national mental health benchmarking project · 2015. 10. 26. · health benchmarking project...

National Mental Health Benchmarking Project

An Australian Government funded initiative

COMPARATIVE INDICATORS

3-year time series 2004-05 to 2006-07

Forensic Mental Health Services Forum

Version 1.0 Summary for Public Release

Australian Mental Health Outcomes and Classification NetworkNovember 2008

This document was prepared from a more detailed version developed for restricted use by organisations participating in the National Mental Health Benchmarking Project. By agreement of all organisations, this

version of the indicators has been prepared for wider use and unrestricted distribution. All identifying details and source data tables have been removed from this version.

“Sharing Information to Improve Outcomes"

Contents

What this package containsThis document is organised into three parts.

PART A - Summary table and charts of the 13 national KPIs (Pages 4 - 8)This part presents the national KPIs for each of the organisations in tabular and graphical format. All KPIs are derived from the data submitted by each organisation for each of the years 2004-05, 2005-06 and 2006-07, and constructed according to the specifications and definitions described in National Mental Health Benchmarking Project Manual.

PART B - Selected indicators grouped by themes (Pages 11 - 32)This part groups the national KPIs, plus a number of supplementary indicators, into nine themes.1. Comparative resources available to the organisation2. Efficiency in use of resources3. Productivity and activity of ambulatory services4. Continuity of care 5. Access to ambulatory care6. Access to acute inpatient care7. Safety (ACHS Indicators)8. Capability9. Acute Inpatient casemix - (a) Diagnosis and (b) HoNOS at admission

The themes were selected only on the basis of what is feasible from the available data. They were not intended to restrict participating organisations to the eight categories, nor pre-empt where organisations focused their benchmarking effort.

All supplementary indicators are derived from source data submitted by organisations in their KPI workbooks. These details are not included in this public release version of the document. Details on how the supplementary indicators are constructed are however provided at the end of this Part of the document (pages 26-32).

PART C - Source data tablesOmitted from this public release version.

of 32 KPI_MasterTemplate_Forensic Services_Public release v01.xls

Version History

Version historyVersion Preparation date Details 1.0 20-Nov-08 First public release version, using final validated data as signed off by participating organisations.


PART A

Summary table and charts of the 13 national KPIs


KPI Summary Table_3 years

KPI Summary TableNOTE: The indicators shown below are based on the calculation approach described in the Technical Specifications document and do not show any of the alternative approaches developed for several of the indicators.

Org

-D

Org

-C

Org

-B

Org

-A

GR

OU

P A

VG.

KPI #1 28-day readmissions 2004-05 3.7% 0.0% n.a 2.4% 2.0%

2005-06 2.2% 5.0% 0.0% 3.5% 2.7%

2006-07 2.0% 1.8% 0.0% 4.1% 2.0%

KPI #2 National Standards compliance (Level 1) 2004-05 100% 0% 100% 100% 75%

2005-06 100% 100% 100% 100% 100%

2006-07 100% 100% 100% 100% 100%

KPI #3 Average acute LOS 2004-05 50.3 93.4 106.2 22.1 68.0

2005-06 53.5 83.7 222.7 19.5 94.9

2006-07 70.9 72.8 134.7 18.1 74.1

KPI #4 Average acute episode cost 2004-05 $47,883 $69,693 $75,847 $25,081 $54,626

2005-06 $49,224 $28,288 $170,972 $23,634 $68,029

2006-07 $67,445 $25,257 $107,856 $22,134 $55,673

KPI #5 Treatment days per 3-month community care period 2004-05 6.4 3.5 3.7 10.4 6.0

2005-06 6.8 4.5 3.2 7.2 5.4

2006-07 6.4 4.1 2.9 10.0 5.9

KPI #6 Cost per 3-month community care period 2004-05 $2,358 $2,877 $968 $4,614 $2,704

2005-06 $3,504 $1,477 $917 $4,970 $2,717

2006-07 $4,693 $1,349 $1,238 $5,095 $3,094

FORENSIC SERVICES - 3 year trends




Org

-D

Org

-C

Org

-B

Org

-A

GR

OU

P A

VG.


