Ambulatory patient mental health care cluster

Identifying and definitional attributes
Metadata item type:	Data Set Specification
METEOR identifier:	575033
Registration status:	Independent Hospital Pricing Authority, Standard 15/10/2014
DSS type:	Data Element Cluster
Scope:	The scope of the ambulatory patient mental health care cluster is service contacts provided by specialised mental health services for patients/clients, other than those admitted to public psychiatric hospitals or designated public psychiatric units in acute care hospitals, and those resident in 24 hour staffed specialised residential mental health services. Patients receiving mental health care as a non-admitted patient from non-specialised mental health services provided by public hospitals, Local Hospital Networks or other public hospital services that are managed by a state or territory health authority and are included in the General list of in-scope public hospital services, which have been developed under the National Health Reform Agreement (2011) are also in scope. Service contacts provided by specialised mental health services from non-government organisations that receive state or territory government funding are also in scope.

Collection and usage attributes

Statistical unit:

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Mental health service contact

Non-admitted patient service event

Source and reference attributes

Submitting organisation:

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Independent Hospital Pricing Authority

Relational attributes

Implementation in Data Set Specifications:

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All attributes +

Activity based funding: Mental health care DSS 2015-16
Independent Hospital Pricing Authority, Superseded 16/03/2016

DSS specific attributes +
*Implementation start date:* 01/07/2015 *Implementation end date:* 30/06/2016 *Conditional obligation:* The data set specification is only required to be reported for episodes of care in an ambulatory setting.

