Pre-admission community mental health care, 2019
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Pre-admission community mental health care, 2019|
|Registration status:||Health, Candidate 05/12/2019|
The percentage of admissions to 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 immediately preceding that admission.
NOTE: This specification has been adapted from the indicator Pre-admission community mental health care, 2019 (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) (2019) Health, Candidate 05/12/2019|
Collection and usage attributes
State/territory public acute admitted patient mental health care service units 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 (pre-admission community contact data).
The following admissions are excluded:
The following community mental health service contacts are excluded:
Service contacts can be provided by any community mental health care service within the state/territory.
Reference period for 2018 performance reporting: 2016–17
Different results for the 7-day pre-admission community care 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 pre-admission community care is regarded to have occurred only when the person is seen by the discharging organisation, or by any public mental health service within the jurisdiction. The preferred approach is for state-level analysis to be used, and for contacts provided by any public 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 admissions to 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 immediately preceding that admission.
|Numerator data elements:|
Number of in-scope admissions to 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), remoteness, Indigenous status.
Disaggregated data excludes missing or not reported data.
All disaggregation data are to be calculated as at admission to the admitted 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:||Accessible|
|Further data development / collection required:|
This indicator cannot be accurately constructed using the Admitted Patient Care and Community Mental Health Care NMDSs because they do not share a common unique identifier that would allow persons admitted to 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 that would 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.
|Other issues caveats:|
When data for this indicator are requested, jurisdictions are required to answer 'yes' or 'no' to the question "Seven day pre-admission contact based on tracking pre-admission service contacts across all state/territory public mental health services?". A 'yes' response implies that 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 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 Pre-admission community mental health care, 2018 Health, Candidate 09/08/2018