified level.

o      Removal of age group 0-14 years (as eGFR results aren’t validated under 18 years).

o      Change of age group 15-24 years to be adjusted to 18-24 years.

o      Updated risk categories to reflect the new guideline (the number of risk categories is reduced to 4):

       normal risk

       low risk

       moderate risk

       high risk

o      Some of the risk categories have updated eGFR and ACR result ranges.

 

Description of risk categories

Normal risk:

o      eGFR ≥ 60 mL/min/1.73 m² AND (ACR < 3.5 mg/mmol for females OR ACR < 2.5 mg/mmol for males).

 

Low risk:

o      (eGFR ≥ 45 mL/min/1.73m² and < 60 mL/min/1.73m² AND (ACR < 3.5 mg/mmol for females OR ACR < 2.5 mg/mmol for males)) OR

o      (eGFR ≥ 60 mL/min/1.73m² AND ((ACR ≥ 3.5 mg/mmol and ≤ 35 mg/mmol for females) OR (ACR ≥ 2.5 mg/mmol and ≤ 25 mg/mmol for males))).

 

Moderate risk:

o      (eGFR ≥ 45 mL/min/1.73m² and < 60 mL/min/1.73m² AND (ACR ≥ 3.5 mg/mmol and ≤ 35 mg/mmol for females OR ACR ≥ 2.5 mg/mmol and ≤ 25 mg/mmol for males)) OR

o      (eGFR ≥ 30 mL/min/1.73m² and < 45 mL/min/1.73m²) AND ((ACR < 35 mg/mmol for females) OR (ACR < 25 mg/mmol for males))).

 

High risk:

o      (eGFR ≥ 30 mL/min/1.73m² AND (ACR > 35 mg/mmol for females OR ACR > 25 mg/mmol for males) OR

o      (eGFR < 30 mL/min/1.73m AND any ACR result).

PI25: Proportion of Indigenous regular clients who have a test result for one or more sexually transmissible infections (STI).

o      Proportion of Indigenous regular clients aged 15 to 34 years who had a STI(s) result recorded (chlamydia and/or gonorrhoea) within the previous 12 months.

o      Clients must have either a chlamydia and/or gonorrhoea test result recorded within the previous 12 months to be included in the numerator.

o      Indicator is broken into 4 age groups:

       15-19

       20-24

       25-29

       30-34