Post-discharge community mental health care, 2018
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Post-discharge community mental health care, 2018|
|Registration status:||Health, Candidate 09/08/2018|
The percentage of separations from state/territory public acute admitted patient mental health care service unit(s) for which a community mental health service contact, in which the consumer participated, was recorded in the 7 days following that separation.
NOTE: This specification is adapted from the indicator Post-discharge community mental health care, 2018– (Service level) using terminology consistent with the National Health Data Dictionary. There are no technical differences in the calculation methodologies between the Service level version and the Jurisdictional level version of this indicator.
|Indicator set:||Key Performance Indicators for Australian Public Mental Health Services (Jurisdictional level version) (2018) Health, Candidate 09/08/2018|
Collection and usage attributes
State/territory public acute admitted patient mental health care service unit(s) in scope for reporting as defined by the Mental Health Establishments National Minimum Data Set (NMDS) (admissions data).
State/territory specialised community mental health care service unit(s) in scope for reporting as defined by the Community Mental Health Care NMDS (post-discharge community contact data).
The following separations are excluded:
The following community mental health service contacts are excluded:
Reference period for 2018 performance reporting: 2016–17
Different results for the 7-day follow-up indicator will be achieved depending on whether the indicator is based on organisation-level or state-level analysis. The key difference between the two approaches concerns whether 7-day post discharge follow-up is regarded to have occurred only when the person is seen by the discharging organisation, or by any public sector community mental health service within the jurisdiction. For the purpose of this indicator, the preferred approach is for state-level analysis to be used, and for contacts provided by any public sector community mental health service to be counted. This will depend however, on the capacity of jurisdictions to track service use across multiple service organisation providers and will not be possible for all jurisdictions, the details of which are explored in the data quality statement for this indicator.
(Numerator ÷ Denominator) x 100
Number of in-scope separations from state/territory public acute admitted patient mental health care service unit(s) for which a community mental health service contact, in which the consumer participated, was recorded in the seven days immediately following that separation.
|Numerator data elements:|
Number of in-scope separations from state/territory public acute admitted patient mental health care service unit(s) occurring within the reference period.
|Denominator data elements:|
Service variables: nil.
Consumer attributes: age, sex, Socio-Economic Indexes for Areas (SEIFA) decile, remoteness area, Indigenous status. Disaggregated data excludes missing or not reported data.
All disaggregated data are to be calculated as at admission to the admitted patient mental health care service unit, even if the value is null.
|Disaggregation data elements:|
|Unit of measure:||Service event|
Indicator conceptual framework
|Framework and dimensions:||Continuous|
|Further data development / collection required:|
This indicator cannot be accurately constructed using the Admitted patient care and Community mental health care National minimum data sets (NMDSs) because they do not share a common unique identifier to allow persons admitted into hospital to be tracked in the community services data. Additionally, states and territories vary in the extent to which state-wide unique identifiers are in place to allow accurate tracking of persons who are seen by multiple organisations.
There is no proxy solution available. To construct this indicator at a national level requires separate indicator data to be provided individually by states and territories.
Development of a system of state-wide unique patient identifiers within all mental health NMDSs is needed to improve this capacity.
For this indicator, only direct contact with the consumer constitutes 'follow-up'. A growing body of evidence suggests that for some cohorts, follow-up with carers represents best practice (such as follow-up with parents for children and adolescents). Data development work to consistently capture information about carers in state/territory data systems is necessary to allow further development of this indicator.
|Other issues caveats:|
When data for this indicator are requested, jurisdictions are required to answer whether a state-wide unique client identifier system is in place, or some comparable approach has been used in the data analysis to allow tracking of service utilisation by an individual consumer across all public specialised mental health services in the jurisdiction. Collection of this information is aimed at assessing the degree of consistency between jurisdictions in data reported.
Source and reference attributes
Australian Institute of Health and Welfare on behalf of the National Mental Health Performance Subcommittee
National Mental Health Performance Subcommittee (NMHPSC) 2013. Key Performance Indicators for Australian Public Mental Health Services, 3rd edn. Canberra: NMHPSC.
|Related metadata references:|
Supersedes KPIs for Australian Public Mental Health Services: PI 12J – Rate of post-discharge community care, 2017 Health, Standard 14/06/2017
See also Post-discharge community mental health care, 2018 Health, Candidate 09/08/2018