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KPIs for Australian Public Mental Health Services: PI 05 – Average cost per acute admitted patient day, 2015–

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termMHS PI 05: Average cost per acute admitted patient day, 2015–
METeOR identifier:Help on this term583849
Registration status:Help on this termHealth, Standard 19/11/2015
Description:Help on this term

Average cost of patient day within acute psychiatric inpatient units managed by the mental health service organisation.

NOTE: This indicator is related to MHS PI 05J: Average cost per acute admitted patient day (Jurisdictional level version). There are no technical differences in the calculation methodologies between the Service level version and the Jurisdictional level version of this indicator.

Rationale:Help on this term
  • Efficient functioning of public acute psychiatric inpatient units is critical to ensuring finite funds are used effectively to deliver maximum community benefit.
  • Unit costs are a core feature of management level indicators in all industries. They are required to measure how well an organisation uses its resources in producing services and are fundamental to value for money judgements.
  • Acute psychiatric inpatient units account for around three quarters of the total costs of specialised mental health admitted patient care and around a third of overall specialised mental health service costs.
  • ‘Admitted patient day’ is the ‘intermediate product’ for acute inpatient episodes and can be the focus activity aimed at improvements in technical efficiency.
Indicator set:Help on this termKey Performance Indicators for Australian Public Mental Health Services (Service level version) (2015–) Health, Standard 19/11/2015

Collection and usage attributes

Computation description:Help on this term

Coverage/Scope:

All public mental health service organisations acute psychiatric inpatient units.

Methodology:

  • Recurrent costs include costs directly attributable to the acute psychiatric inpatient unit(s) plus a proportional share of overhead costs (indirect expenditure). Cost data for this indicator are based on gross recurrent expenditure as compiled by State/Territory data providers according to the specifications of the Mental Health Establishments National Minimum Data Set. As such, it is subject to the concepts, definitions and costing methodology developed for the NMDS. 
  • Categorisation of the admitted patient unit is based on the principal purpose(s) of the program rather than the classification of individual consumers.
Computation:Help on this term

Numerator ÷ Denominator

Numerator:Help on this term

Total recurrent expenditure within the mental health service organisation’s acute psychiatric inpatient unit(s) during the reference period.

Denominator:Help on this term

Number of patient days occurring within the mental health service organisation’s acute psychiatric inpatient unit(s) during the reference period.

Disaggregation:Help on this term

Service variables: Target population; disorder specific services

Consumer attributes: Nil

Representational attributes

Representation class:Help on this termMean (average)
Data type:Help on this termMonetary amount
Unit of measure:Help on this termCurrency

Indicator conceptual framework

Framework and dimensions:Help on this termEfficient

Accountability attributes

Benchmark:Help on this term

Levels at which indicator can be useful for benchmarking:

  • service unit
  • mental health service organisation
  • regional group of services
  • state/territory.
Further data development / collection required:Help on this term

The indicator can be accurately constructed using the Mental Health Establishments NMDS.

Other issues caveats:Help on this term

Casemix adjustment is needed to interpret variation between organisations – to distinguish consumer and provider factors.

Patient day costs may be affected by provider factors beyond management control (for example, high fixed costs in institutions during downsizing, structural or design problems with units that need to be countered through higher rostering levels, etc.).

Costing methodologies are relatively underdeveloped in within the mental health sector, and vary across organisations, impacting on the quality of this indicator. Further work is required to achieve consistency in costing methodologies.

Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare on behalf of the National Mental Health Performance Subcommittee

Reference documents:Help on this term

Key Performance Indicators for Australian Public Mental Health Services, Third edition (2014)

Relational attributes

Related metadata references:Help on this term

Has been superseded by Average cost per acute mental health admitted patient day, 2018– (Service level) Health, Candidate 02/10/2018

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