Establishment—accrued mental health care days, total N[N(7)]

Identifying and definitional attributes

Metadata item type:Data Element
Short name:Accrued mental health care days
METeOR identifier:286770
Registration status:Health, Standard 08/12/2004
ACT Health, Final 14/08/2018
Definition:The total number of accrued mental health care days provided by admitted patient care services and residential mental health care services within the reference period (from 1 July to 30 June inclusive).

Data element concept attributes

Identifying and definitional attributes

Data element concept:Establishment—accrued mental health care days
METeOR identifier:286794
Registration status:Health, Standard 08/12/2004
ACT Health, Final 14/08/2018
Definition:The accrued number of mental health care days provided by admitted patient care services and residential mental health care services within the reference period (from 1 July to 30 June inclusive).
Context:Specialised mental health services
Object class:Establishment
Property:Accrued mental health care days

Value domain attributes

Identifying and definitional attributes

Value domain:Total days N[N(7)]
METeOR identifier:270653
Registration status:Health, Standard 01/03/2005
National Health Performance Authority (retired), Retired 01/07/2016
ACT Health, Final 14/08/2018
Definition:Total number of days.

Representational attributes

Representation class:Total
Data type:Number
Format:N[N(7)]
Maximum character length:8
Unit of measure:Day

Data element attributes

Collection and usage attributes

Guide for use:

The days to be counted are only those days occurring within the reference period, i.e. from 1 July to the following 30 June for the relevant period, even if the patient/resident was admitted prior to the reference period or discharged after the reference period.

A day is measured from midnight to 2359 hours.

The following basic rules are used to calculate the number of accrued mental health care days:

  • Admission and discharge on the same day is equal to one mental health care day.
  • For a patient/resident admitted and discharged on different days all days are counted as mental health care days, except the day of discharge and any leave days.
  • If the patient/resident remains in hospital or residential care facility from midnight to 2359 hours count as a mental health care day.
  • The day a patient/resident goes on leave is not counted as a mental health care day, unless this was also the admission day.
  • The day the patient/resident returns from leave is counted as a mental health care day, unless the patient/resident goes on leave again on the same day of return or is discharged.
  • Leave days involving an overnight absence are not counted as mental health care days.
  • If a patient/resident goes on leave the day they are admitted and does not return from leave until the day they are discharged, count as one mental health care day.
  • If the patient/resident remains in a hospital or residential care facility from 1 July to 30 June (the whole of the reference period) count as 365 days (or 366 days in a leap year).
  • If the patient/resident remains in a hospital or residential care facility after the end of the reference period (i.e. after 30 June) do not count any days after the end of the reference period.

The following additional rules cover special circumstances and in such cases, override the basic rules:

When calculating accrued mental health care days for the reference period:

  • Count the mental health care days of those patients/residents separated during the reference period. Exclude any days that may have occurred before the beginning of the reference period.
  • Count the mental health care days of those patients/residents admitted during the reference period who did not separate until the following reference period. Exclude the days after the end of the reference period.
  • For patients/residents admitted before the reference period and who remain in after the reference period (i.e. after 30 June), count the mental health care days within the reference period only. Exclude all days before and after the reference period.

Examples of mental health care day counting for a reference period 1 July 2004 to 30 June 2005:

Patient/resident A was admitted to hospital on 4 June 2004 and separated on 6 July 2004. If no leave or transfer occurred counting starts on 1 July. Count would be 5 days as day of discharge is not counted.

Patient/resident B was admitted to hospital on 1 August 2004 and separated on 8 August 2004. If no leave or transfer occurred counting starts on 1 August. Count would be 7 days as day of discharge is not counted.

Patient/resident C was admitted to hospital on 1 June 2005 and separated on 6 July 2005. If no leave or transfer occurred counting starts on 1 June. Count would be 30 days as patient/resident was not discharged on 30 June, so every day up to and including 30 June would be counted.

Patient/resident D was admitted to hospital on 1 August 2003 and has remained continuously in hospital to the present time. If no leave or transfer occurred counting starts on 1 July 2004 and concludes on 30 June 2005. Count would be 365 days as there is no day of discharge.

