The National Key Performance Indicators for Aboriginal and Torres Strait Islander primary health care (nKPIs) are collected twice a year by primary health care services, funded by the Australian Government to deliver services to Indigenous people. The origins of the nKPIs are found in the 2008 National Indigenous Reform Agreement (NIRA), which formed part of the broader Closing the Gap agenda. In 2011 Australian Health Ministers’ Advisory Council (AHMAC) approved a set of 24 nKPIs that would track and evaluate the Closing the Gap health outcomes of Aboriginal and Torres Strait Islander people. Collection began in 2012 in a staged approach with all 24 indicators collected for the first time in December 2017. Details about each of the 24 nKPIs are set out here.
This collection is now one of the most advanced primary health care data sets available in Australia as it collects both process of care and outcome (health status) data.
The nKPI collection is critical to measuring progress towards achieving the Government’s targets as expressed in the Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan and more broadly in the Closing the Gap.
The purpose of nKPIs is to improve the delivery of primary health care services by supporting continuous quality improvement (CQI) activity among service providers. The nKPIs also support policy and planning at the national and state/territory level by monitoring progress and highlighting areas for improvement. The 24 nKPIs cover maternal and child health, chronic disease management and preventative health. The collections include both processes of care indicators (eg blood pressure measured, birthweight recorded) and health outcomes (eg blood pressure result, birthweight) for regular clients.
A number of reviews, including the 2019 AIHW Review of the two national Indigenous specific primary health care datasets The Online Services Report and the national Key Performance Indicators, culminated in a range of recommendations to improve the two data collection. These include clinical recommendations relating to changes to 22 out of 24 existing KPIs. Many of these are minor updates to the indicators to ensure alignment with current clinical best practice guidelines.
- National Aboriginal and Torres Strait Islander Health Plan 2013-2023</li>
- Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan
- AIHW Review of the two national Indigenous specific primary health care datasets The Online Services Report and the national Key Performance Indicators
- Indigenous Australians’ Health Programme
- Health Service Data Advisory Group
- nKPI and OSR Implementation Roadmap