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National Healthcare Agreement: PI 17-Treatment rates for mental illness, 2015

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termProgress measure
Short name:Help on this termPI 17-Treatment rates for mental illness, 2015
METeOR identifier:Help on this term559034
Registration status:Help on this termHealth, Superseded 08/07/2016
Description:Help on this termProportion of population receiving clinical mental health services.
Indicator set:Help on this termNational Healthcare Agreement (2015) Health, Superseded 08/07/2016
Outcome area:Help on this termPrimary and Community Health Health, Standard 07/07/2010
Quality statement:Help on this termNational Healthcare Agreement: PI 17-Treatment rate for mental illness, 2015 QS Health, Superseded 08/07/2016

Collection and usage attributes

Computation description:Help on this term

Rates directly age-standardised to the 2001 Australian population.

Age group is calculated from age at first service event during the reference period, or as at 1 July of the reference period where a service event (hospital admission or residential episode) commenced prior to 1 July.

Remoteness is derived from Statistical Area 2 (SA2) (or postcode where SA2 is not available) of the client at first service event, consistent with derived age, and is proportionally allocated using a population-based concordance.

Socio-Economic Indexes for Areas (SEIFA) is derived from SA2 (or postcode where SA2 is not available) of the client at first service event and is proportionally allocated using a population-based concordance.

For remoteness and SEIFA, if a null result is returned from the first event, the next valid result is to be used.

Public

Number of individuals recorded on jurisdictional mental health information systems as receiving one or more services from state/territory public mental health services, including specialised mental health hospital services, residential mental health care services and community mental health care services.

Person counts should be confined to individuals who received one or more services from state or territory specialised mental health services. Jurisdictional systems should be used, where available, to remove duplicate person counts between the different specialised mental health service setting.

For community mental health care service contacts, all types of service contacts to be included in defining whether a person receives a service, including those delivered ‘on behalf’ of the consumer, that is, where the consumer does not directly participate.

‘Assessment only’ cases are included.

Community mental health care data for non-uniquely identifiable clients are to be excluded. 

State and territory disaggregation of mental health care data is based on the jurisdiction that provided the health care service.

Private

Number of individuals receiving specialist psychiatric care in private hospitals with psychiatric beds. Services provided to patients with psychiatric diagnoses by other private hospitals (that is, those without designated psychiatric beds) are not included.

State and territory disaggregation of Private Mental Health Alliance data is based on location of service.

Medicare Benefits Schedule (MBS)

Inclusive of all mental-health related MBS items and includes some ambulatory-equivalent admitted patient mental health service contacts.

Consultant psychiatrist services include MBS items: 134, 136, 138, 140, 142, 288, 289, 291, 293, 296, 297, 299, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 320, 322, 324, 326, 328, 330, 332, 334, 336, 338, 342, 344, 346, 348, 350, 352, 353, 355, 356, 357, 358, 359, 361, 364, 366, 367, 369, 370, 855, 857, 858, 861, 864, 866, 14224.

GP and other services include MBS items: 170, 171, 172, 2574, 2575, 2577, 2578, 2700, 2701, 2702, 2704, 2705, 2707, 2708, 2710, 2712, 2713, 2715, 2717, 2719, 2721, 2723, 2725, 2727, 20104.

Clinical psychologist services include MBS items: 80000, 80005, 80010, 80015, 80020.

Other allied health services include MBS items: 10956, 10968, 80100, 80105, 80110, 80115, 80120, 80125, 80130, 80135, 80140, 80145, 80150, 80155, 80160, 80165, 80170, 81325, 81355, 82000, 82015.

Medicare Benefits Scheme data presented by Indigenous status are adjusted for under-identification in the Medicare Australia Voluntary Indigenous Identifier (VII) database.

State and territory disaggregation of MBS data is based on postcode of residence of the person as recorded in Medicare Australia's database at the date the last service was received in the reference period.