KPI #7 % target population receiving ambulatory services 2004-05 0.025% 0.028% 0.086% 0.017% 0.039%

2005-06 0.023% 0.080% 0.090% 0.031% 0.056%

2006-07 0.020% 0.125% 0.136% 0.030% 0.078%

% target population receiving inpatient services 2004-05 0.004% 0.003% 0.003% 0.017% 0.007%

2005-06 0.003% 0.003% 0.003% 0.020% 0.007%

2006-07 0.003% 0.003% 0.003% 0.018% 0.007%

% target population receiving residential services 2004-05 0.000%

2005-06 0.000%

2006-07 0.000%

KPI #8 Local access to inpatient care 2004-05 n.a n.a 100% 100% 100%

2005-06 100% n.a 100% 100% 100%

2006-07 n.a n.a 100% 100% 100%

KPI #9 New client index 2004-05 46% 73% 35% 66% 55%

2005-06 45% 79% 57% 79% 65%

2006-07 47% 69% 66% 79% 65%

KPI #10 Area per capita resources - Ambulatory services 2004-05 $0.56 $2.29 $0.89 $1.02 $1.19

2005-06 $0.68 $1.70 $1.03 $1.03 $1.11

2006-07 $0.80 $1.96 $1.99 $1.11 $1.46




Org

-D

Org

-C

Org

-B

Org

-A

GR

OU

P A

VG.


Area per capita resources - Inpatient services 2004-05 $7.63 $3.64 $5.29 $7.29 $5.96

2005-06 $7.21 $1.91 $5.86 $7.36 $5.58

2006-07 $6.82 $1.94 $5.11 $7.93 $5.45

Area per capita resources - Residential services 2004-05 $0.00

2005-06 $0.00

2006-07 $0.00

KPI #11 Pre admission community care 2004-05 100% 38% 44% 27% 52%

2005-06 100% 75% 100% 28% 76%

2006-07 100% 86% 100% 35% 80%

KPI #12 Post discharge community care 2004-05 49% 27% 64% 44% 46%

2005-06 73% 47% 45% 51% 54%

2006-07 69% 51% 38% 37% 49%

KPI #13 Outcomes readiness - inpatient services 2004-05 100% 103% 111% 108% 105%

2005-06 100% 116% 101% 91% 102%

2006-07 71% 100% 68% 52% 73%

Outcomes readiness - ambulatory services 2004-05 3% 54% 0% 58% 29%

2005-06 5% 55% 0% 39% 25%

2006-07 17% 53% 0% 45% 29%


National KPI Charts

5

The 13 NATIONAL KPIs IN NUMERICAL ORDER

KPI #4 Cost per acute inpatient episode

$67,445

$25,257

$107,856

$22,134

$55,673

$49,224

$28,288

$170,972

$23,634

$68,029

$47,883

$69,693

$75,847

$25,081

$54,626

$0 $50,000 $100,000 $150,000

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #1 28-day readmission rate

2.0%

1.8%

0.0%

4.1%

2.0%

2.2%

5.0%

0.0%

3.5%

2.7%

3.7%

0.0%

0.0%

2.4%

2.0%

0% 2% 4% 6%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #2 National Standards compliance (Level 1 only)

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

100%

0%

100%

100%

75%

0% 20% 40% 60% 80% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #3 Average acute length of stay

71

73

135

18

74

54

84

223

20

95

50

93

106

22

68

0 50 100 150 200

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #5 Average treatment days per 3 month period of community care

6.4

4.1

2.9

10.0

5.9

6.8

4.5

3.2

7.2

5.4

6.4

3.5

3.7

10.4

6.0

0 3 6 9 12

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #6 Average cost per 3 month period of community care

$4,693

$1,349

$1,238

$5,095

$3,094

$3,504

$1,477

$917

$4,970

$2,717

$2,358

$2,877

$968

$4,614

$2,704

$0 $2,000 $4,000 $6,000

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05


National KPI Charts

The 13 NATIONAL KPIs IN NUMERICAL ORDER

KPI #7a % target population receiving ambulatory services

0.020%

0.125%

0.136%

0.030%

0.078%

0.023%

0.080%

0.090%

0.031%

0.056%

0.02%

0.03%

0.09%

0.02%

0.04%

0.00% 0.04% 0.08% 0.12%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #8 Local access to inpatient care

0%

0%

100%

100%

100%

100%

0%

100%

100%

100%

0%

0%

100%

100%

100%

0% 20% 40% 60% 80% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #9 New client index

47%

69%

66%

79%

65%

45%

79%

57%

79%

65%

46%

73%

35%

66%

55%

0% 20% 40% 60% 80% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #7b % target population receiving inpatient services

0.003%

0.003%

0.003%

0.018%

0.007%

0.003%

0.003%

0.003%

0.020%

0.007%

0.004%

0.003%

0.003%

0.017%

0.007%

-0.01% 0.01% 0.02% 0.03%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #7c % target population receiving residential services

