Bila Muuji

2. BilaMuuji River Friends

3. Bila Muuji • An incorporation of 16 Aboriginal Community Controlled • Health Organisations (ACCHOS)across Western NSW • Developed in response the perceived failure of • mainstream Health Care Services to meet the needs • ofAboriginal people in New South Wales • Bila Muuji Upper Sector Consortium (BMUSC) • Walgett Aboriginal Medical Service • Brewarrina Aboriginal Health Service Limited • Bourke Aboriginal Health Service • Orana Haven Drug and Alcohol Rehabilitation Service

4. In 2006 BMUSC invited by OATSIH to join • ‘Healthy for Life Program’ • which aims to improve the health status and quality of life • of • Aboriginal and Torres Strait Islander people with: • Chronic Disease ( Diabetes Type 2, Chronic Heart Disease) • Maternal Care(Ante-natal, Post-Natal) • Children up to age 14 years

5. ‘Healthy for Life’ Program includes requirements for: • Annual Client File Audits • Six monthly data entry regarding pre selected • Essential Indicators into National SCARF/OSCAR • data base

6. Essential Indicators include - Maternal/Antenatal • Essential Indicator (EI) 1: • Proportion of women who gave birth to an Indigenous baby in the current reporting period and who attended their first antenatal visit during the first trimester of pregnancy, for: • Indigenous women who are regular clients of the service • Non-Indigenous women who are regular clients of the service. • Essential Indicator (EI) 2: • Average birth weights of Indigenous babies born to women • who are regular clients of the HFL service who are: • Indigenous women • Non-Indigenous women.

7. Essential Indicator (EI) 3: • Proportion of low birth weight Indigenous babies born to mothers • who are regular health service clients who are: • Indigenous women • Non-Indigenous women. • Essential Indicator (EI) 4 part I: • Proportion of regular health service women clients who gave birth • to an Indigenous baby in the current reporting period who were identified • at the first antenatal visit with risk behaviours as follows: • Smoking • 2. Consumption of alcohol • 3. Use of illicit drugs • for women who are: • Indigenous • non-Indigenous.

8. Essential Indicator (EI) 4 part II: • Proportion of regular health service women clients who gave birth to an • Indigenous baby in the current reporting period who were identified during • their third trimester with risk behaviours as follows: • Smoking • 2. Consumption of alcohol • 3. Use of illicit drugs. • for women who are: • Indigenous; • Non-Indigenous.

9. Childhood Health • Essential Indicator (EI) 5: • Proportion of Indigenous children who have a current (within 12 months) complete child health check (MBS item 708), who are aged: • 5 years of age or less (0-5 years inclusive); • Greater than 5 but less than 15 years of age (>5, but <15 years). • Essential Indicator (EI) 6: • Proportion of Indigenous children who are fully immunised according to the National Reporting Standard who are: • 1 year (12 to <15 months) of age who have received all immunisations • that are due by 6 months of age • 2 years (24 to <27 months) of age who have received allimmunisations • that are due by 18 months of age • 6 years (72 to <75 months) of age who have received all immunisations • that are due by 48 months of age.

10. Adult Health • Essential Indicator (EI) 7: • Proportion of Indigenous adults who have a current complete adult health check (MBS item 710 or 704 or 706), who are: • aged 15 to 54 years (inclusive, Item 710) • aged 55 years or above (Item 704 or 706).

11. Chronic Disease – Diabetes type II, Coronary Heart Disease • Essential Indicator (EI) 8 part I: • Proportion of Indigenous adults (aged 15 years or more) who have been diagnosed with: • Diabetes type II • Coronary heart disease • who have a chronic disease management plan (MBS item (721). • Essential Indicator (EI) 8 part II: • Proportion of Indigenous adults (aged 15 years or more) who have been diagnosed with: • Diabetes type II • Coronary heart disease • who have a chronic disease management plan (MBS item (723).

12. Diabetes type II Essential Indicator (EI) 9 part I: Proportion of regular Indigenous clients diagnosed with diabetes type II (aged 15 years or more) who had a HbA1c test in the last six months. Essential Indicator (EI) 9 part II: Proportion of regular Indigenous clients diagnosed with diabetes type II (aged 15 years or more) whose last recorded HbA1c results (within the last six months) was less than or equal to 7%. Essential Indicator (EI) 9 part III: Average of the last HbA1c results for regular Indigenous clients diagnosed with diabetes type II (aged 15 years or more) who had a HbA1c test in the last six months.

13. Essential Indicator (EI) 10 part I: Proportion of regular Indigenous clients diagnosed with diabetes type II (aged 15 years or more) who had a BP test in the last six months. Essential Indicator (EI) 10 part II: Proportion of regular Indigenous clients diagnosed with diabetes type II (aged 15 years or more) whose last recorded BP test was less than 130/80 mm/Hg in the last six months.

14. Coronary Heart Disease Essential Indicator (EI) 11 part I: Proportion of regular Indigenous clients diagnosed with coronary heart disease (aged 15 years or more) who had a BP test in the last six months. Essential Indicator (EI) 11 part II: Proportion of regular Indigenous clients diagnosed with coronary heart disease (aged 15 years or more) whose last recorded BP test was less than 140/90 mm/Hg in the last six months.

15. Findings from 2 years of Annual client file audits across BMUSC using Menzies ABCD Client File Audit Tools : • Data quality is poor or non-existent in Ferret which is the Patient • Information and Re-call System that OATSIH funds the majority of • these ACCHO’s to use. • Most client data is captured in Medical Director. • This situation has required considerable effort to remediate. • This may improve when interface is completed between Ferret and • Medical Director. • This remediation is now incorporated into the CQI process for • accreditation in each service.