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National Healthcare Agreement: PI 25–Rate of community follow up within first seven days of discharge from a psychiatric admission, 2018

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termProgress measure
Short name:Help on this termPI 25–Rate of community follow up within first seven days of discharge from a psychiatric admission, 2018
METeOR identifier:Help on this term658481
Registration status:Help on this termHealth, Standard 30/01/2018
Description:Help on this term

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 7 days following that separation.

Indicator set:Help on this termNational Healthcare Agreement (2018) Health, Standard 30/01/2018
Outcome area:Help on this termHospital and Related Care Health, Standard 07/07/2010
National Health Performance Authority (retired), Retired 01/07/2016

Collection and usage attributes

Computation description:Help on this term

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.

Demographic variables of the consumer are to be based on the data from the hospital admission record, even if the result is null or invalid.

Computation:Help on this term

100 x (Numerator ÷ Denominator)

Numerator:Help on this term

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 7 days following that separation.

Numerator data elements:Help on this term
Data Element / Data SetData Element

Specialised mental health service—number of separations in which there was a community mental health service contact recorded 7 days following a separation


Data Source
State/territory community mental health care data
Data Element / Data SetData Element

Specialised mental health service—number of separations in which there was a community mental health service contact recorded 7 days following a separation


Data Source
State/territory admitted patient data
Denominator:Help on this term

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

Denominator data elements:Help on this term
Data Element / Data SetData Element

Specialised mental health service—number of separations


Data Source
State/territory admitted patient data
Disaggregation:Help on this term

2015–16—Nationally (percentage only), by 2011 Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socio-Economic Disadvantage (IRSD) deciles (not reported).

2015–16—State and territory (numerator, denominator and percentage).

2015–16—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:Help on this term
Data Element / Data SetData Element

Person—area of usual residence


Data Source
State/territory admitted patient 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 admitted patient data
Guide for use

Data source type: Administrative by-product data


Comments:Help on this term

Most recent data available for 2018 National Healthcare Agreement performance reporting: 2015–16.

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 where length of stay is one night only and procedure code for electroconvulsive therapy (ECT) is recorded.
  • 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.
  • Contacts where a consumer does not participate.

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 1 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 separation from hospital.

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

For 2015–16 data, the 2011 SEIFA IRSD quintile and decile data will be produced using the ASGS geographical unit of Statistical Area Level 2.

Australian Classification of Health Interventions (ACHI) ECT procedure codes are:

  • ACHI 5th edition (2006–2008) use procedure codes 93340-02 and 93340-43.
  • ACHI 6th and 7th editions (2008 to current) use procedure codes 93341-00 to 93341-99.
  • ACHI 5th, 6th, 7th, 8th and 9th editions (2006 to current) Electroconvulsive therapy Block 1907 may be selected to capture all data regardless of code changes over time.

Representational attributes

Representation class:Help on this termRate
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this term

N[NN].N

Data source attributes

Data sources:Help on this term
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:Help on this term

National Healthcare Agreement

Organisation responsible for providing data:Help on this term

Australian Institute of Health and Welfare

Further data development / collection required:Help on this term

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:Help on this term

Supersedes 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

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