APCC Reporting

Communicare supports the Australian Primary Care Collaboratives reporting on Program Topic Measures. The current reports support the April 2009 specifications.

Requirements

The ICPC-2 PLUS dataset must be used to code conditions. Any imported data or local terms need to be coded with a suitable ICPC-2 PLUS code.

The MIMS database must be used to prescribe medications.

All patients to be included in the APCC reports must have a status of current patient and have a date of birth and sex.

The following qualifiers must be 'summary' qualifiers: ACR (alb/creat/ratio), BP Systolic blood pressure, BP Diastolic blood pressure, HbA1c, Smoking status, Total cholesterol level. If you use an alternative to Smoking status then it must have a system code of SMO and the reference measures must have the following system codes: S for smokers, N for non-smoker (i.e. never smoked) and E for ex-smokers.

The Communicare value added clinical item Cycle of care;diabetes;annual (or a local item made of the same central qualifiers) needs to be used to record how much of the cycle of care has been recorded.

The Communicare Smoking status qualifier should be used to record smoking status. However, a local qualifier can be used so long as it is a reference type qualifier and has the system code of SMO and the references have current smoking statuses with a system code of S, ex-smoker statuses with a system code of E and non-smoking (never smoked) statuses with a system code of N.

Definitions

  • CHD: Any diagnosis with the ICPC code of K74, K75, K76, K53 or K54.
  • Diabetes: Any diagnosis with the ICPC code of T89 or T90.
  • COAD: Any diagnosis with the ICPC code of R95.
  • Anti-platelets: Any current or regular prescription for a drug in the MIMS class 39.
  • Statins: Any current or regular prescription for a drug in the MIMS class 92.
  • ACE/ARB: Any current or regular prescription for a drug in the MIMS class 405, 838 or 189.
  • Influenza: Any completed item with the export code 'FLUVAX'.
  • Pneumovax: Any completed item with the export code 'PNEUMO'.
  • Pap smear: Any investigation request called 'Pap smear'.
  • Breast Screen: Any completed item with the export code 'BREAST'.
  • Spirometry: Any completed item with the export code 'SPIRO'.

Reports

There are nine reports to be found at Report > APCC:
  • All the Measures: This report can be run for a specified locality group, or all locality groups. Options are to include the summary data, for manual submission, or the full data. This report is comprehensive and may take some time to run.
  • These reports are sections of the above report and may be more suitable to run separately for large databases:
    • CHD Measures: This is the CHD section only, details as above.
    • Diabetes Measures: This is the Diabetes section only, details as above.
    • COPD Measures: This is the COPD section only, details as above.
    • General Measures: This is the General section only, details as above.
  • These reports provide the patient names for the data supplied above and can be used to verify the data:
    • CHD Patients: This report offers the user a selected locality group and a selected item from the CHD Measures report and will present a list of patients that satisfy the criteria for that item. For example, 001 CHD Register gives the full list of current CHD patients.
    • Diabetes Patients: These are the Diabetes patients only, details as above.
    • COPD Patients: These are the COPD patients only, details as above.
    • General Patients: These are the General patients only, details as above.