National Mental Health Performance Framework 2020
The National Mental Health Performance Framework 2020 supersedes the National Mental Health Performance Framework.
The objective of the National Mental Health Performance Framework is to improve all health outcomes for Australians living with mental illness and ensure sustainability of the Australian health system.
The first National Mental Health Performance Framework (NMHPF) was developed in 2005 as a key strategy for facilitating a culture of continuous quality improvement in mental health service delivery. The framework supports Australian and state and territory governments’ commitment to improving accountability and transparency at the Mental Health Service Organisation level.
The revised NMHPF was developed based on the Australian Health Performance Framework, and was endorsed by the Mental Health Principal Committee in March 2019. The key domains of the framework are as follows:
Dimensions of this framework
Determinants of health
Are the factors that influence good health changing for the better? Where and for who are these factors changing? Is it the same for everyone?
Sub-dimensions of this framework
Environmental factors
Physical, chemical and biological factors such as water, food and soil quality.
Health behaviours
Attitudes, beliefs, knowledge and behaviours such as patterns of eating, physical activity, smoking and alcohol consumption.
Indicators in this framework
Personal biomedical factors
Genetic-related susceptibility to disease & other factors such as blood pressure, cholesterol levels and body weight.
Personal history
Factors such as experience of trauma.
Socioeconomic factors
Income, employment, housing, education and social inequalities.
Health status
How healthy are Australians? Is it the same for everyone? What are the best opportunities for improvement?
Sub-dimensions of this framework
Deaths
Mortality rates, mortality gap and life expectancy measures.
Health conditions
Incidence and prevalence of disease, disorder, injury, trauma or other health-related states.
Human function
Alterations to body structure or function (impairment), activity limitations and restrictions in participation.
Wellbeing
Measures of physical, mental, social and emotional wellbeing of individuals.
Health system
Is the health system (by itself, and with others) working to prevent illness, injury and disease? Is it delivering safe, effective, and accessible coordinated care appropriate for each individual? Is the health system efficient and sustainable? Is the health system working to support/facilitate mental health recovery? Does the health system address the needs of consumers and family/kin/friends/carers (referred to in this framework as 'consumers and carers') and include them as part of the care?
Sub-dimensions of this framework
Accessibility
People can obtain health care at the right place and right time, taking account of different population needs and the affordability of care.
Indicators in this framework
- KPIs for Australian Public Mental Health Services: PI 09 – Mental health new client index, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 10 – Comparative area resources, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 08J – Population access to specialised clinical mental health care, 2020
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 09J – Mental health new client index, 2020
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 08 – Population access to specialised clinical mental health care, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 11 – Admission preceded by community mental health care, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 11J – Admission preceded by community mental health care, 2020
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 08 – Population access to specialised clinical mental health care, 2021– (Service level)
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 09 – Mental health new client index, 2021– (Service level)
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 10 – Comparative area resources, 2021– (Service level)
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 11 – Admission preceded by community mental health care, 2021– (Service level)
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 08J – Population access to specialised clinical mental health care, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 09J – Mental health new client index, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 11J – Admission preceded by community mental health care, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 08J – Population access to specialised clinical mental health care, 2022
Health, Recorded 06/04/2022 - KPIs for Australian Public Mental Health Services: PI 09J – Mental health new client index, 2022
Health, Recorded 06/04/2022 - KPIs for Australian Public Mental Health Services: PI 11J – Admission preceded by community mental health care, 2022
Health, Recorded 06/04/2022
- KPIs for Australian Public Mental Health Services: PI 09 – Mental health new client index, 2020– (Service level)
Appropriateness
Service is a person-centred, culturally appropriate, rights-based, trauma-informed and recovery oriented. Mental health consumers and carers are treated with dignity and confidentiality and encouraged to participate in choices related to their care. Consumers and carers report positive experiences (PROMs & PREMs).
Indicators in this framework
- KPIs for Australian Public Mental Health Services: PI 13 – Mental health consumer outcomes participation, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 13 – Mental health consumer outcomes participation, 2021– (Service level)
Health, Standard 17/12/2021
- KPIs for Australian Public Mental Health Services: PI 13 – Mental health consumer outcomes participation, 2020– (Service level)
Continuity of care
Ability to provide uninterrupted and integrated care or service across program, practitioners and levels over time. Coordination mechanisms work for mental health consumers, carers and health care providers. Care and support is holistic and includes psychosocial and physical dimensions.
Indicators in this framework
- KPIs for Australian Public Mental Health Services: PI 12J – Post-discharge community mental health care, 2020
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 12 – Post-discharge community mental health care, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 12 – Post-discharge community mental health care, 2021– (Service level)
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 12J – Post-discharge community mental health care, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 12J – Post-discharge community mental health care, 2022
Health, Recorded 06/04/2022
- KPIs for Australian Public Mental Health Services: PI 12J – Post-discharge community mental health care, 2020
Effectiveness
Care, intervention or action achieves the desired outcome from both the clinical perspective (clinician-reported outcome measure–CROMs) and the mental health consumer and carer perspective (patient-reported outcome measures–PROMs). Care provided is based on evidence-based standards.
