The Australian Diabetes Clinical Quality Registry (ADCQR)
(Formerly ANDA)
The Australian Diabetes Clinical Quality Registry (ADCQR) is the successor to the Australian National Diabetes Audit (ANDA) and its longitudinal counterpart (ANDA-L).
The ADCQR is a quality improvement initiative which serves to promote best practice and high-quality diabetes care. In line with the National Strategy for Clinical Quality Registries and Virtual Registries, the ADCQR aims to collect, monitor, and report on clinical quality outcomes to support improvements in clinical care and patient-centred outcomes. This will be achieved through benchmarked feedback on whether care across diabetes centres (and patient outcomes) align with that of their peers, as well as national standards.
In addition, the ADCQR aims to provide a longitudinal assessment of the effects of diabetes centres health care practices on patient treatment and outcomes through data linkage.
The Australian Commission on Safety and Quality in Health Care have identified diabetes as a priority area for development of a clinical quality registry due to the high burden of disease. Therefore, the data and datasets created as part of these activities within the institution, are of regulatory, clinical and community significance.
The ADCQR collects clinical indicators collected as part of standard care and include diagnoses, clinical and laboratory results, management methods/therapy and diabetes-related complications and comorbidities. Patient reported outcome measures are also collected capturing information on self- management and health service use. For more information about the ADCQR please visit https://www.monash.edu/medicine/sphpm/adcqr/home
To register an Expression of Interest and to be a part of the ADCQR, please email: adcqr@monash.edu.
Any questions from centres should be directed to Prof Sophia Zoungas at email: adcqr@monash.edu.
ANDA – ANNUAL REPORT 2022 IS NOW AVAILABLE. CLICK HERE TO VIEW.
To all sites who participated in ANDA 2022, many thanks for being a valued contributor to the Australian National Diabetes Audit (ANDA).
We are always trying to improve the experience of ANDA for participating sites.
To help us make these improvements in a systematic manner, we are conducting a new research project that we hope you will consider joining.
We can’t improve that which we don’t measure!
The conduct of ANDA is overseen by Professor Sophia Zoungas (at Monash University/Monash Health) in consultation with the ANDA Scientific Advisory Committee
The NADC coordinates the Australian National Diabetes Audit (ANDA) survey every year.
It is a free quality improvement activity for all NADC members and provides the participating services with a comprehensive individualised report on many aspects of their specific service and benchmarks against like-sized organisations.
There are 2 ANDA audits that alternate each year:
- ANDA-AQSMA (Australian Quality Self-Management Audit) is more focused on self-management and diabetes distress and collects data related to diabetes education, self-care practices and quality of life
- ANDA-AQCA (Australian Quality Clinical Audit) focuses on clinical indicators known to impact on the care of the person with diabetes
The Australian National Diabetes Audit is fully funded by the Commonwealth Department of Health
The ANDA collections are an important quality activity that promotes continuous improvement in the standard of services provided by diabetes centres. It is anticipated that the data collected will provide key performance indicators for diabetes services to benchmark their performance against best practice.
Primary Care organisations are encouraged to be involved.
To register an Expression of Interest to be a part of ANDA, please email: anda@nadc.net.au
ANDA Background
The Australian National Diabetes Audit (ANDA) is a national clinical quality registry.
It is a centralised quality assurance activity aiming to improve the quality of care provided to people with diabetes.
ANDA is coordinated by Monash University in conjunction with the National Association of Diabetes Centres and participating primary, secondary and tertiary care diabetes centres across Australia.
ANDA collects data about people with diabetes treatments, complications, self-care practices and quality of life outcomes. This information is then reported back to the diabetes centres and relevant stakeholders to help determine what factors contribute to and promote better patient care and outcomes. The reports provide a unique opportunity for diabetes centres to benchmark their performance against their peers across Australia and the different segments of the health system. Ultimately it is hoped to be able to benchmark the performance of Australian diabetes centres with international centres.
The Australian National Diabetes Audit is fully funded by the Commonwealth Department of Health; their generous contribution and enthusiastic support for ANDA is a testament to the importance of this nationwide quality assurance activity.
Project Aims
ANDA is a Clinical Quality Registry (CQR) aiming to improve the quality of care provided to people with diabetes patients attending primary, secondary and tertiary health care services (diabetes centres) for the management of diabetes.
ANDA’s primary focus is to provide regular and relevant feedback to diabetes centres so they can compare themselves with their peers. This has been universally found to be a worthwhile activity for improving care and outcomes for people with diabetes.