0.000%0.000%0.00%

0.00% 0.20% 0.40%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #10a Area per capita resources - Ambulatory services (Expenditure)

$0.80

$1.96

$1.99

$1.11

$1.46

$0.68

$1.70

$1.03

$1.03

$1.11

$0.56

$2.29

$0.89

$1.02

$1.19

$0 $2 $4 $6 $8

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05


National KPI Charts

The 13 NATIONAL KPIs IN NUMERICAL ORDERKPI #10b Area per capita resources -

Inpatient services (Expenditure)

$6.82

$1.94

$5.11

$7.93

$5.45

$7.21

$1.91

$5.86

$7.36

$5.58

$7.63

$3.64

$5.29

$7.29

$5.96

$0 $2 $4 $6 $8

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #10c Area per capita resources - Residential services (Expenditure)

$0.00

$0.00$0.00

$0 $2 $4 $6 $8

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #11 Pre admission community care

100%

86%

100%

35%

80%

100%

75%

100%

28%

76%

100%

38%

44%

27%

52%

0% 20% 40% 60% 80% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #12 Post discharge community care

69%

51%

38%

37%

49%

73%

47%

45%

51%

54%

49%

27%

64%

44%

46%

0% 20% 40% 60% 80% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #13 Outcomes readiness - Inpatient

71%

100%

68%

52%

73%

100%

116%

101%

102%

100%

103%

111%

105%

0% 25% 50% 75% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #13 Outcomes readiness - Ambulatory

17%

53%

0%

45%

29%

5%

55%

0%

25%

3%

54%

0%

29%

0% 25% 50% 75% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05


PART B

Selected indicators grouped by themes

1. Comparative resources available to the organisation2. Efficiency in use of resources3. Productivity and activity of ambulatory services4. Continuity of care 5. Access to ambulatory care6. Access to acute inpatient care7. Safety (ACHS indicators)8. Capability9. Acute Inpatient casemix - (a) Diagnosis (b) HoNOS at admission


Theme Charts

THEME 1: Comparative resources available to the organisationAmbulatory care financials - $ per capita

(KPI #10) 2006-07 only

$0.00

$1.96

$2.14

$0.00

$2.05

$0.80

$1.96

$1.99

$1.11

$1.46

0.0 2.0 4.0 6.0 8.0

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

Funding Expenditure

Inpatient services financials - $ per capita (KPI #10) 2006-07 only

$0.00

$1.94

$4.23

$0.00

$3.08

$6.8

$1.9

$5.1

$7.9

$5.4

0.0 2.5 5.0 7.5 10.0

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

Funding Expenditure

Ambulatory Direct Care FTE per 100,000 population

0.5

1.2

1.3

0.8

1.0

0.5

1.1

0.7

0.8

0.8

0.5

0.8

0.6

0.8

0.7

0.0 0.5 1.0 1.5 2.0

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

Acute inpatient beds per 100,000 (in-scope)

1.00

0.76

0.96

1.52

1.06

1.0

0.8

1.1

1.4

1.1

1.1

0.7

1.1

1.5

1.1

0.0 0.5 1.0 1.5 2.0

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

Total in-scope expenditure ($M)

$30.34

$19.42

$19.9

$11.9

$30.51

$17.73

$17.0

$11.6

$30.35

$30.37

$15.3

$11.3

0 10 20 30

Org-D

Org-C

Org-B

Org-A

2006-07 2005-06 2004-05

1 2 3

4 5 Non acute inpatient beds per 100,000

1.51

1.14

0.96

1.52

1.28

1.6

1.2

1.1

1.4

1.3

1.6

1.2

1.1

1.5

1.4

0.0 0.5 1.0 1.5 2.0

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

6


Theme Charts

THEME 2: Efficiency in use of resources

Acute inpatient length of stay - in scope vs allseps, 2006-07 only

73.5

82.2

405.2

20.3

145.3

70.9

72.8

134.7

18.1

74.1

0 100 200 300 400

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

All o/night seps In scope seps

Acute inpatient LOS outliers (>180 days)