Indicators in this framework
- KPIs for Australian Public Mental Health Services: PI 01 – Change in mental health consumer's clinical outcomes, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 03J – National Mental Health Service Standards compliance, 2020
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 03 – National Mental Health Service Standards compliance, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 01J – Change in mental health consumer's clinical outcomes, 2020
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 02 – Mental health readmissions to hospital, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 02J – Mental health readmissions to hospital, 2020
Health, Standard 24/09/2021 - KPIs for Australian Public Mental Health Services: PI 01J – Change in mental health consumer's clinical outcomes, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 02 – Mental health readmissions to hospital, 2021– (Service level)
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 01 – Change in mental health consumer's clinical outcomes, 2021– (Service level)
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 03 – National Mental Health Service Standards compliance, 2021– (Service level)
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 02J – Mental health readmissions to hospital, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 03J – National Mental Health Service Standards compliance, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 02J – Mental health readmissions to hospital, 2022
Health, Recorded 06/04/2022 - KPIs for Australian Public Mental Health Services: PI 01J – Change in mental health consumer's clinical outcomes, 2022
Health, Recorded 06/04/2022 - KPIs for Australian Public Mental Health Services: PI 03J – National Mental Health Service Standards compliance, 2021
Health, Recorded 06/04/2022
- KPIs for Australian Public Mental Health Services: PI 01 – Change in mental health consumer's clinical outcomes, 2020– (Service level)
Efficiency and sustainability
The right care is delivered at minimum cost and human and physical capital and technology are maintained and renewed while innovation occurs to improve efficiency and respond to emerging needs. Members of the workforce receive appropriate support and report positive experiences.
Indicators in this framework
- KPIs for Australian Public Mental Health Services: PI 04 – Average length of acute mental health inpatient stay, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 05 – Average cost per acute mental health admitted patient day, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 06 – Average treatment days per three-month community mental health care period, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 07 – Average cost per community mental health treatment day, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 04J – Average length of acute mental health inpatient stay, 2020
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 05J – Average cost per acute mental health admitted patient day, 2020
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 06J – Average treatment days per three-month community mental health care period, 2020
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 07J – Average cost per community mental health treatment day, 2020
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 06J – Average treatment days per three-month community mental health care period, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 07J – Average cost per community mental health treatment day, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 05 – Average cost per acute mental health admitted patient day, 2021– (Service level)
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 06 – Average treatment days per three-month community mental health care period, 2021– (Service level)
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 04 – Average length of acute mental health inpatient stay, 2021– (Service level)
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 07 – Average cost per community mental health treatment day, 2021– (Service level)
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 04J – Average length of acute mental health inpatient stay, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 05J – Average cost per acute mental health admitted patient day, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 04J – Average length of acute mental health inpatient stay, 2022
Health, Recorded 06/04/2022 - KPIs for Australian Public Mental Health Services: PI 06J – Average treatment days per three-month community mental health care period, 2022
Health, Recorded 06/04/2022 - KPIs for Australian Public Mental Health Services: PI 07J – Average cost per community mental health treatment day, 2022
Health, Recorded 06/04/2022
- KPIs for Australian Public Mental Health Services: PI 04 – Average length of acute mental health inpatient stay, 2020– (Service level)
Safety
The avoidance of, or reduction to, acceptable limits of actual or potential harm (physical or psychological) from health care management or the environment in which health care is delivered. Includes aspects of the safety of care delivered to consumers (including patient-reported incidents and restrictive practices) as well as safety of carers and workforce.
Indicators in this framework
- KPIs for Australian Public Mental Health Services: PI 16J – Restraint rate, 2020
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 15J – Seclusion rate, 2020
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 15 – Seclusion rate, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 16 – Restraint rate, 2020– (Service level)
Health, Standard 13/01/2021 - KPIs for Australian Public Mental Health Services: PI 15 – Seclusion rate, 2021– (Service level)
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 16 – Restraint rate, 2021– (Service level)
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 15J – Seclusion rate, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 16J – Restraint rate, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 17aJ – Involuntary hospital treatment, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 17bJ – Involuntary patient days, 2021
Health, Standard 17/12/2021 - KPIs for Australian Public Mental Health Services: PI 15J – Seclusion rate, 2022
Health, Recorded 06/04/2022 - KPIs for Australian Public Mental Health Services: PI 16J – Restraint rate, 2022
Health, Recorded 06/04/2022 - KPIs for Australian Public Mental Health Services: PI 17aJ – Involuntary hospital treatment, 2022
Health, Recorded 06/04/2022 - KPIs for Australian Public Mental Health Services: PI 17bJ – Involuntary patient days, 2022
Health, Recorded 06/04/2022
- KPIs for Australian Public Mental Health Services: PI 16J – Restraint rate, 2020
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