KPIs for Australian Public Mental Health Services: PI 07J – Average cost per community mental health treatment day, 2021
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||MHS PI 07J: Average cost per community mental health treatment day, 2021|
|Registration status:||Health, Candidate 17/11/2021|
The average cost per community treatment day provided by state/territory specialised community (also known as ambulatory) mental health care service unit(s).
NOTE: This specification has been adapted from the indicator Average cost per community mental health treatment day, 2020– (Service level) using terminology consistent with the National Health Data Dictionary. There are technical differences in the calculation methodologies between the Service level version and the Jurisdictional level version of this indicator due to different exclusions in the methodology of this indicator. Caution should be taken to ensure the correct methodology is followed.
|Indicator set:||Key Performance Indicators for Australian Public Mental Health Services (Jurisdictional level version) (2021) Health, Candidate 17/11/2021|
Collection and usage attributes
State/territory specialised community mental health care service unit(s) in-scope for reporting as defined by the Mental Health Establishments National Minimum Data Set (NMDS) (numerator).
State/territory specialised community mental health care service unit(s) in-scope for reporting as defined by the Community Mental Health Care NMDS (denominator).
A share of expenditure associated with delivery of care to non-uniquely identified consumers is excluded.
All activity associated with non-uniquely identified consumers is excluded.
Numerator ÷ Denominator
Total state/territory recurrent expenditure on ambulatory mental health care services within the reference period.
|Numerator data elements:|
Total number of community mental health care treatment days provided by state/territory ambulatory mental health care services within the reference period.
|Denominator data elements:|
Service variables: nil
Consumer attributes: nil
For this indicator, 'public sector community mental health services' refer to specialised mental health services, and those provided as a public service that is managed or funded by state or territory health authorities.
|Representation class:||Mean (average)|
|Data type:||Monetary amount|
|Unit of measure:||Currency|
Indicator conceptual framework
|Framework and dimensions:||Efficiency and sustainability|
|Further data development / collection required:|
This indicator can be accurately constructed using the Mental Health Establishments NMDS and the Community Mental Health Care NMDS.
|Other issues caveats:|
Contact duration data is needed for a more sophisticated cost modelling methodology.
Casemix adjustment is needed to interpret variation between organisations to distinguish consumer and provider factors.
Further development of national funding models, including episode-based or casemix models will enable more meaningful measurement.
There is a need for considerable development of costing within mental health (for example, the inclusion/exclusion of teaching and research expenditure and costing according to actual service use).
Accurate reporting at levels above that of mental health service organisation requires unique state-wide patient identifiers which are not currently available in all jurisdictions.
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 07J – Average cost per community mental health treatment day, 2020 Health, Standard 13/01/2021