KPIs for Australian Public Mental Health Services: PI 09J – Mental health new client index, 2018
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||MHS PI 09J: Mental health new client index, 2018|
The percentage of new clients under the care of state/territory specialised mental health services.
NOTE: This specification has been adapted from the indicator Mental health new client index, 2018 (Service level) 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.
Access to services by persons requiring care is a key issue and there is concern that the public mental health service system is inadequately responding to new people requiring care. There is concern that public sector mental health services invest a disproportionate level of resources in dealing with existing clients and too little in responding to the needs of new clients as they present.
Existing population treatment rates are relatively low.
Collection and usage attributes
State/territory public specialised mental health services.
Reference period for 2018 performance reporting: 2016–17
Requires a count of individuals receiving services provided by state/territory mental health services within the reference period. The preferred standard for reporting this data is for person counts to be based on unique enumeration of individuals receiving care within the year. That is, consumers who received services in the reference period in more than one service setting, or by more than one specialised mental health service organisation, should only be counted once. However, in developing specifications for this indicator, it has been recognised that states and territories vary significantly in the extent to which persons can be counted uniquely at the jurisdiction level, the details of which are explored in the data quality statement for this indicator.
No additional service utilisation thresholds have been set for this indicator. This approach has been taken to allow:
(Numerator ÷ Denominator) x 100
Number of new consumers who received services from state/territory public specialised mental health services within the reference period.
|Numerator data elements:|
Number of individuals recorded on jurisdictional mental health information systems as receiving one or more service events from state/territory public mental health services (including admitted patient, ambulatory and residential services) within the reference period.
|Denominator data elements:|
Service variables: nil.
Consumer attributes: age, sex, Socio-Economic Indexes for Areas (SEIFA) decile, remoteness area, Indigenous status.
Disaggregated data excludes missing or not reported data.
All disaggregated data are to be calculated as at the first service event for the reporting period, that is, any in-scope admission, residential episode or service contact, even if an ongoing event is underway at the start of the reporting period. In cases where a null value is returned, the first valid result is to be used.
|Disaggregation data elements:|
|Unit of measure:||Person|
Indicator conceptual framework
|Framework and dimensions:||Accessible|
|Further data development / collection required:|
This indicator cannot be accurately constructed using the mental health National minimum data sets because they do not include unique patient identifiers that allow links across data sets and financial reporting years.
There is no proxy solution available. Construction of this indicator at a national level requires separate indicator data to be provided individually by states and territories.
Development 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.
Source and reference attributes
Australian Institute of Health and Welfare on behalf of the National Mental Health Performance Subcommittee
National Mental Health Performance Subcommittee (NMHPSC) 2013. Key Performance Indicators for Australian Public Mental Health Services, 3rd edn. Canberra: NMHPSC.
|Related metadata references:|
Supersedes KPIs for Australian Public Mental Health Services: PI 09J – New client index, 2017
Has been superseded by KPIs for Australian Public Mental Health Services: PI 09J – Mental health new client index, 2019