Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||MHS PI 01: Change in mental health consumer's clinical outcomes, 2021– (Service level)|
The percentage of episodes of mental health care where:
was identified between baseline and follow-up of completed outcome measures.
NOTE: This indicator is related to Change in mental health consumer's clinical outcomes (Jurisdictional level). There are technical differences in the consumer groups listed in the methodology section between the Service level version and the Jurisdictional level version of this indicator. Caution should be taken to ensure the correct methodology is followed.
Mental health services aim to reduce symptoms and improve functioning. Their effectiveness can be compared using routinely collected measures. This will assist in service benchmarking and quality improvement.
The implementation of routine mental health outcome measurement in Australia provides the opportunity to monitor the effectiveness of mental health services across services and jurisdictions.
|Indicator set:||Key Performance Indicators for Australian Public Mental Health Services (Service level version) (2021–)|
Health, Standard 17/12/2021
Collection and usage attributes
All public mental health service organisations.
The following episodes of care are excluded:
(Numerator ÷ Denominator) x 100
Calculated separately for each consumer group.
Number of completed or ongoing episodes of mental health care with completed outcome measures, partitioned by mental health setting, where significant improvement/significant deterioration/no significant change was identified between baseline and follow-up within the reference period.
Number of completed or ongoing episodes of mental health care with completed outcome measures, partitioned by mental health setting within the reference period.
Service variables: target population (adult only)
Consumer attributes: diagnosis, age, Socio-Economic Indexes for Areas (SEIFA), remoteness, Indigenous status
|Unit of measure:||Service event|
Indicator conceptual framework
|Framework and dimensions:||Effectiveness|
Levels at which the indicator can be useful for benchmarking:
|Further data development / collection required:|
The NOCC maintained by the Australian Government Department of Health compiles all state and territory consumer outcomes data on an annual data submission basis. However, the NOCC does not allow linkage of episodes of care across financial years.
This limitation does not exist for states and territories own data sets.
A proxy solution using a subset of episodes, which have commenced within the same financial year, are used for producing this indicator from the NOCC. Compared to data constructed from state and territory data sets and using complete episodes, this limitation is likely to result in calculation of the indicator based on a significantly smaller pool of episodes. It may also have a systematic effect on apparent results on this indicator, but the direction and size of this effect has not been systematically tested.
Longer term, a process is needed that allows data reported by states and territories to the NOCC for consumers who begin an episode in a given year to be tracked when the episode continues into subsequent years. Work is underway to build an episode identifier into the NOCC. Additionally, consistent, cross-year use of service identifiers and unique identifiers for consumers is necessary to enable full capacity to construct this indicator.
|Other issues caveats:|
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:|