National Healthcare Agreement: PI 25–Rate of community follow up within first seven days of discharge from a psychiatric admission, 2021
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, 2021|
|Registration status:||Health, Standard 16/09/2020|
Proportion of separations from the state/territory public acute admitted patient mental health care service unit(s) for which a community mental health service contact, in which the consumer or their carer/support person participated, was recorded in the 7 days following that separation.
|Indicator set:||National Healthcare Agreement (2021) Health, Standardisation pending 03/08/2020|
|Outcome area:||Hospital and Related Care Health, Standard 07/07/2010|
National Health Performance Authority (retired), Retired 01/07/2016
Collection and usage attributes
A community 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) and/or their carer/support person, 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.
'Carer/support person' is defined by local legislation and policies for the relevant jurisdiction.
100 x (Numerator ÷ Denominator)
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 and/or their carer/support person participated, was recorded in the 7 days following that separation.
|Numerator data elements:|
Number of in-scope separations for the mental health service organisation's acute psychiatric inpatient unit(s).
|Denominator data elements:|
2018–19—Nationally (percentage only), by:
2018–19—State and territory (numerator, denominator and percentage).
2018–19—State and territory, by:
Some disaggregations may result in numbers too small for publication.
|Disaggregation data elements:|
Most recent data available for 2021 National Healthcare Agreement performance reporting: 2018–19.
The scope includes all public mental health service organisations' acute psychiatric inpatient units.
The following separations are excluded:
The following community mental health service contacts are excluded from the calculation:
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.
All acute admitted mental health service units are in scope for this indicator, including short-stay units and emergency acute mental health admitted units.
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 2018–19 data, the 2016 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:
|Unit of measure:||Person|
Data source attributes
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.
Collection of carer/support person contacts has been added in the 2021 indicator specifications. However, not all jurisdictions will be able to supply this data. Data development work to consistently capture information about carers in state/territory data systems is necessary to allow further development of this indicator.
|Related metadata references:|
Supersedes National Healthcare Agreement: PI 25–Rate of community follow up within first seven days of discharge from a psychiatric admission, 2020 Health, Standard 13/03/2020