Metadata items in this Data Set Specification

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Seq No.	Metadata item																				Obligation	Max occurs
-	Community mental health care NMDS 2015-16 *Conditional obligation:* Reporting of these data elements is mandatory for service contacts provided by specialised mental health services. Reporting is optional for service contacts provided by specialised mental health services from non-government organisations that receive state or territory government funding. Reporting is optional for service events provided by non-specialised mental health services.																				Conditional	1
-	Non-admitted patient DSS 2015-16 *Conditional obligation:* Reporting of these data elements is mandatory for service events provided by non-specialised mental health services. Reporting is not required for service contacts provided by specialised mental health services or service contacts provided by specialised mental health services from non-government organisations that receive state or territory government funding.																				Conditional	1
-	Episode of care—mental health care phase, code N																				Optional	99
-	Episode of care—mental health intervention type, code (MHIC V1.0) X(20) *DSS specific information:* For the purposes of this DSS, an ambulatory episode is defined as a period of continuous contact between a consumer and a mental health service within an ambulatory service setting. This is consistent with the definition in the National Outcomes and Casemix Collection. If collected, mental health interventions should be reported at the ambulatory episode of care level.																				Optional	99
-	Episode of care—mental health phase of care end date, DDMMYYYY																				Optional	99
-	Episode of care—mental health phase of care start date, DDMMYYYY																				Optional	99
-	Episode of care—psychosocial complications indicator, yes/no code N *Conditional obligation:* For the purposes of this DSS, an ambulatory episode is defined as a period of continuous contact between a consumer and a mental health service within an ambulatory service setting. This is consistent with the definition in the National Outcomes and Casemix Collection. Reporting of FIHS is mandatory for the last service contact of an ambulatory mental health care episode provided by a specialised mental health service. Reporting is optional for service contacts provided by specialised mental health services from non-government organisations that receive state or territory government funding. Reporting is optional for service events provided by non-specialised mental health services. FIHS should only be reported for patients aged 17 years and under. *DSS specific information:* The FIHS for the last service contact may be derived from the FIHS discharge value submitted for the patient's ambulatory care episode as part of the National Outcomes and Casemix Collection reporting requirements.																				Conditional	7
-	Patient—first episode of mental health care at a mental health service organisation, code N *DSS specific information:* For the purposes of this DSS, an ambulatory episode is defined as a period of continuous contact between a consumer and a mental health service within an ambulatory service setting. This is consistent with the definition in the National Outcomes and Casemix Collection.																				Optional	1
-	Person—level of difficulty with activities in a life area, Abbreviated Life Skills Profile score code N *Conditional obligation:* For the purposes of this DSS, an ambulatory episode is defined as a period of continuous contact between a consumer and a mental health service within an ambulatory service setting. This is consistent with the definition in the National Outcomes and Casemix Collection. Reporting of LSP-16 is mandatory for the last service contact of an ambulatory mental health care episode provided by a specialised mental health service. Reporting is optional for service contacts provided by specialised mental health services from non-government organisations that receive state or territory government funding. Reporting is optional for service events provided by non-specialised mental health services. The LSP-16 should only be reported for patients aged 18 years and over. *DSS specific information:* The LSP-16 for the last service contact may be derived from the LSP-16 discharge value submitted for the patient's ambulatory care episode as part of the National Outcomes and Casemix Collection reporting requirements.																				Conditional	16
-	Person—level of psychiatric symptom severity, Children's Global Assessment Scale score code N[NN] *Conditional obligation:* For the purposes of this DSS, an ambulatory episode is defined as a period of continuous contact between a consumer and a mental health service within an ambulatory service setting. This is consistent with the definition in the National Outcomes and Casemix Collection. Reporting of the CGAS is mandatory for the first service contact of an ambulatory mental health care episode provided by a specialised mental health service. Reporting is optional for service contacts provided by specialised mental health services from non-government organisations that receive state or territory government funding. Reporting is optional for service events provided by non-specialised mental health services. The CGAS should only be reported for patients aged 17 years and under. *DSS specific information:* The CGAS for the first service contact may be derived from the CGAS admission value submitted for the patient's ambulatory care episode as part of the National Outcomes and Casemix Collection reporting requirements.																				Conditional	1
-	Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N *Conditional obligation:* For the purposes of this DSS, an ambulatory episode is defined as a period of continuous contact between a consumer and a mental health service within an ambulatory service setting. This is consistent with the definition in the National Outcomes and Casemix Collection. Reporting of the HoNOS65+ is mandatory for the first and last service contacts of an ambulatory mental health care episode provided by a specialised mental health service. Reporting is optional for service contacts provided by specialised mental health services from non-government organisations that receive state or territory government funding. Reporting is optional for service events provided by non-specialised mental health services. The HoNOS65+ should only be reported for patients aged 65 years and over. The HoNOS65+ discharge rating is not required if the episode of ambulatory care had a length of stay of 3 days or less. *DSS specific information:* The HoNOS65+ for the first service contact may be derived from the HoNOS65+ admission rating submitted for the patient's ambulatory care episode as part of the National Outcomes and Casemix Collection reporting requirements. The HoNOS65+ for the last service contact may be derived from the HoNOS65+ discharge rating submitted for the patient's ambulatory care episode as part of the National Outcomes and Casemix Collection reporting requirements.																				Conditional	24
-	Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale for Children and Adolescents score code N *Conditional obligation:* For the purposes of this DSS, an ambulatory episode is defined as a period of continuous contact between a consumer and a mental health service within an ambulatory service setting. This is consistent with the definition in the National Outcomes and Casemix Collection. Reporting of the HoNOSCA is mandatory for the first and last service contacts of an ambulatory mental health care episode provided by a specialised mental health service. Reporting is optional for service contacts provided by specialised mental health services from non-government organisations that receive state or territory government funding. Reporting is optional for service events provided by non-specialised mental health services. The HoNOSCA should only be reported for patients aged 17 years and under. *DSS specific information:* The HoNOSCA for the first service contact may be derived from the HoNOSCA admission rating submitted for the patient's ambulatory care episode as part of the National Outcomes and Casemix Collection reporting requirements. The HoNOSCA for the last service contact may be derived from the HoNOSCA discharge rating submitted for the patient's ambulatory care episode as part of the National Outcomes and Casemix Collection reporting requirements.																				Conditional	30
-	Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N *Conditional obligation:* For the purposes of this DSS, an ambulatory episode is defined as a period of continuous contact between a consumer and a mental health service within an ambulatory service setting. This is consistent with the definition in the National Outcomes and Casemix Collection. Reporting of the HoNOS is mandatory for the first and last service contacts of an ambulatory mental health care episode provided by a specialised mental health service. Reporting is optional for service contacts provided by specialised mental health services from non-government organisations that receive state or territory government funding. Reporting is optional for service events provided by non-specialised mental health services. The HoNOS should only be reported for patients aged between 18 and 64 years. *DSS specific information:* The HoNOS for the first service contact may be derived from the HoNOSCA admission rating submitted for the patient's ambulatory care episode as part of the National Outcomes and Casemix Collection reporting requirements. The HoNOS for the last service contact may be derived from the HoNOSCA discharge rating submitted for the patient's ambulatory care episode as part of the National Outcomes and Casemix Collection reporting requirements.																				Conditional	24