4%

4%

31%

0%

10%

3%

7%

45%

0%

14%

6%

14%

9%

0%

7%

0% 10% 20% 30% 40% 50%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

Indirect expenditure as % in scope total

19%

15%

13%

23%

17%

27%

-9%

16%

23%

14%

24%

30%

13%

23%

23%

0% 10% 20% 30%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

Salaries as % in scope total expenditure

73%

72%

85%

77%

77%

73%

68%

84%

77%

76%

71%

54%

84%

77%

72%

0% 20% 40% 60% 80% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

7 8

9a 10

KPI #3 Average acute length of stay

70.9

72.8

134.7

18.1

74.1

53.5

83.7

222.7

19.5

94.9

50.3

93.4

106.2

22.1

68.0

0 50 100 150 200

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

9

KPI #4 Cost per acute inpatient episode

$67,445

$25,257

$107,856

$22,134

$55,673

$49,224

$28,288

$170,972

$23,634

$68,029

$47,883

$69,693

$75,847

$25,081

$54,626

$0 $50,000 $100,000 $150,000

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

11


Theme Charts

THEME 2: Efficiency in use of resources (cont'd)Cost per day - acute inpatient units

$951

$347

$801

$1,222

$830

$919

$338

$768

$1,211

$809

$952

$746

$714

$1,135

$887

$0 $500 $1,000 $1,500

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

Acute unit (s) - Derived occupancy

100%

96%

98%

93%

97%

100%

96%

99%

91%

96%

99%

75%

98%

95%

92%

0% 25% 50% 75% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

Full year cost per inpatient bed

$484,804

$254,158

$534,786

$523,600

$449,337

$497,705

$246,763

$516,536

$508,350

$491,099

$514,000

$490,816

$466,571

$493,550

$491,234

$0 $300,000 $600,000

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

12 13 14


Theme Charts

THEME 2: Efficiency in use of resources (cont'd)

Average cost per community treatment day

$733

$328

$425

$509

$499

$517

$330

$287

$687

$456

$367

$827

$263

$444

$476

$0 $200 $400 $600 $800

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

Full year cost per direct care ambulatory FTE

$152,679

$157,258

$151,718

$139,238

$150,223

$134,561

$148,313

$151,071

$135,238

$142,296

$106,224

$273,902

$142,452

$131,333

$163,478

$0 $70,000 $140,000 $210,000 $280,000

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

15

18

KPI #5 Average treatment days per 3 monthperiod of community care

6.4

4.1

2.9

10.0

5.9

6.8

4.5

3.2

7.2

5.4

6.4

3.5

3.7

10.4

6.0

0 3 6 9 12

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #6 Average cost per 3 month period ofcommunity care

$4,693

$1,349

$1,238

$5,095

$3,094

$3,504

$1,477

$917

$4,970

$2,717

$2,358

$2,877

$968

$4,614

$2,704

$0 $2,000 $4,000 $6,000

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

16 17


Theme Charts

Supplementary information reported for KPI #5: % 'assessment only' episodes by ambulatory service type 2006-07 only

Org-D Org-C Org-B Org-APrison n.a 0% 76% n.aCommunity 26% 30% n.a 49%Court Liaison 57% 56% 40% 80%Consultation-Liaison 44% n.a 48% n.a

THEME 3: Productivity and activity of ambulatory servicesAv. weekly contacts per direct care FTE

18.7

15.4

11.9

9.1

14

17.1

13.7

12.4

5.5

12

20.6

9.6

12.9

9.6

13

0 5 10 15 20

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

Av. weekly treatment days per direct care FTE(approx = N patients per week per FTE)

4.7

10.9

8.1

6.2

7.5

5.9

10.2

11.9

4.5

8.1

6.6

7.5

12.3

6.7

8.3

0 5 10 15 20

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

Av. number of people seen per year perambulatory services direct care FTE

38.5

103.3

103.7

42.7

72

44.4

72.1

132.5

40.3

72

46.5

35.6

136.4

22.5

60

0 50 100 150

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

' Assessment only' episodes (1 treatment day) as percent of total 3 month episodes

