PenCS CAT Plus accurately extracts a subset of nKPI data from Communicare and accurately submits this to the qiConnect portal. CAT Plus removes the likelihood of systematic under-reporting of health service performance nationally.

A recent research article published by CSIRO in Australian Health Review, published 9 May 2017, validates PenCS Clinical Audit Tool (CAT) Plus. The findings indicate that CAT accurately extracts a subset of nKPI data from Communicare (clinical information system used by Aboriginal Medical Services) and accurately submits this to the qiConnect portal. The use of PenCS’ CAT Plus by Aboriginal Community-Controlled Health Services (ACCHSs) independently from the OCHREStreams program can enable deceased clients and past patients to be excluded from reports that can provide more accurate nKPI data from Communicare for local quality improvement and planning purposes. The benefit of the CAT Plus ‘exclusion option’ is that it removes the likelihood of inaccurate data that may result in systematic under-reporting of health service performance nationally.

“Once again CAT is validated and it is clear where standards are needed then it is important that they be applied consistently at the source data – see interpretation of HbA1c cutoff points and BMI calculation. Also if a variation is required to the base population (denominator eg. inclusion or not of deceased and/or past patients) then CAT can do that consistently across any data set rather then having multiple PMS implement separately and require revalidation,” said Christine Chidgey, Senior Manager – Business Development and Operations, PenCS.

Full Australian Health Review Article Abstract below:

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Accuracy of national key performance indicator reporting from two Aboriginal medical services: potential to underestimate the performance of primary health care
Isaac Hill A D , David Johnson A , David Scrimgeour B and Robyn McDermott C
Australian Health Review
Published online: 9 May 2017

Abstract
Objective The aim of the present study was to assess the accuracy of extracting national key performance indicator (nKPI) data for the Online Community Health Reporting Environment for Health Services (OCHREStreams) program using the Pen Computer Systems (Leichhardt, NSW, Australia) Clinical Audit Tool (CAT) from Communicare (Telstra Health Communicare Systems, Perth, WA, Australia), a commonly used patient information management system (PIMS) in Aboriginal primary care.
Methods Two Aboriginal Community-Controlled Health Services (ACCHSs) were recruited to the present study. A sample of regular clients aged ≥55 years from each ACCHS was selected and a subset of 13 nKPIs was examined. A manual case note audit of the nKPI subset within Communicare was undertaken by a clinician at each participating ACCHS and acted as a ‘gold standard’ comparator for three query methods: (1) internal Communicare nKPI reports; (2) PenCS CAT nKPI manual filtering (a third-party data-extraction tool); and (3) nKPI data submitted to the Improvement Foundation qiConnect portal.
Results No errors were found in nKPI data extraction from Communicare using the CAT and subsequent submission to the qiConnect portal. However, the Communicare internal nKPI report included deceased clients and past patients, and we can be very confident that deceased clients and past patients are also included in the qiConnect portal data. This resulted in inflation of client denominators and an underestimation of health service performance, particularly for nKPIs recording activity in the past 6 months. Several minor errors were also detected in Communicare internal nKPI reports.
Conclusions CAT accurately extracts a subset of nKPI data from Communicare. However, given the widespread use of Communicare in ACCHSs, the inclusion of deceased clients and past patients in the OCHREStreams nKPI data program is likely to have resulted in systematic under-reporting of health service performance nationally.
What is known about the topic? There has been limited validation of health data exported via data-extraction tools in Australia. More specifically, there are no current published data describing the accuracy of the CAT in mapping health data extracted from Communicare or the accuracy of internal nKPI reports generated by Communicare. Further, no systematic review has been undertaken to assess the accuracy of the nKPI data submission pathway from PIMSs at the health service level to the OCHREStreams qiConnect portal using the CAT.
What does this paper add? The CAT accurately extracts a subset of nKPI data from Communicare and accurately submits this to the qiConnect portal. Minor errors exist in some Communicare internal nKPI reports. The inclusion of deceased clients and past patients in the nKPI reporting system for ACCHSs is likely to have resulted in systematic under-reporting of health service performance nationally through this program.
What are the implications for practitioners? The inclusion of deceased clients and past patients in the OCHREStreams nKPI program limits the usefulness of these data for local quality improvement activities and national monitoring of health service performance for participating ACCHSs. The use of the CAT by ACCHSs independently from the OCHREStreams program can enable deceased clients and past patients to be excluded from reports that can provide more accurate nKPI data from Communicare for local quality improvement and planning purposes.

Source: http://www.publish.csiro.au/AH/AH16251