Table 2.
List of indicators used
| Disease area | Indicator definition | Payment range |
| Simple process | ||
| CHD 03 | Record of smoking status in the previous 15 months | 25–90% |
| Stroke 03 | Record of smoking status in the previous 15 months | 25–90% |
| Hypertension 03 | Record of smoking status since diagnosis | 25–90% |
| Diabetes 03 | Record of smoking status in the previous 15 months | 25–90% |
| CHD 05 | Record of blood pressure in previous 15 months | 25–90% |
| Stroke 05 | Record of blood pressure in previous 15 months | 25–90% |
| Hypertension 04 | Record of blood pressure in previous 9 months | 25–90% |
| Diabetes 11 | Record of blood pressure in the previous 15 months | 25–90% |
| CHD 07 | Record of total cholesterol in previous 15 months | 25–90% |
| Stroke 07 | Record of total cholesterol in previous 15 months | 25–90% |
| Diabetes 16 | Record of total cholesterol in previous 15 months | 25–90% |
| Diabetes 02 | Record of BMI in previous 15 months | 25–90% |
| Diabetes 05 | Record of H1Abc or equivalent in previous 15 months | 25–90% |
| Diabetes 14 | Record of serum creatinine testing in the previous 15 months | 25–90% |
| Complex Process | ||
| Diabetes 08 | Record of retinal screening in the previous 15 months | 25–90% |
| Diabetes 09 | Record of peripheral pulse test in the previous 15 months | 25–90% |
| Diabetes 10 | Record of neuropathy testing in the previous 15 months | 25–90% |
| Outcome | ||
| CHD 06 | Blood pressure recorded in previous 15 months ≤ 150/90 | 25–70% |
| Stroke 06 | Blood pressure recorded in previous 15 months ≤ 150/90 | 25–70% |
| Hypertension 05 | Blood pressure recorded in previous 15 months ≤ 150/90 | 25–70% |
| Diabetes 12 | Blood pressure recorded in previous 15 months ≤ 145/85 | 25–55% |
| CHD 08 | Total cholesterol recorded in previous 15 months ≤ 5 mmol/l | 25–60% |
| Stroke 08 | Total cholesterol recorded in previous 15 months ≤ 5 mmol/l | 25–60% |
| Diabetes 17 | Total cholesterol recorded in previous 15 months ≤ 5 mmol/l | 25–60% |
| Diabetes 06 | HbA1c recorded in previous 15 months ≤ 7.4% | 25–55% |
| Diabetes 07 | HbA1c recorded in previous 15 months ≤ 10% | 25–85% |
| Treatment | ||
| CHD 09 | Aspirin, alternative anti-platelet or anti-coagulant being taken | 25–90% |
| CHD 10 | Treated with beta-blocker | 25–50% |
| CHD 12 | Record of Influenza immunisation in previous flu season | 25–85% |
| Stroke 12 | Record of Influenza immunisation in previous flu season | 25–85% |
| Diabetes 12 | Record of Influenza immunisation in previous flu season | 25–85% |