SS UTILISATION ANALYSIS Clause Samples

SS UTILISATION ANALYSIS. ‌ Utilisation was calculated from the SS claims payment data made by individual pharmacy, covering claims paid on dates between 4th December, 2012 and 31st May, 2016. SS claims payment data provided by the Department of Health for 2015 have been analysed in the context of geographical factors that have been inferred from the postcode of each pharmacy. Those factors included are remoteness3 (see Table 5.2); overall population and mental health issues prevalence by Primary Health Network (PHN) geographic areas. These factors were used to assess whether the growth in SS services has occurred in line with the populations that the program is intended to target. The claims payments administration system changed in March 2014. Before the change, payments to pharmacies were annotated with the ‘Pharmacy ASN’ identifier. After the change claims payments were annotated using the ‘Organisation Number’ identifier. Both identifying codes are used in Section 90 registers to identify individual pharmacies. These codes were used to assist in locating each pharmacy within its postcode. Postcodes were mapped to remoteness using the Australian Bureau of Statistics (ABS) mapping table and to PHAs and PHN areas via Statistical Areas Level 2 (SA2), ABS Australian Statistical Geography Standard (ABS ASGS) 2011. Key metrics in the analysis are limited to claims paid to participating pharmacies in the SS program in the claim period (these metrics are recorded in the claims payment administration systems pre and post the system change). Claims paid do not relate to volumes of patients receiving SS services and patient volumes are not provided in the SS claims payment data. In addition, de-identified patient level data provided by the Pharmacy Guild of Australia included the data fields drug name, supply frequency, supply internal, start date, supply quantity and age group of each individual that had received a SS service between August 2014 and October 2016. Although the data provided by the Pharmacy Guild of Australia could not be reconciled with the data provided by the Department, it did enable analysis of the drugs being provided as SS services which provides insight into the clinical indications of the patients requiring such services. 3 ABS postcode to remoteness.xls available from ▇▇▇▇://▇▇▇.▇▇▇.▇▇▇.▇▇/▇▇▇▇▇▇▇▇/▇▇▇@.▇▇▇/▇▇▇▇▇▇▇▇▇▇▇/▇▇▇▇.▇.▇▇.▇▇▇▇▇▇▇%▇▇▇▇▇▇?▇▇▇▇▇▇▇▇▇▇▇▇ (accessed 5th October, 2016)