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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

Panaretto, K. S.; Gardner, K. L.; Button, S.; Carson, A.; Schibasaki, R.; Wason, G.; Baker, D.; Mein, J.; Dellit, A.; Lewis, D.; Wenitong, M.; Ring, I.

Description

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...[Show more]

dc.contributor.authorPanaretto, K. S.
dc.contributor.authorGardner, K. L.
dc.contributor.authorButton, S.
dc.contributor.authorCarson, A.
dc.contributor.authorSchibasaki, R.
dc.contributor.authorWason, G.
dc.contributor.authorBaker, D.
dc.contributor.authorMein, J.
dc.contributor.authorDellit, A.
dc.contributor.authorLewis, D.
dc.contributor.authorWenitong, M.
dc.contributor.authorRing, I.
dc.date.accessioned2015-12-01T04:56:30Z
dc.date.available2015-12-01T04:56:30Z
dc.identifier.issn2044-6055
dc.identifier.urihttp://hdl.handle.net/1885/16931
dc.description.abstractOBJECTIVE 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.
dc.description.sponsorshipOffice of Aboriginal and Torres Strait Islander Health, Department of Health and Ageing, Canberra, ACT, Australia.
dc.publisherBMJ Publishing Group
dc.rightsThis final article is available for use under the terms of the Creative Commons Attribution Non-Commercial 2.0 Licence; see http://bmjopen.bmj.com
dc.sourceBMJ Open
dc.subjectprevention
dc.subjectmanagement
dc.subjectchronic disease
dc.subjectAboriginal
dc.subjectIslander
dc.subjectQueensland
dc.subjectclinical performance indicators
dc.titlePrevention 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
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume3
dc.date.issued2013
local.identifier.absfor111701
local.identifier.absfor111700
local.identifier.ariespublicationu3342134xPUB17
local.type.statusPublished Version
local.contributor.affiliationPanaretto, Katie, Queensland Aboriginal and Islander Health Council, Australia
local.contributor.affiliationGardner, Karen, College of Medicine, Biology and Environment, CMBE Research School of Population Health, Australian Primary Health Care Research Institute, The Australian National University
local.contributor.affiliationButton, Selwyn, Queensland Aboriginal and Islander Health Council, Australia
local.contributor.affiliationCarson, A, Institute for Urban Indigenous Health, Australia
local.contributor.affiliationSchibasaki, R, Queensland Aboriginal and Islander Health Council, Australia
local.contributor.affiliationWatson, G, Mulungu Corporation for Medical Corporation, Australia
local.contributor.affiliationBaker, David, Mulungu Health Service, Australia
local.contributor.affiliationMein, J, Apunipima Cape York Health Council, Australia
local.contributor.affiliationDellit, A, Queensland Aboriginal and Islander Health Council, Australia
local.contributor.affiliationWenitong, M, Wuchopperen Health Service, Australia
local.contributor.affiliationRing, I, University of Wollongong, Australia
local.identifier.essn2044-6055
local.bibliographicCitation.issue4
local.bibliographicCitation.startpagee002083
local.bibliographicCitation.lastpagee002083
local.identifier.doi10.1136/bmjopen-2012-002083
local.identifier.absseo920303
dc.date.updated2015-12-08T03:09:47Z
local.identifier.scopusID2-s2.0-84877700615
local.identifier.thomsonID000329809200070
CollectionsANU Research Publications

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