KPIs for Australian Public Mental Health Services: PI 12J – Rate of post-discharge community care, 2015
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||MHS PI 12J: Rate of post-discharge community care, 2015|
Proportion of separations from state/territory public acute admitted mental health care service unit(s) for which a community mental health service contact, in which the consumer participated, was recorded in the seven days following that separation.
NOTE: This specification is adapted from the indicator MHS PI 12: Rate of post-discharge community care, 2015 (Service level version) using terminology consistent with the National Health Data Dictionary. There are no technical differences in the calculation methodologies between the Service level version and the Jurisdictional level version of this indicator.
Key Performance Indicators for Australian Public Mental Health Services (Jurisdictional level version) (2015)
Collection and usage attributes
State/territory public acute admitted patient mental health care service unit(s) in scope for reporting as defined by the Mental Health Establishments National Minimum Data Set (admissions data).
State/territory specialised community mental health care service unit(s) in scope for reporting as defined by the Community Mental Health Care National Minimum Data Set (pre-admission community contact data).
The following separations are excluded:
The following community mental health service contacts are excluded:
Reference period for 2015 performance reporting: 2013–14
Different results for the seven day follow-up indicator will be achieved depending on whether the indicator is based on organisation-level or state-level analysis. The key difference between the two approaches concerns whether seven day post discharge follow-up is regarded to have occurred only when the person is seen by the discharging organisation, or by any public sector community mental health service within the jurisdiction. For the purpose of this indicator, the preferred approach is for state-level analysis to be used, and for contacts provided by any public sector community mental health service to be counted. This will depend however, on the capacity of jurisdictions to track service use across multiple service organisation providers and will not be possible for all jurisdictions, the details of which are explored in the data quality statement for this indicator.
(Numerator ÷ Denominator) x 100
Number of in-scope separations from state/territory public acute admitted patient mental health care service unit(s) for which a community mental health service contact, in which the consumer participated, was recorded in the seven days immediately following that separation.
|Numerator data elements:|
Number of in-scope separations from state/territory public acute admitted patient mental health care service unit(s) occurring within the reference period.
|Denominator data elements:|
Service variables: Nil
Consumer attributes: Age, sex, SEIFA decile, remoteness area, Indigenous status. Disaggregated data excludes missing or not reported data.
All disaggregation data are to be calculated as at admission to the admitted mental health care service unit, even if the value is null.
|Disaggregation data elements:|
|Unit of measure:||Service event|
Indicator conceptual framework
|Framework and dimensions:||Continuous|
|Further data development / collection required:|
This indicator cannot be accurately constructed using the Admitted Patient Mental Health Care and Community Mental Health Care National Minimum Data Sets because they do not share a common unique identifier to allow persons admitted into hospital to be tracked in the community services data. Additionally, states and territories vary in the extent to which state-wide unique identifiers are in place to allow accurate tracking of persons who are seen by multiple organisations.
There is no proxy solution available. To construct this indicator at a national level requires separate indicator data to be provided individually by states and territories.
Development of a system of state-wide unique patient identifiers within all mental health NMDSs is needed to improve this capacity.
|Other issues caveats:|
When data for this indicator are requested, jurisdictions are required to answer whether a state-wide unique client identifier system is in place, or some comparable approach has been used in the data analysis to allow tracking of service utilisation by an individual consumer across all public specialised mental health services in the jurisdiction. Collection of this information is aimed at assessing the degree of consistency between jurisdictions in data reported the result of which are explored in the data quality statement for this indicator.
Source and reference attributes
|Submitting organisation:||Australian Institute of Health and Welfare on behalf of the National Mental Health Performance Subcommittee|
|Reference documents:||Key performance Indicators for Australian Public Mental Health Services, Third edition (2014)|
|Related metadata references:|
See also Mental health service contact—patient/client participation indicator, yes/no code N
See also Specialised mental health service—admitted patient care program type, code N