Australian National Diabetes Information Audit & Benchmarking (ANDIAB) 2011 Final Report

Introduction

An introduction to the research previously done on care for diabetes

Page last updated: December 2011

There has been long standing worldwide interest in attempting to define suitable diabetes datasets and in methods of data collection to reflect appropriate diabetes outcomes. As a result, collection, analysis and reporting of standardised diabetes datasets is now widely practised. The European Association for the Study of Diabetes [EASD] Study Group DO IT [Diabetes care Optimisation through Information Technology]1 undertook much work aimed at improving the quality of diabetes care through the appropriate use of information technology, including promoting the collection, analysis and reporting of the DiabCare dataset2,3 for audit and benchmarking purposes. From this has come the DiabCare Q-Net initiative4.

A similar initiative in Australia, in September 1993, was the NSW Diabetes Outcomes Workshop [NDOW], sponsored by the NSW Health Department as one of its Health Outcomes Funded Projects5,6. Forty five diabetes health professionals, Health Department officials and consumers met for a one day workshop and agreed on a dataset of 59 health outcome data elements that covered demographic, acute and chronic complications and self care practice areas of diabetes care. These items became known as the NDOW dataset, and subsequently these data items have become widely promulgated for collection [using standardised definitions] across Australia.

In 1997 the Australian Diabetes Society [ADS] Council accepted a recommendation to adopt the NDOW dataset as its Diabetes Outcomes dataset, and formed a sub-committee {now named the National Diabetes Data Working Group [NDDWG]}. This sub-committee managed the dataset and promoted quality diabetes care in Australia, through the National Diabetes Outcomes Quality Review INitiative, [NDOQRIN]. The NDDWG has taken a subset of the NDOW dataset and has promoted its collection as a minimum dataset (for quality diabetes care) in a variety of clinical practice settings.

Diabetes was named the 5th National Health Priority Area in 1996. Work followed to improve diabetes care in Australia including the commissioning of the National Diabetes Strategy to update and replace the National Action Plan. One aspect reviewed was that of the recognised need for local data on which appropriate planning could be carried out and assessment of the effect of initiatives could be undertaken. Consequently, several initiatives indicated the need for reliable data in Australia [including diabetes indicators work], as noted in the National Health Priority Areas Report: Diabetes Mellitus 19987. However data on clinical aspects of diabetes, including outcomes data, were deficient in Australia as highlighted in The National Diabetes Strategy and Implementation Plan report (Colagiuri et al)8.

The NDDWG continued to promulgate the NDOQRIN dataset, and in 2002 was successful in having it accepted as the first clinical dataset to be included in the National Health Data Dictionary and Knowledgebase, Version 12. This dataset has since been enhanced, and is now online as part of the AIHW – Metadata Online Registry [‘METeOR’] as the Diabetes (clinical) Data Set Specification at – [see AIHW website]: http://meteor.aihw.gov.au/content/index.phtml/itemId/304865.

This ANDIAB 2011 report highlights the results of the collection, collation, analysis and audit of clinical diabetes data collected in specialist diabetes practice settings. This collection was held mid-year, as with many previous audits, and results will be discussed at the next National Association of Diabetes Centres Annual General Meeting [NADC AGM] at the Gold Coast, August 2012. The findings of ANDIAB 2011 will be submitted for presentation at the Australian Diabetes Society / Australian Diabetes Educators Association Annual Scientific Meeting at the Gold Coast [August 2012], as has been the practice previously in reporting ANDIAB collection data [eg 2009 findings9].

Document download

This publication is available as a downloadable document.

Australian National Diabetes Information Audit & Benchmarking (ANDIAB) 2011 Final Report(PDF 559 KB)