The two indicators for diabetes are still funded
Most DHBs have yet to release details on their approach to the Diabetes Care Improvement Package (DCIP). The two PHO
Performance Programme (PPP) Indicators for diabetes, "Diabetes detection" and "Diabetes annual review", remain as funded
indicators and will, for now, continue under any new DCIP programmes. Funding will be allocated for the total and the
high needs groups; the high needs group for both indicators includes Māori and Pacific peoples and people living
in NZDep decile 9 and 10 socioeconomic areas. The two indicators represent 16.5% of the total allocated PPP funding.6
In some regions, free annual check-ups are no longer available for all patients. This is likely to make meeting the
annual diabetes review indicators significantly more difficult, however, by working with patients and communicating the
need for regular review and highlighting the risks of not doing so, general practice can continue to provide consistent,
high-quality care to all people with diabetes.
Diabetes Detection
The PPP Indicator for Diabetes detection is measured as the percentage of the population estimated to have diabetes
that has been diagnosed with diabetes.
The programme's goal is for: at least 90% of the people aged 15 - 79 years who would be expected to have diabetes to
be coded as having diabetes.
The indicator accounts for 7.5% of the annual PPP funding; 2.5% for the total population and 5% for the high needs
group.
For further information on diagnosing diabetes, see: "The
new role of HbA1c in diagnosing type 2 diabetes", BPJ 42 (Feb, 2012).
Diabetes Annual Review
The PPP Indicator for Diabetes annual review is the percentage of people with diabetes who have had an annual check-up.
The programme's goal is for: at least 90% of people aged 15 - 79 years with diabetes to have a record of a Diabetes
Annual Review during the reporting period.
The indicator accounts for 9% of the annual PPP funding; 3% for the total population and 6% for the high needs group.
For further information on how to perform a diabetes annual review, see:
"Diabetes
follow-up: what are the PHO Performance Programme goals and how are they best achieved?", BPJ 39 (Oct, 2011).