PI 06 - HbA1c result

Proportion of regular clients with Type II diabetes whose HbA1c measurement result was within a specified level

Description

Number of Indigenous regular clients who have Type II diabetes and who have had an HbA1c measurement result recorded within the previous 6 or 12 months.

Notes

  • User may select between AIHW's definition of Regular Client (attended the OATSIH-funded primary health care service at least 3 times in 2 years), or Communicare's Current Patient status.
  • Patients must be recorded as Aboriginal or Torres Strait Islander or both.
  • Only Type II diabetes is considered (any ICPC code of T90). Type I diabetes, secondary diabetes, gestational diabetes mellitus (GDM), previous GDM, impaired fasting glucose, impaired glucose tolerance are not included. For more information, see System codes.
  • Any qualifier with a system code of HBA and units of % or a system code of HBM and units of mmol/mol is considered an HbA1c measurement. These results can be received from an incoming pathology report or manually entered into an existing Clinical Item with a qualifier of HbA1c. For more information, see Qualifier codes.
  • Only the most recent HbA1c measurement result for each time period is considered.
Table 1. NKPI PI 06
Element Description
Communicare reports
  • Report > National KPI > PI06 Diabetes HbA1c Results 06 Months
  • Report > National KPI > PI06 Diabetes HbA1c Results 12 Months
  • Report > National KPI > PI06 Diabetes HbA1c Results Patients
Numerator The latest HbA1c within the specified time period is used. If it was recorded as % it is first converted to mmol/mol and rounded to a whole number after multiplying by 10.93 and adding 23.5. The groupings are less than or equal to 53 mmol/mol, greater than 53 and less than or equal to 64 mmol/mol and less than 86 mmol/mol.
Denominator Regular, Indigenous patients with a diagnosis of Type II diabetes from any time.
Additional data recording considerations

Clinicians must record HbA1c results correctly. They should not enter a % result in the HbA1c qualifier or a mmol/mol result in the HbA1c (%) qualifier.

Use Report > Qualifiers > With Selected Numeric values to look for outliers such as abnormally high % values or abnormally low mmol/mol values.

Mistakes should be corrected.

This information relates to V15.3 of the Specifications for National Key Performance Indicators and Online Services Reporting (Solving Health, Specifications for National Key Performance Indicators and Online Services Reporting V15.3. Sydney: Solving Health, October 2023). For more information, see https://www.solvinghealth.au/projects.