AUSTRALIAN NATIONAL DIABETES AUDIT (ANDA)

benchmark and bookmarkingANDA is an annual diabetes audit open to all services providing diabetes services across Australia, from primary to tertiary care centres.

We want all our members to participate in ANDA in 2019

We are pleased to announce that the Commonwealth Department of Health has provided ANDA with some additional funding to undertake a longitudinal follow up of outcomes of patients attending diabetes centres.

We are currently developing a simple protocol by which to deliver the longitudinal follow up in addition to the usual ANDA benchmarking activity. We hope to make these 2 aspects of ANDA data collection as seamless as possible.

In aide of this, we will be piloting ANDA longitudinal to all Eastern State centres (Qld, NSW, and Vic) interested in participating in the longitudinal follow up activity.

Please note: if you do not wish to participate in the longitudinal follow up activity you can still participate in the usual (cross-sectional) ANDA benchmarking activity.

2019 ANDA data collection will be the AQCA (Australian Quality Clinical Audit)  and adapted from that used in 2017.

We are now seeking expressions of interest from diabetes centres to participate in ANDA-AQCA. All types of centres from tertiary to primary care may participate.

ANDA-AQCA 2019 Invitation Letter
Click here to get your registration form

This important quality assurance activity promotes continuous improvement in the standard of service provided by diabetes centres and is the primary quality assurance activity of the NADC. The success of this activity is dependent on a maximum level of participation by centres.

The following is the proposed timetable for the survey in 2019:

Formal invitation to join – March
Distribution of survey forms – April

Data Collection on consecutive patients (for 4 weeks) – May or June
Note: The survey can be conducted over 8 weeks (May and June) for centres not able to collect data on more than 30 participants during this period

Centres will be able to provide data using one of the following options:

1. Complete the paper-based data collection form
2. Complete the web-based data collection form (REDCap)
3. Extract data from in-house database

We encourage you to opt for REsearch Data CAPture (REDCap), which was received favourably in the 2018 audit. This is a more time efficient form of data collection ensuring data integrity and reduction in data queries.

To register for ANDA in 2019, please email Elspeth at anda@nadc.net.au

We can’t improve that which we don’t measure!

The coordination of ANDA is overseen by Associate Professor Sophia Zoungas (at Monash Health/University) in collaboration with the NADC Secretariat.

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. The 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.

The ANDA- AQSMA was the audit that was run in 2018. To see the past pooled ANDA reports, click here.

Every alternate year, the ANDA – AQCA (Australian Quality Clinical Audit) is run. This audit to be run next in 2019, focuses on clinical indicators known to impact on the care of the person with diabetes.

Funding for ANDA is from the Commonwealth Department of Health & Ageing.

The coordination of ANDA is overseen by Associate Professor Sophia Zoungas (at Monash Health) in collaboration with the NADC Secretariat.

Both audits offer important quality assurance activities which promote continuous improvement in the standards of service provided by diabetes services.  The success of this activity is dependent on a maximum level of participation by centres.

In 2019, we are keen to have increased participation from Primary Care based services. ANDA may be coordinated by PHN’s, PCP’s or with individual practices.

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 patients 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 patients’ 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.

ANDA is funded by the Department of Health, Australia; 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 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 patients 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 patients 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 patients 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. Diabetes centres participate in each module voluntarily. It is not compulsory for participating diabetes centres to contribute to all ANDA modules.

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. There are two different Data Collection Modules for which sites can choose to contribute.

For information about the diabetes centres participating in ANDA, please scroll down.

Our Supporters

Australian Government, Department of Health

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.

National Association of Diabetes Centres (NADC)

The NADC is a national collective of organisations that are involved either directly or indirectly in diabetes services and care. 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.

Australian Diabetes Society (ADS)

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 AND REPORTS

For more information on the ANDA audits from 2013 including the published reports, please click on the following links: CLICK HERE

Further information is also available. Click below.