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About the Australasian Clinical Indicator Report
This Australasian Clinical Indicator Report 20th Edition 20112018 provides an overview of the results for each CI set for the last eight years, with additional commentary from the collaborating medical colleges, associations, specialist societies and other clinical organisations. Their expertise provides context for the trends or variations observed in the data.
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A Printed Report This report summarises the CI data submitted to the ACHS Clinical Indicator Program for the years from 2011-2018. The report highlights significant trends or variation in the data over time, which can suggest areas where there is scope to improve practice.
The Summary of Results section, commencing on page 29, describes observations drawn from the data of each CI. To capture the context and circumstances that influence the data, ACHS draws upon the expertise of the specialist healthcare colleges, societies, and associations, in addition to the other clinical organisations with which it collaborates. Their comments and expert feedback precede the summaries of the data and share subheadings within the Summary of Results and the ACIR Retrospective Data in Full Report, to assist cross-referencing.
The expert commentators review the retrospective data in full and respond to questions from ACHS. The views expressed in the commentaries are those of the authors, and not necessarily shared by ACHS.
ACIR Retrospective Data in Full Report Every year, the Australasian Clinical Indicator Report (ACIR) lists collective performance against each of the ACHS CIs. This information is published on the ACHS website: https://www. achs.org.au/programs-services/clinical-indicator-program/aciraustralasian-clinical-indicator-report/ and can be accessed by scanning this QR code with a smartphone or device. An ACIR Retrospective Data in Full Report is created for every Clinical Indicator set and provides detailed information about each CI collected in 2018. Listed within the report are the CI, its intent, the numerator, and denominator. Tables summarise the data submitted in every year since 2011 that the CI has been available for reporting.
Trends in the rates over time are reported with statistical significance, and the data are displayed in a graph if four or more years of data are available from five or more HCOs. There are three measures of variation in rates between HCOs included in this report. These are quantified by the differences between the 20th and 80th centiles.
Where significant differences between strata have occurred in 2018, these data are reported in additional tables, and the information is illustrated graphically using box plots. The absence of a specific comparator table means that the differences between strata were not statistically significant at three standard deviations or that the minimum number of contributors to enable comparison was not met. Outlier information is displayed through funnel plots.
The full report also statistically estimates the potential improvement (gains) for all eligible CIs, if changes in the distribution of rates were achieved.
Statistical Methods The statistical methods used to analyse and report these data are also available online at https://www.achs.org.au/programsservices/clinical-indicator-program/acir-australasian-clinicalindicator-report/, along with a description of how to read, understand and use the retrospective data.
