National Healthcare Agreement: PI 25–Rate of community follow up within first seven days of discharge from a psychiatric admission, 2016

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Progress measure
Short name:PI 25–Rate of community follow up within first seven days of discharge from a psychiatric admission, 2016
METeOR identifier:598728
Registration status:Health, Superseded 31/01/2017
Description:

Proportion of separations from the mental health service organisation's acute psychiatric inpatient unit(s) for which a community ambulatory mental health service contact, in which the consumer participated, was recorded in the seven days following that separation.

Indicator set:National Healthcare Agreement (2016) Health, Superseded 31/01/2017
Outcome area:Hospital and Related Care Health, Standard 07/07/2010
National Health Performance Authority (retired), Retired 01/07/2016
Quality statement:National Healthcare Agreement: PI 25-Rate of community follow up within first seven days of discharge from a psychiatric admission, 2016 QS Health, Standard 08/07/2016

Collection and usage attributes

Computation description:

An ambulatory mental health service contact is the provision of a clinically significant service by a specialised mental health service provider(s) for patients/clients, (other than those patients/clients admitted to psychiatric hospitals or designated psychiatric units in acute care hospitals, and those residents in specialised residential mental health services), where the nature of the service would normally warrant a dated entry in the clinical record of the patient/client in question.

Should there be a discrepancy in the demographic variables of the consumer between collections, then the variables in the hospital collection should prevail.

Computation:

100 x (Numerator ÷ Denominator)

Numerator:

Number of in-scope separations from the mental health service organisation's acute psychiatric inpatient unit(s) for which a community ambulatory mental health service contact, in which the consumer participated, was recorded in the seven days following that separation.

Numerator data elements:
Data Element / Data SetData Element

Person—separation from an acute psychiatric inpatient unit


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—ambulatory mental health service contact recorded


Data Source
State/territory admitted patient data
Guide for use

Data source type: Administrative by-product data


Data Element / Data SetData Element

Person—waiting time to ambulatory mental health service contact


Data Source
State/territory community mental health care data
Guide for use

Data source type: Administrative by-product data


Denominator:

Number of in-scope separations for the mental health service organisation's acute psychiatric inpatient unit(s).

Denominator data elements:
Data Element / Data SetData Element

Person—separation from an acute psychiatric inpatient unit


Data Source
State/territory community mental health care data
Guide for use

Data source type: Administrative by-product data


Disaggregation:

2013–14—Nationally (percentage only), by 2011 Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socio-economic Disadvantage (IRSD) deciles (not reported).

2011–12, 2012–13 (revised), 2013–14—State and territory (numerator, denominator and percentage).

2011–12, 2012–13 (revised), 2013–14—State and territory, by:

  • Indigenous status
  • remoteness (Australian Statistical Geography Standard (ASGS) Remoteness Structure) of consumer.

Some disaggregations may result in numbers too small for publication.

Disaggregation data elements:
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 state/territory, remoteness and SEIFA


Data Element / Data SetData Element

Person—Indigenous status


Data Source
State/territory community mental health care data
Guide for use

Data source type: Administrative by-product data


Comments:

Most recent data available for 2016 National Healthcare Agreement performance reporting: 2013-14.

The scope includes all public mental health service organisations' acute psychiatric inpatient units.

The following separations are excluded:

  • Same-day separations.
  • Statistical and change of care type separations.
  • Separations that end by transfer to another acute or psychiatric inpatient hospital.
  • Separations that end by death, left against medical advice/discharge at own risk.
  • Separations that end by transfer to community residential mental health services.

The following community ambulatory mental health service contacts are excluded from the calculation:

  • Service contacts occurring on day of separation.

Same-day separations are defined as inpatient episodes where the admission and separation dates are the same.

Implementation of this indicator requires the capacity to track service use across inpatient and community boundaries and is dependent on the capacity to link patient identifiers.

Where a mental health service organisation has more than one unit of a particular service type for the purpose of this indicator those units should be combined.

The reliability of cross-jurisdictional comparisons on this indicator is dependent on the implementation of statewide unique patient identifiers as the community services may not necessarily be delivered by the same mental health service organisation that admits the patient.

This measure does not consider variations in intensity or frequency of service contacts following discharge from hospital.

This measure does not distinguish qualitative differences between phone and face-to-face community contacts.

For 2013–14 data, the 2011 SEIFA IRSD quintile and decile data will be produced using the ASGS geographical unit of Statistical Area Level 2.

Representational attributes

Representation class:Rate
Data type:Real
Unit of measure:Person

Data source attributes

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

State/territory health authorities



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

Accountability attributes

Reporting requirements:

National Healthcare Agreement

Organisation responsible for providing data:

Australian Institute of Health and Welfare

Further data development / collection required:

Specification: Substantial work required, the measure requires significant work to be undertaken.

Full implementation of this measure requires unique statewide patient identifiers – currently available in six of the eight states and territories and under development in the remaining two.

Relational attributes

Related metadata references:

Supersedes National Healthcare Agreement: PI 25-Rate of community follow up within first seven days of discharge from a psychiatric admission, 2015 Health, Superseded 08/07/2016

Has been superseded by National Healthcare Agreement: PI 25–Rate of community follow up within first seven days of discharge from a psychiatric admission, 2017 Health, Superseded 30/01/2018