ANDA aims to:
- Provide a diabetes dataset aligned with national reporting guidelines
- Create a centralised mechanism for providing feedback
- Benchmark clinical outcomes and improve patient care
- Identify areas of excellence and opportunities for improvement
- Assess adequacy of resources available
- Facilitate the development of procedures, clinical guidelines and policies
- Identify population groups that may require better access to care
Data Collection Modules
ANDA aims to have a broad diabetes focus and it is anticipated that the activity will expand to collect a dataset of many different aspects of diabetes care and outcomes.
Currently, ANDA has two data collection modules: Clinical indicators and Patient-reported education, self-care and quality of life indicators
Data is collected for people with diabetes attending diabetes centres in participating Australian health services.
- Clinical indicators
Clinical indicator data collection assesses a standardised set of predefined clinical parameters including demographic variables, biological variables and clinical outcomes known to impact people with diabetes.
- Patient-reported education, self-care and quality of life indicators
This data collection assesses a standardised set of predefined patient self-management parameters including lifestyle factors, education and quality of life outcomes as well as health professional utilisation.
As new modules are approved for data collection, diabetes centres will be engaged and invited to participate.
For more information about the specific type of patient information collected in ANDA, please visit our What information is collected page.
Participating Diabetes Centres
Diabetes centres participate in ANDA voluntarily. It is not compulsory for participating diabetes centres to contribute to all ANDA modules.
Our Supporters
Australia’s health system is world-class, supported by universal and affordable access to high quality medical, pharmaceutical and hospital services, while helping people to stay healthy through health promotion and disease prevention activities.
The Australian Department of Health has been established to provide a continued commitment of improving health outcomes for all Australians. Their purpose is to support the government and stakeholders to lead and shape Australia’s health and aged care system and sporting outcomes through evidence-based policy, well-targeted programs and best practice regulation.
The NADC is a national collective of organisations that are involved either directly or indirectly in diabetes services and care. The NADC was established to explore mechanisms and implement strategies for improving the standard of care for people with, or at risk of diabetes. NADC member organisations take a leadership role in developing the appropriate networks in their areas in order to achieve this outcome.
The ADS is the peak national medical and scientific body in Australia for diabetes. The ADS is a member-based organisation consisting of health professionals (endocrinologists, diabetes educators, primary care physicians and allied health professionals) as well as clinical and preclinical researchers. The ADS mission is to prevent diabetes and its complications; provide excellence in education for health professionals; promote collaboration, research and education; work with other organisations committed to improved diabetes treatment and care and advocate for health policies around diabetes and its prevention.
PREVIOUS ANDA FORMS, REPORTS and INFORMATION
For more information on the ANDA audits including the published reports, please click on the following links: CLICK HERE
PAST ANDA REPORTS
ANDA ARTICLES
| ARTICLES | LINK |
| Impact of COVID-19 on Diabetes Health Care and Service Provision in Australian Diabetes Centers | Click Here |
| Exploring HbA1c variation between Australian diabetes centres: The impact of centre-level and patient-level factors | Click Here |
| Making the most of audit and feedback to improve diabetes care: a qualitative study of the perspectives of Australian Diabetes Centres | Click Here |
| Age, age at diagnosis and diabetes duration are all associated with vascular complications in type 2 diabetes (Nanayakkara et al. Diabetes Complication) Journal of Diabetes and Its Complications | Click Here |
| Age-related differences in glycaemic control, cardiovascular disease risk factors and treatment in patients with type 2 diabetes: a cross-sectional study from the Australian National Diabetes Audit (Nanayakkara et al. BMJ Open) | Click Here |
| Burden of cardiovascular risk factors and disease among patients with type 1 diabetes: results of the Australian National Diabetes Audit (ANDA) (Pease et al. Cardiovascular Diabetology) | Click Here |
| Depression and diabetes distress in adults with type 2 diabetes: results from the Australian National Diabetes Audit (ANDA) 2016 (Nanayakkara et al. Scientific Reports) | Click Here |
| Younger people with Type 2 diabetes have poorer self-care practices compared with older people: results from the Australian National Diabetes Audit (Nanayakkara et al. Diabetic Medicine) | Click Here |
| The association of smoking status with glycemic control, metabolic profile and diabetic complications– Results of the Australian National Diabetes Audit (ANDA) (Szwarcbard et al J Diabetes Complications) | Click Here |
| Risk-adjustment of diabetes health outcomes improves the accuracy of performance benchmarking (Danek et al Scientific Reports) | Click Here |
