Tool № 15 · Chronic Disease & PIP-QI

10 PIP-QI Quality Improvement Measures — Northern Sydney.

AIHW publishes the 10 PIP-QI Quality Improvement Measure proportions per PHN. These are the practice-software-derived KPIs the Commonwealth uses to measure primary-care quality across each PHN catchment. Northern Sydney runs above national on 6 of 10 QIMs in the AIHW 2025-Q3 release.

Click any QIM card for the AIHW definition + improvement lever
QIMs above national
6/ 10
AIHW PIP-QI 2025-Q3 · per-PHN
Best-performing QIM (Northern Sydney)
QIM 2smoking
70.4% · Nat 66.8%
Weakest QIM (Northern Sydney)
QIM 3BMI
19.8% · Nat 20.5%
Per-LGA / chronic registers
Not published per-PHN / per-LGA
Data vintage AIHW PIP-QI2025-Q3 ABS ERP2024
§ 01 · PIP-QI 10 Quality Improvement Measures

The practice-level scorecard the Commonwealth funds against.

10 QIMs covering diabetes management, smoking, BMI, immunisation in chronic-disease cohorts, alcohol, CVD risk, and cervical screening. Real per-PHN values from AIHW PIP-QI 2025-Q3.

AIHW PIP-QI 2025-Q3 · 10 QIMs
QIM 01
Diabetes HbA1c current
49.6% -20.5pp vs national
Nat 70.1% AIHW PIP-QI 2025-Q3

Proportion of regular clients with diabetes with a current HbA1c result (≤ 12 months)

Improvement lever: Practice-level diabetes register + recall systems

QIM 02
Smoking status recorded
70.4% +3.6pp vs national
Nat 66.8% AIHW PIP-QI 2025-Q3

Proportion of regular clients aged 15+ with smoking status recorded

Improvement lever: Default-prompt smoking status capture in clinical software at every encounter

QIM 03
BMI recorded
19.8% -0.7pp vs national
Nat 20.5% AIHW PIP-QI 2025-Q3

Proportion of regular clients aged 15+ with BMI recorded

Improvement lever: Practice-software default templates with height+weight required fields

QIM 04
Influenza immunisation (65+)
57.6% +4.2pp vs national
Nat 53.4% AIHW PIP-QI 2025-Q3

Proportion of regular clients aged 65+ immunised against influenza

Improvement lever: Practice-level annual recall + on-site RACF clinics

QIM 05
Influenza immunisation (diabetes)
50.1% -0.1pp vs national
Nat 50.2% AIHW PIP-QI 2025-Q3

Proportion of regular clients with diabetes immunised against influenza

Improvement lever: Co-administration at diabetes review visits

QIM 06
Influenza immunisation (COPD)
63.8% +4.2pp vs national
Nat 59.6% AIHW PIP-QI 2025-Q3

Proportion of regular clients with COPD immunised against influenza

Improvement lever: Co-administration at chronic-disease management plan visits

QIM 07
Alcohol consumption recorded
63.8% +5.6pp vs national
Nat 58.2% AIHW PIP-QI 2025-Q3

Proportion of regular clients aged 15+ with alcohol consumption recorded

Improvement lever: AUDIT-C screening tool at annual health-check visits

QIM 08
CVD risk factors recorded
59.3% +2.4pp vs national
Nat 56.9% AIHW PIP-QI 2025-Q3

Proportion of regular clients aged 45-74 with CVD risk factors recorded

Improvement lever: MyMedicare-linked annual cardiovascular check (item 699)

QIM 09
Cervical screening up-to-date
49.3% +2.3pp vs national
Nat 47.0% AIHW PIP-QI 2025-Q3

Proportion of female regular clients 25-74 with up-to-date cervical screening

Improvement lever: Practice-level eligibility-based recall + self-collect HPV test offer

QIM 10
Diabetes blood pressure
50.8% +0.0pp vs national
Nat 50.8% AIHW PIP-QI 2025-Q3

Proportion of regular clients with diabetes with BP recorded

Improvement lever: Default-required BP capture at diabetes review visits

Data quality · what's real, what's not yet available

The 10 QIM proportions above are from AIHW's PIP-QI 2025-Q3 release — these are the only real per-PHN values currently published. Chronic-disease register prevalence (diabetes, CVD, COPD, asthma, CKD, mental-health) is NOT published per-PHN by AIHW — those cards are intentionally omitted. GP practice counts + participation per PHN are not published either. Per-LGA PIP-QI values require direct clinical-software extracts (POLAR / PenCS), not in this AIHW release.

Methodology · sources

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