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Prevention and management of chronic disease in Aboriginal and Islander Community Controlled Health Services in Queensland: a quality improvement study assessing change in selected clinical performance indicators over time in a cohort of services

Journal Article


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Abstract


  • Objective: To evaluate clinical healthcare performance

    in Aboriginal Medical Services in Queensland and to

    consider future directions in supporting improvement

    through measurement, target setting and standards

    development.

    Design: Longitudinal study assessing baseline

    performance and improvements in service delivery,

    clinical care and selected outcomes against key

    performance indicators 2009–2010.

    Setting: 27 Aboriginal and Islander Community

    Controlled Health Services (AICCHSs) in Queensland,

    who are members of the Queensland Aboriginal and

    Islander Health Council (QAIHC).

    Participants: 22 AICCHS with medical clinics.

    Intervention: Implementation and use of an electronic

    clinical information system that integrates with

    electronic health records supported by the QAIHC

    quality improvement programme—the Close the Gap

    Collaborative.

    Main outcome measures: Proportion of patients

    with current recording of key healthcare activities and

    the prevalence of risk factors and chronic disease.

    Results: Aggregated performance was high on a

    number of key risk factors and healthcare activities

    including assessment of tobacco use and management

    of hypertension but low for others. Performance

    between services showed greatest variation for care

    planning and health check activity.

    Conclusions: Data collected by the QAIHC health

    information system highlight the risk factor workload

    facing the AICCHS in Queensland, demonstrating the

    need for ongoing support and workforce planning.

    Development of targets and weighting models is

    necessary to enable robust between-service comparisons

    of performance, which has implications for health reform

    initiatives in Australia. The limited information available

    suggests that although performance on key activities in the AICCHS sector has potential for improvement in

    some areas, it is nonetheless at a higher level than for

    mainstream providers.

    Implications: The work demonstrates the role that the

    Community Controlled sector can play in closing the gap in Aboriginal and Torres Strait Islander health outcomes by leading the

    use of clinical data to record and assess the quality of services and

    health outcome.

UOW Authors


  •   Panaretto, Kathryn S. (external author)
  •   Gardner, K L. (external author)
  •   Button, Selwyn (external author)
  •   Carson, Adrian (external author)
  •   Schibasaki, Rhonda (external author)
  •   Wason, Gail (external author)
  •   Baker, David (external author)
  •   Mein, J (external author)
  •   Dellit, A (external author)
  •   Lewis, D (external author)
  •   Wenitong, Mark (external author)
  •   Ring, Ian

Publication Date


  • 2013

Citation


  • K. S. Panaretto, K. L. Gardner, S. Button, A. Carson, R. Schibasaki, G. Wason, D. Baker, J. Mein, A. Dellit, D. Lewis, M. Wenitong & I. Ring, "Prevention and management of chronic disease in Aboriginal and Islander Community Controlled Health Services in Queensland: a quality improvement study assessing change in selected clinical performance indicators over time in a cohort of services", BMJ Open 3 4 (2013) e002759 - 1-e002759 - 10.

Scopus Eid


  • 2-s2.0-84877700615

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=1219&context=ahsri

Ro Metadata Url


  • http://ro.uow.edu.au/ahsri/212

Has Global Citation Frequency


Start Page


  • e002759 - 1

End Page


  • e002759 - 10

Volume


  • 3

Issue


  • 4

Place Of Publication


  • United Kingdom

Abstract


  • Objective: To evaluate clinical healthcare performance

    in Aboriginal Medical Services in Queensland and to

    consider future directions in supporting improvement

    through measurement, target setting and standards

    development.

    Design: Longitudinal study assessing baseline

    performance and improvements in service delivery,

    clinical care and selected outcomes against key

    performance indicators 2009–2010.

    Setting: 27 Aboriginal and Islander Community

    Controlled Health Services (AICCHSs) in Queensland,

    who are members of the Queensland Aboriginal and

    Islander Health Council (QAIHC).

    Participants: 22 AICCHS with medical clinics.

    Intervention: Implementation and use of an electronic

    clinical information system that integrates with

    electronic health records supported by the QAIHC

    quality improvement programme—the Close the Gap

    Collaborative.

    Main outcome measures: Proportion of patients

    with current recording of key healthcare activities and

    the prevalence of risk factors and chronic disease.

    Results: Aggregated performance was high on a

    number of key risk factors and healthcare activities

    including assessment of tobacco use and management

    of hypertension but low for others. Performance

    between services showed greatest variation for care

    planning and health check activity.

    Conclusions: Data collected by the QAIHC health

    information system highlight the risk factor workload

    facing the AICCHS in Queensland, demonstrating the

    need for ongoing support and workforce planning.

    Development of targets and weighting models is

    necessary to enable robust between-service comparisons

    of performance, which has implications for health reform

    initiatives in Australia. The limited information available

    suggests that although performance on key activities in the AICCHS sector has potential for improvement in

    some areas, it is nonetheless at a higher level than for

    mainstream providers.

    Implications: The work demonstrates the role that the

    Community Controlled sector can play in closing the gap in Aboriginal and Torres Strait Islander health outcomes by leading the

    use of clinical data to record and assess the quality of services and

    health outcome.

UOW Authors


  •   Panaretto, Kathryn S. (external author)
  •   Gardner, K L. (external author)
  •   Button, Selwyn (external author)
  •   Carson, Adrian (external author)
  •   Schibasaki, Rhonda (external author)
  •   Wason, Gail (external author)
  •   Baker, David (external author)
  •   Mein, J (external author)
  •   Dellit, A (external author)
  •   Lewis, D (external author)
  •   Wenitong, Mark (external author)
  •   Ring, Ian

Publication Date


  • 2013

Citation


  • K. S. Panaretto, K. L. Gardner, S. Button, A. Carson, R. Schibasaki, G. Wason, D. Baker, J. Mein, A. Dellit, D. Lewis, M. Wenitong & I. Ring, "Prevention and management of chronic disease in Aboriginal and Islander Community Controlled Health Services in Queensland: a quality improvement study assessing change in selected clinical performance indicators over time in a cohort of services", BMJ Open 3 4 (2013) e002759 - 1-e002759 - 10.

Scopus Eid


  • 2-s2.0-84877700615

Ro Full-text Url


  • http://ro.uow.edu.au/cgi/viewcontent.cgi?article=1219&context=ahsri

Ro Metadata Url


  • http://ro.uow.edu.au/ahsri/212

Has Global Citation Frequency


Start Page


  • e002759 - 1

End Page


  • e002759 - 10

Volume


  • 3

Issue


  • 4

Place Of Publication


  • United Kingdom