Collection methods:

To be reported for admitted patient care services, including services that are staffed for less than 24 hours, and non-government organisation services where included.

NOTE: These data need to be disaggregated by Specialised mental health service setting (excluding Ambulatory care settings). For admitted patient care settings these counts also need to be disaggregated by Specialised mental health service program type and Specialised mental health service target population.

Relational attributes

Related metadata references:

Has been superseded by Establishment—accrued mental health care days, total N[N(7)] Health, Standardisation pending 26/11/2019

Implementation in Data Set Specifications:
All attributes +

Mental health establishments NMDS 2005-06 Health, Superseded 21/03/2006

DSS specific attributes +

Mental health establishments NMDS 2005-06 Health, Superseded 07/12/2005

DSS specific attributes +

Mental health establishments NMDS 2006-07 Health, Superseded 23/10/2006

DSS specific attributes +

Mental health establishments NMDS 2007-08 Health, Superseded 05/02/2008

DSS specific attributes +

Mental health establishments NMDS 2008-09 Health, Superseded 03/12/2008

DSS specific attributes +

Mental health establishments NMDS 2009-10 Health, Superseded 02/12/2009

DSS specific attributes +

Mental health establishments NMDS 2010-11 Health, Superseded 01/12/2010

DSS specific attributes +

Mental health establishments NMDS 2011-12 Health, Superseded 07/12/2011

DSS specific attributes +

Mental health establishments NMDS 2012-13 Health, Superseded 07/02/2013

DSS specific attributes +

Mental health establishments NMDS 2013-14 Health, Superseded 07/03/2014

DSS specific attributes +

Mental health establishments NMDS 2014-15 Health, Superseded 13/11/2014

DSS specific attributes +

Mental health establishments NMDS 2015-16 Health, Superseded 04/09/2015

DSS specific attributes +

Mental health establishments NMDS 2016-17 Health, Superseded 17/08/2017

DSS specific attributes +

Mental health establishments NMDS 2017–18 Health, Superseded 25/01/2018

DSS specific attributes +

Mental health establishments NMDS 2018–19 Health, Superseded 12/12/2018
ACT Health, Final 17/08/2018

DSS specific attributes +

Mental health establishments NMDS 2019–20 Health, Standard 12/12/2018

DSS specific attributes +

Mental health seclusion and restraint NBEDS 2015- Health, Standard 13/11/2014

DSS specific attributes +

Staffed residential services mental health service type cluster Health, Standard 13/11/2014

Implementation in Indicators:Used as numerator
Average length of acute mental health inpatient stay, 2018 Health, Candidate 09/08/2018
KPIs for Australian Public Mental Health Services: PI 04J – Average length of acute inpatient stay, 2015 Health, Standard 19/11/2015
KPIs for Australian Public Mental Health Services: PI 04J – Average length of acute inpatient stay, 2016 Health, Superseded 14/06/2017
KPIs for Australian Public Mental Health Services: PI 04J – Average length of acute inpatient stay, 2017 Health, Standard 14/06/2017
Used as denominator
Average cost per acute mental health admitted patient day, 2018 Health, Candidate 09/08/2018
KPIs for Australian Public Mental Health Services: PI 05J – Average cost per acute admitted patient day, 2015 Health, Standard 19/11/2015
KPIs for Australian Public Mental Health Services: PI 05J – Average cost per acute admitted patient day, 2016 Health, Superseded 14/06/2017
KPIs for Australian Public Mental Health Services: PI 05J – Average cost per acute admitted patient day, 2017 Health, Standard 14/06/2017
KPIs for Australian Public Mental Health Services: PI 15J – Rate of seclusion, 2015 Health, Standard 19/11/2015
KPIs for Australian Public Mental Health Services: PI 15J – Rate of seclusion, 2016 Health, Superseded 14/06/2017
KPIs for Australian Public Mental Health Services: PI 15J – Rate of seclusion, 2017 Health, Standard 14/06/2017
Restraint rate, 2018 Health, Candidate 09/08/2018
Seclusion rate, 2018 Health, Candidate 09/08/2018
Seclusion rate, 2018 Health, Candidate 09/08/2018