Department of Veterans’ Affairs (DVA) 

Inclusive of all mental-health related MBS items and additional DVA items and includes some ambulatory-equivalent admitted patient mental health service contacts.

Consultant psychiatrist services include MBS items above. 134, 136, 138, 140, 142, 288, 289, 291, 293, 296, 297, 299, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 320, 322, 324, 326, 328, 330, 332, 334, 336, 338, 342, 344, 346, 348, 350, 352, 353, 355, 356, 357, 358, 359, 361, 364, 366, 367, 369, 370, 855, 857, 858, 861, 864, 866, 14224.

GP and other services include MBS items: 170, 171, 172, 2700, 2701, 2702, 2710, 2712, 2713, 2715, 2717, 2719, 2721, 2723, 2725, 2727, 20104.

Clinical psychologist services include MBS items: 80000, 80005, 80010, 80015, 80020 and DVA items US01, US02, US03, US04, US05, US06, US07, US08, US50, US51, US99.

Other allied health services include MBS items: 10956, 10968, 80100, 80105, 80110, 80115, 80120, 80125, 80130, 80135, 80140, 80145, 80150, 80155, 80160, 80165, 80170, 81325, 81355, 82000, 82015 and DVA items CL20, CL25, CL30, US11, US12, US13, US14, US15, US16, US17, US18, US21, US22, US23, US24, US25, US26, US27, US31, US32, US33, US34, US35, US36, US37, US52, US53, US96, US97, US98.

State and territory disaggregation of DVA data is based on postcode of residence of the person as recorded by Medicare Australia at the date the last service was received in the reference period.

Presented as a percentage.

Computation:Help on this term100 x (Numerator ÷ Denominator)

Calculated separately for public, private, and combined Medicare Benefits Scheme and Department of Veterans' Affairs data.

Numerator:Help on this termNumber of people receiving clinical mental health services
Numerator data elements:Help on this term
Data Element / Data SetData Element
Person—person identifier
Data Source
Private Mental Health Alliance Centralised Data Management Service
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—government funding identifier, Medicare card number N(11)
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Person—person identifier
Data Source
State/territory community mental health care data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Person—person identifier
Data Source
Department of Veterans' Affairs (DVA)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Person—person identifier
Data Source
State/territory admitted patient data
Guide for use
Data source type: Administrative by-product data
Denominator:Help on this termTotal population
Denominator data elements:Help on this term
Data Element / Data SetData Element
Person—estimated resident population of Australia
Data Source
ABS Estimated resident population (total population)
Guide for use
Data source type: Census-based plus administrative by-product data
Data Element / Data SetData Element
Person—estimated resident population of Australia
Data Source
ABS Indigenous estimates and projections
Guide for use
Data source type: Census-based plus administrative by-product data
Disaggregation:Help on this term

2007-08, 2008-09, 2009-10, 2010-11 (public data resupplied for revised scope and methodology), 2011-12 (MBS and DVA data resupplied for revised MBS items, public data resupplied for revised scope and methodology), 2012-13—Nationally, by service type, by:

  • 2011 Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socioeconomic Disadvantage (IRSD) deciles.

2007-08, 2008-09, 2009-10, 2010-11 (public data resupplied for revised scope and methodology), 2011-12 (MBS and DVA data resupplied for revised MBS items, public data resupplied for revised scope and methodology),2012–13—State and territory, by service type, by:

  • remoteness (Australian Statistical Geography Standard (ASGS) Remoteness Structure).  

