Fourth national mental health plan: measurement strategy

NMHP PI 15 Rates of pre-admission community care

Page last updated: May 2011

  • Strategic issue - Service Access, Coordination and Continuity of Care.
  • Rationale - The majority of clients admitted to public sector mental health acute inpatient units are known to public sector community mental health services and it is reasonable to expect community teams should be involved in pre-admission care.
  • Endorsement status - Endorsed by AHMAC Mental Health Standing Committee, February 2011.
  • Date last updated - January 2011.
Indicator details
National Mental Health Performance Framework
Data collection details

Indicator details

  • Description - Percentage of admissions to the mental health service organisation's acute psychiatric inpatient unit(s) for which a community ambulatory service contact was recorded in the seven days immediately preceding that admission.
  • Numerator - Number of admissions to the mental health service organisation's acute psychiatric inpatient unit(s) for which a public sector community ambulatory service contact was recorded in the seven days immediately preceding that admission.
  • Denominator - Number of admissions to the mental health service organisation's acute psychiatric inpatient unit(s).
  • Computation - (Numerator Denominator) x 100.Calculated separately for public, private and MBS-funded services.
  • Calculation conditions
    • Coverage/Scope - All public sector mental health acute psychiatric inpatient units.
      • The following admissions are excluded from the calculation:
        • Same day admissions.
        • Admissions by inter-hospital transfer or between programs (for example, acute to rehabilitation).
      • The following community ambulatory service contacts are excluded from the calculation:
        • Community ambulatory service contacts occurring on the day of admission.
    • Methodology - Requires capacity to track service use across inpatient and community boundaries and is dependent on the capacity to link patient identifiers.
  • Definitions
    • Same day admissions are defined as inpatient episodes where the admission and separation dates are the same.
    • An ambulatory 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 resident in 24 hour staffed 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.
  • Presentation - Percentage.
  • Disaggregation - State/Territory and age.
  • Notes
    • 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 contacts prior to admission. Additionally, it does not distinguish differences between phone and face-to-face community contacts.
  • Is specification interim or long-term? - Long-term. Top of page

National Mental Health Performance Framework

  • Tier - Tier III - Health System Performance.
  • Primary domain - Continuous.
  • Secondary domain(s) - Accessible.
  • Mental health sub-domain - Cross-setting continuity.
  • Type of measure - Process.
  • Level at which indicator can be useful for benchmarking
    • Service Unit.
    • Regional group of services.
    • Mental Health Service Organisation.
    • State/Territory.
  • Related performance indicators and performance benchmarks
    • 28 day readmission rate.
    • Average length of acute inpatient stay.
    • Post-discharge community care.

Data collection details

  • Data source(s)
    • Numerator - State/territory admitted patient and community mental health care data.
    • Denominator - State/territory admitted patient mental health care data.
  • Data source(s) type
    • Numerator - Administrative.
    • Denominator - Administrative.
  • Frequency of data source(s) collection
    • Numerator - Annually.
    • Denominator - Annually.
  • Data development
    • Long-term - Full implementation of this measure requires unique statewide patient identifiers not currently available in all jurisdictions.