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KPIs for Australian Public Mental Health Services: PI 06 – Average treatment days per three-month community care period, 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 06: Average treatment days per three-month community care period, 2015–
METeOR identifier:Help on this term584195
Registration status:Help on this termHealth, Standard 19/11/2015
Description:Help on this term

Average number of community treatment days per three month period of ambulatory care provided by the mental health service organisation’s community mental health services.

NOTE: This indicator is related to MHS PI 06J: Average treatment days per three-month community care period (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

The purpose of this indicator is to better understand underlying factors which cause variation in community care costs. The number of treatment days is the community counterpart of admitted patient length of stay and it indicates the relative volume of care provided to people in ambulatory care.

Frequency of servicing is the main driver of variation in community care costs and may reflect differences between health service organisation practices. Inclusion of this indicator promotes a fuller understanding of community care costs as well as providing a basis for utilisation review. For example, it allows the frequency of servicing of particular consumer groups in the community to be assessed against any clinical protocols developed for those groups.

This indicator may also demonstrate degrees of accessibility to public sector community mental health services.

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 community mental health services.

The following activity of community mental health services are excluded:

  • All activity (treatment days and statistical episodes) associated with non-uniquely identified consumers

Methodology:

  • For the purposes of this measure, ambulatory community care statistical episodes consist of the following fixed three monthly periods; January–March, April–June, July–September, and October–December.
Computation:Help on this term

Numerator ÷ Denominator

Numerator:Help on this term

Number of community mental health care treatment days provided by the mental health service organisation’s ambulatory mental health services within the reference period.

Denominator:Help on this term

Number of ambulatory care statistical episodes (three month periods) treated by the mental health service organisation’s ambulatory services within the reference period.

Denominator data elements:Help on this term
Data Element / Data SetGuide for use

An ambulatory care statistical episode is a statistically derived community episode defined as each three month period of ambulatory care of an individual registered consumer where the consumer was under ‘active care’, defined as one or more treatment days in the period. A registered consumer is a uniquely identifiable consumer at the mental health service organisation level, regardless of the number of teams or community programs involved in his/her care.


Disaggregation:Help on this term

Service variables: Target population

Consumer attributes: Age, SEIFA, remoteness, Indigenous status, involuntary status

Representational attributes

Representation class:Help on this termMean (average)
Data type:Help on this termReal
Unit of measure:Help on this termTime (e.g. days, hours)

Indicator conceptual framework

Framework and dimensions:Help on this termEfficient

Appropriate

Accountability attributes

Benchmark:Help on this term

Levels at which indicator can be useful for benchmarking:

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

Methodology to collect multifaceted levels of service usage, such as intensity and complexity issues and the impact on contact duration, is needed in order to improve cost modelling and efficiency measurement in general.

Accurate reporting at levels above that of mental health service organisation requires unique state-wide patient identifiers that are not currently available in all jurisdictions.

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

Other issues caveats:Help on this term

Casemix adjustment is needed to interpret variation between organisations to distinguish consumer and provider factors. Longer term a methodology for casemix adjustment is required.

Further development of national funding models, including episode-based or casemix models, will enable more meaningful measurement than the arbitrary three month period used in this indicator.

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 treatment days per three-month community mental health care period, 2018– (Service level) Health, Candidate 02/10/2018

See also Person—unique identifier used indicator, yes/no code N Health, Standard 07/02/2013, Community Services (retired), Standard 19/09/2013, ACT Health, Final 09/08/2018

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