2007–08, 2008–09, 2009–10, 2010–11 (resupplied for updated Indigenous Estimated Resident Population (ERP), public data resupplied for revised scope and methodology), 2011–12 (resupplied for updated Indigenous ERP, MBS data resupplied for revised MBS items, public data resupplied for revised scope and methodology), 2012–13—State and territory, by service type, by:

  • Indigenous status (public and Medicare Benefits Scheme data only).
Disaggregation data elements:Help on this term
Data Element / Data SetData Element
Person—area of usual residence
Data Source
Private Mental Health Alliance Centralised Data Management Service
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by remoteness and SEIFA IRSD
Data Element / Data SetData Element
Person—age
Data Source
Private Mental Health Alliance Centralised Data Management Service
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Establishment—Australian state/territory identifier
Data Source
Private Mental Health Alliance Centralised Data Management Service
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by state/territory
Data Element / Data SetData Element
Person (address)—Australian postcode
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by state/territory, remoteness and SEIFA IRSD
Data Element / Data SetData Element
Person—age
Data Source
Medicare (MBS) data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Person—area of usual residence
Data Source
State/territory community mental health care data
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by remoteness and SEIFA IRSD
Data Element / Data SetData Element
Person—age
Data Source
State/territory community mental health care data
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Establishment—Australian state/territory identifier
Data Source
State/territory community mental health care data
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by state/territory
Data Element / Data SetData Element
Person—age
Data Source
Department of Veterans' Affairs (DVA)
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetData Element
Person—area of usual residence
Data Source
Department of Veterans' Affairs (DVA)
Guide for use

Data source type: Administrative by-product data

Used for disaggregation by state/territory, remoteness and SEIFA


Comments:Help on this term

Most recent data available for 2015 National Healthcare Agreement (NHA) performance reporting: 2012–13.

MBS and DVA item numbers change over time. Extracted data may include historical item numbers that are no longer current but have been processed by Medicare Australia within the reference period.

There is likely to be considerable overlap between the MBS/DVA data and the private hospital data, as most patients accessing private hospital services would access MBS items in association with the private hospital service.

Indigenous information is not currently available for private psychiatric hospital or DVA data. 

AIHW has been undertaking scoping work to reduce the known over count in the number of people, as people could be receiving services from more than one service type. The scoping work used a statistical linkage key to conduct data linkage to determine a non-duplicated person count. Data using this methodology may be available for this cycle.

For 2011–12 data, the 2011 SEIFA IRSD quintile and decile data were produced using the Australian Geography Classification geographical unit of Statistical Local Area. For 2012–13 data, the 2011 SEIFA IRSD quintile and decile data will be produced using the Australian Statistical Geography Standard geographical unit of Statistical Area 2.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this termN[NN].N

Indicator conceptual framework

Framework and dimensions:Help on this termAccessibility

Data source attributes

Data sources:Help on this term
Data SourcePrivate Mental Health Alliance Centralised Data Management Service
Frequency
Annual
Data custodian

Private Mental Health Alliance



Data SourceMedicare (MBS) data
Frequency
Monthly
Data custodian
Department of Health

Data SourceState/territory community mental health care data
Frequency
Annual
Data custodian

State/territory health authorities



Data SourceDepartment of Veterans' Affairs (DVA)
Frequency
Annual
Data custodian

Department of Veterans' Affairs (DVA)



Data SourceState/territory admitted patient data
Frequency
Annual
Data custodian
State/territory health authorities

Data SourceABS Estimated resident population (total population)
Frequency
Quarterly
Quality statement
ABS Estimated resident population (total population), QS
Data custodian
Australian Bureau of Statistics

Data SourceABS Indigenous estimates and projections
Data custodian

Australian Bureau of Statistics


Accountability attributes

Reporting requirements:Help on this termNational Healthcare Agreement
Organisation responsible for providing data:Help on this termAustralian Institute of Health and Welfare
Further data development / collection required:Help on this termSpecification: Substantial work required, the measure requires significant work to be undertaken.

Relational attributes

Related metadata references:Help on this term

Supersedes National Healthcare Agreement: PI 17-Treatment rates for mental illness, 2014 Health, Superseded 14/01/2015

Has been superseded by National Healthcare Agreement: PI 17–Treatment rates for mental illness, 2016 Health, Superseded 31/01/2017

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