23 Proportion of regular clients with Type 2 diabetes who have had a blood C pressure measurement result recorded, 2015-2017 24 Proportion of regular clients with Type 2 diabetes whose blood pressure C measurement result was less than or equal to 130/80 mmHg, 2015-2017 Legend C Calculations are correct E Errors with potentially significant impact on nKPIs M Minor issues not expected to significantly impact on – nKPIs I Calculation correct according to vendor specification, but issues with interpretation on nKPI between vendors R identified and vendor will resolve in next release Analysis of Issues The specific issues that were identified during the analysis were as follows: Table 5: MedicalDirector issues summary nKPI Description Report issues MedicalDirector response 2 Proportion of Relies entirely on the baby’s The issue with nKPI 02 Indigenous babies record and so there is no means (failing to exclude multiple born within the of recording, and hence births) is a limitation of the previous 12 excluding, multiple births or software and would require months whose births with a gestational age less product enhancement to birth weight than 20 weeks. resolve. Given the small results were low, percentage of multiple births normal or high, (approximately 1.5% of all 2015-2017 births), the impact of this on nKPI results would be minimal. 9 Proportion of Did not count any patients who This has been resolved regular clients did not have smoking status in Medical Insights version whose smoking recorded. Figures for "Without 1.4. status has been Smoking Status Recorded" are recorded, incorrect and repeat the "With Smoking Status Recorded". This issue has now been fixed. There are 4 alternative ways of recording smoking status. All were counted correctly for nKPI numerator.
23 Proportion of regular clients with Type 2 diabetes who have had a blood pressure measurement result recorded, 2015-2017 C 24 Proportion of regular clients with Type 2 diabetes whose blood pressure measurement result was less than or equal to 130/80 mmHg, 2015-2017 C Legend C Calculations are correct E Errors with potentially significant impact on nKPIs M Minor issues – not expected to significantly impact on nKPIs I Calculation correct according to vendor specification, but issues with interpretation on nKPI between vendors R identified and vendor will resolve in next release Analysis of Issues The specific issues that were identified during the analysis were as follows: Table 5: MedicalDirector issues summary nKPI Description Report issues MedicalDirector response 2 Proportion of Indigenous babies born within the previous 12 months whose birth weight results were low, normal or high, 2015-2017 Relies entirely on the baby’s record and so there is no means of recording, and hence excluding, multiple births or births with a gestational age less than 20 weeks. The issue with nKPI 02 (failing to exclude multiple births) is a limitation of the software and would require product enhancement to resolve. Given the small percentage of multiple births (approximately 1.5% of all births), the impact of this on nKPI results would be minimal. 9 Proportion of regular clients whose smoking status has been recorded, Did not count any patients who did not have smoking status recorded. Figures for "Without Smoking Status Recorded" are incorrect and repeat the "With Smoking Status Recorded". This issue has now been fixed. There are 4 alternative ways of recording smoking status. All were counted correctly for nKPI numerator. This has been resolved in Medical Insights version 1.4.
nKPI-for-Aboriginal-and-Torres-Strait-Islander-primary-health-care-July-2017.docx