This report depicts the contribution of primary care to the management of diabetes and cardiovascular disease (CVD).

Project Status

Completed Projects

Project Coordinator

Mark Harris, Gawaine Powell Davies, Jane Taggart, Qing Wan, Upali Jayasinge, Joan Burns, Andrew Georgiou, Danielle Penn

Rationale

Structured systematic care of patients with diabetes in general practice is associated with improved health outcomes. Since their inception, many Divisions of General Practice have set out to support systematic care for people with diabetes by establishing local registers for recall and audit.

Aim

The Divisions Diabetes & Cardiovascular Quality Improvement Project (DDCQIP) aims to describe both quantitatively and qualitatively, the contribution of primary care to the management of diabetes and cardiovascular disease (CVD).

Design and Method

In 2003 we collated program data and individual patient de-identified data from divisions registers on diabetes and cardiovascular disease management for the years 2002-2003. The project reports on the quality of care and health outcomes of people with diabetes and CVD that are managed primarily in general practice.

Key Publications

Book chapters

Burns J, Powell Davies G, Harris E, Harris M. The evolving role of general practice in diabetes care.Chapter 11 in Walker, Petersen, Millen and Martin Eds: Chronic Illness. Tertiary Press Victoria 2003 ISBN 0 86458 300 1.

Peer Reviewed Publications

Penn DL, Burns JR, Georgiou A, Powell Davies G, Harris MF. Evolution of a register recall system to enable the delivery of better quality of care in general practice.Health Infomatics Journal 2004; 10: 163-174.

Burns JR, Bonney M, Powell Davies G, Harris MF. Utilisation of the CARDIAB database system to promote quality of care in Australian general practice.Health Infomatics Journal 2004; 10: 175-182.

Georgiou A, Burns J, Penn D, Infante F, Harris MF. Register-recall systems – tools for chronic disease management in general practice.Health Information Management J 2004; 33: 31-35.

Georgiou A, Burns J, Harris MF. GP Claims for completing diabetes "cycle of care".Aust Family Physician 2004; 33: 755-7

Georgiou A, Burns J, McKenzie S, Penn D, Flack J, Harris MF. Monitoring change in diabetes care using diabetes registers: experience from Divisions of General Practice. Aust Fam Physician 2006, 35: 77-80.

Wan Q, Harris MF, Jayasinghe UW, Flack J, Georgiou A, Penn DL, Burns JR. Quality of diabetes care and coronary heart disease absolute risk in patients with type 2 diabetes mellitus in Australian general practice.Quality and Safety in Health Care 2006; 15(2): 131-135

Wan Q, Harris MF, Powell Davies G, Jayasinghe UW, Flack J, Georgious A, Burns JR, Penn DL. Cardiovascular risk management and its impact in Australian general practice patients with type 2 diabetes in urban and rural areas.International Journal of Clinical Practice. 2008; 62 (1): 53–58.

Wan Q, Harris MF, Powell-Davies G, Jayasinghe UW, Flack J, Georgeiou A, Burns JR, Penn DL. Cardiovascular risk levels in general practice patients with type 2 diabetes in rural and urban areas.Australia Journal of Rural Health. 2007; 15: 327-333

Conference Presentations

Burns J, Powell Davies PG, Harris MF. Making it better - using outcomes data for quality improvement in general practice.Health outcomes 2002: current challenges and future frontiers. Australian Health Outcomes Collaboration, 2002: Canberra

Burns J, Zingarelli G, Harris MF. Quality improvement in diabetes at practice and Division level.GP and PHC Research Conference 2002: Melbourne

Burns J, Georgiou A, Penn D, Infante F, Powell Davies G, Harris MF. Uptake of chronic disease initiatives - what helps?Paper presented at GP and PHC Research Conference. Canberra, 2003.

Harris MF. Using data to improve diabetes care in Australian primary health care.Australian Diabetes Society Annual Conference. Symposium on Using Data to Improve Diabetes Care. Friday 19th of September 2003.

Harris MF, Wan Q, Powell Davies PG, Georgiou A, Burns J, Penn D. Getting there! Improvements in diabetes care in general practice 2000-2002.Paper presented at Health Outcomes Conference. Canberra, 17-18 August 2005.

Taggart J, Wan Q, Harris M.F, Ruscoe W, Snow J, Pennock R. A Longitudinal Analysis Of 10 Year Division Diabetes Data in General Practice (1995-2004).Paper presented at ADGP Conference. Perth, Nov. 2005

Reports

Burns J, Powell Davies PG, Harris MF. Quality indicators for diabetes programs in Australian Divisions of General Practice.A discussion paper commissioned by the Department of Health and Ageing. Sydney: CGPIS; 2003.

Georgiou A, Burns J, Wan Q, Flack J, Penn D, Powell Davies PG, Harris MF. Divisions Diabetes & CVD Quality Improvement Project.Analysis of Division-Based Diabetes Register Data (2000-2002). Sydney: CGPIS UNSW; 2004.

Georgiou A, Burns J, Penn D Powell Davies PG, Harris MF. Divisions Diabetes & CVD Quality Improvement Project.Divisions Diabetes and CVD Programs 2002. Sydney: CGPIS UNSW; 2004.

Harris MF, Georgiou A, Powell Davies PG. Divisions Diabetes & CVD Quality Improvement Project.Diabetes Service Incentive Payments by Division 2001/2 to 2003/4. Sydney: CGPIS UNSW; 2004.

Wan Q, Harris MF, Penn D, Burns J, Georgiou A, Powell Davies G. Divisions Diabetes & CVD Quality Improvement Project. Analysis of Coronary Heart Disease Absolute Risk in Division-Based Diabetes Register Data (2000-2002). Sydney: Centre for General Practice Integration Studies, School of Public Health and Community Medicine, UNSW, 2005

Contact

Jane Taggart Email: j.taggart@unsw.edu.au

Key Partners

A/Professor Jeff Flack Diabetes Centre, Bankstown Hospital

Funding

Australian Governement Department of Health and Ageing

Project lead centre
CGPIS
Project stream
Prevention and Management of Long Term Conditions
Project start date
2002
Project end date
2006