Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||MHS PI 11J: Admission preceded by community mental health care, 2021|
The percentage of admissions to state/territory public acute admitted patient mental health care service unit(s) for which a community mental health service contact, in which the consumer or their carer/support person participated, was recorded in the 7 days immediately preceding that admission.
NOTE: This specification has been adapted from the indicator Admission preceded by community mental health care, 2020– (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.
|Indicator set:||Key Performance Indicators for Australian Public Mental Health Services (Jurisdictional level version) (2021)|
Health, Standard 17/12/2021
Collection and usage attributes
State/territory public acute admitted patient mental health care service units in scope for reporting as defined by the Mental Health Establishments National Minimum Data Set (NMDS) (admissions data).
State/territory specialised community mental health care service unit(s) in scope for reporting as defined by the Community Mental Health Care NMDS (admission data preceded by community contact).
Community mental health service contacts where a consumer and/or their carer/support person participated in the contact are in scope for the numerator.
The following admissions are excluded:
The following community mental health service contacts are excluded:
Service contacts can be provided by any community mental health care service within the state/territory.
Reference period for 2021 performance reporting: 2019–20
Different results for the Admission preceded by community mental health care 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 community mental health service contact is regarded to have occurred only when the person is seen by the discharging organisation, or by any public mental health service within the jurisdiction. The preferred approach is for state-level analysis to be used, and for contacts provided by any public 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 admissions to state/territory public acute admitted patient mental health care service unit(s) occurring within the reference period, for which a community mental health service contact, in which the consumer or their carer/support person participated, was recorded in the 7 days immediately preceding that admission.
|Numerator data elements:|
Number of in-scope admissions to state/territory public acute admitted patient mental health care service unit(s) occurring within the reference period.
|Denominator data elements:|
Service variables: target population of the admitted unit.
Consumer attributes: age, sex, Socio-Economic Indexes for Areas (SEIFA), remoteness, Indigenous status, consumer present in the mental health service contact.
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:|
For this indicator, 'public sector community mental health services' refers to specialised mental health services, provided as a public service, managed or funded by state or territory health authorities.
|Unit of measure:||Service event|
Indicator conceptual framework
|Framework and dimensions:||Accessibility|
|Further data development / collection required:|
This indicator cannot be accurately constructed using the Admitted Patient Care and Community Mental Health Care NMDSs because they do not share a common unique identifier that would allow persons admitted to 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 that would allow accurate tracking of persons who are seen by multiple organisations. Data on carer/support person contacts and the target population of the admitting unit are not also currently available in national datasets.
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.
Collection of carer/support person contacts has been added in the 2020 indicator specifications onwards. However, not all jurisdictions will be able to supply this data. Data development work to consistently capture information about carers in state/territory data systems is necessary to allow further development of this indicator.
|Other issues caveats:|
When data for this indicator are requested, jurisdictions are required to answer 'yes' or 'no' to the question "Seven day pre-admission contact based on tracking pre-admission service contacts across all state/territory public mental health services?". A 'yes' response implies that 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 mental health services in the jurisdiction. Collection of this information is aimed at assessing the degree of consistency between jurisdictions in data reported.
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 11J – Admission preceded by community mental health care, 2020
See also KPIs for Australian Public Mental Health Services: PI 12J – Post-discharge community mental health care, 2021