Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||MHS PI 06: Average treatment days per three-month community care period, 2015–|
|Registration status:||Health, Standard 19/11/2015|
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.
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set:||Key Performance Indicators for Australian Public Mental Health Services (Service level version) (2015–) Health, Superseded 16/02/2021|
Collection and usage attributes
All public mental health service organisations community mental health services.
The following activity of community mental health services are excluded:
Numerator ÷ Denominator
Number of community mental health care treatment days provided by the mental health service organisation’s ambulatory mental health services within the reference period.
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:|
Service variables: Target population
Consumer attributes: Age, SEIFA, remoteness, Indigenous status, involuntary status
|Representation class:||Mean (average)|
|Unit of measure:||Time (e.g. days, hours)|
Indicator conceptual framework
|Framework and dimensions:||Efficient|
Levels at which indicator can be useful for benchmarking:
|Further data development / collection required:|
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:|
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
Australian Institute of Health and Welfare on behalf of the National Mental Health Performance Subcommittee
Key Performance Indicators for Australian Public Mental Health Services, Third edition (2014)
|Related metadata references:|
Has been superseded by KPIs for Australian Public Mental Health Services: PI 06 – Average treatment days per three-month community mental health care period, 2018 (Service level) Health, Superseded 16/02/2021
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