36%

43%

47%

60%

47%

34%

38%

46%

62%

45%

32%

52%

25%

24%

33%

0% 20% 40% 60%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

19 20 21

22


Theme Charts

THEME 4: Continuity of care

KPI #12 Post discharge community care7 day follow up - by discharge destination

74%

27%

8%

52%

12%

100%

61%

46%

100%

11%

0% 20% 40% 60% 80% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

To Prison Other

24C

KPI #11 Pre admission community care

100%

86%

100%

35%

80%

100%

75%

100%

28%

76%

100%

38%

44%

27%

52%

0% 20% 40% 60% 80% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

23 KPI #12 Post discharge community care - 28 days

69%

61%

54%

54%

60%

74%

58%

82%

64%

69%

49%

35%

36%

61%

45%

0% 20% 40% 60% 80% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

24BKPI #12 Post discharge community care - 7 days

69%

51%

38%

37%

49%

73%

47%

45%

51%

54%

49%

27%

64%

44%

46%

0% 20% 40% 60% 80% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

24A

2006-07 data only


Theme Charts

THEME 4: Continuity of care KPI #1 28-day readmission rate

2.0%

1.8%

0.0%

4.1%

2.0%

2.2%

5.0%

0.0%

3.5%

2.7%

3.7%

0.0%

0.0%

2.4%

2.0%

0% 5% 10% 15%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

25A 91-day readmission rate

6.1%

1.8%

0.0%

8.6%

4.1%

4.4%

5.9%

0.0%

7.0%

4.3%

7.4%

5.4%

0.0%

5.6%

4.6%

0% 5% 10% 15%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

25B 182-day readmission rate

6.1%

2.7%

7.7%

12.4%

7.2%

5.5%

10.9%

0.0%

11.7%

7.0%

10.2%

5.4%

0.0%

6.8%

5.6%

0% 5% 10% 15%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

25C

KPI #5 Average treatment days per 3 monthperiod of community care

6.4

4.1

2.9

10.0

5.9

6.8

4.5

3.2

7.2

5.4

6.4

3.5

3.7

10.4

6.0

0 3 6 9 12

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

26


Theme Charts

THEME 5: Access to ambulatory care

Age-specific target group as % of total people seen by ambulatory services

100%

97%

100%

87%

96%

100%

97%

99%

100%

99%

100%

100%

74%

96%

93%

0% 25% 50% 75% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

Percent of people seen by ambulatory services who reside external to catchment

0%

3%

0%

13%

4%

0%

3%

0%

0%

1%

2%

0%

1%

0%

0%

0% 5% 10% 15%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

30 31

KPI #7a % target population receiving ambulatory services

0.020%

0.125%

0.136%

0.030%

0.078%

0.023%

0.080%

0.090%

0.031%

0.056%

0.02%

0.03%

0.09%

0.02%

0.04%

0.00% 0.04% 0.08% 0.12%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

27 Ambulatory Direct Care FTE per 100,000 population

0.5

1.2

1.3

0.8

1.0

0.5

1.1

0.7

0.8

0.8

0.5

0.8

0.6

0.8

0.7

0.0 0.5 1.0 1.5 2.0

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

28 KPI #10a Area per capita resources -Ambulatory services

$0.80

$1.96

$1.99

$1.11

$1.46

$0.68

$1.70

$1.03

$1.03

$1.11

$0.56

$2.29

$0.89

$1.02

$1.19

$0 $2 $4 $6 $8

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

29

KPI #9 New client index

47%

69%

66%

79%

65%

45%

79%

57%

79%

65%

46%

73%

35%

66%

55%

0% 20% 40% 60% 80% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

32


Theme Charts

THEME 6: Access to acute inpatient careTotal inpatient beds per 100,000 population

2.5

1.9

1.9

3.0

2.3

2.6

2.0

2.3

2.9

2.4

2.7

1.9

2.3

3.0

2.5

0.0 1.0 2.0 3.0 4.0

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

Overnight acute separations per 100,000 population from inpatient catchment target

population

2.0

2.1

0.4

21.8

6.6

3.4

2.4

0.4

19.4

6.4

4.0

1.8

0.4

19.3

6.4

0 10 20

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

% target age-group separations from your unit of people who reside outside of inpatient

catchment area

0%

5%

0%

0%

2%

0%

2%

0%

0%

1%

0%

0%

0%

0%

0%

0% 1% 2% 3% 4% 5%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

35

37 38

KPI #7b % target population receiving inpatient services

0.003%

0.003%

0.003%

0.018%

0.007%

0.003%

0.003%

0.003%

0.020%

0.007%

0.004%

0.003%

0.003%

0.017%

0.007%

-0.01% 0.01% 0.02% 0.03%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

33 KPI #10b Area per capita resources - Inpatientservices

$6.82

$1.94

$5.11

$7.93

$5.45

$7.21

$1.91

$5.86

$7.36

$5.58

$7.63

$3.64

$5.29

$7.29

$5.96

$0 $2 $4 $6 $8

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

34

KPI #8 Local access to inpatient care

0%

0%

100%

100%

100%

100%

0%

100%

100%

100%

0%

0%

100%

100%

100%

0% 20% 40% 60% 80% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

36


Theme Charts

THEME 7: Safety (ACHS Indicators)ACHS 5.1: Inpatients – at least one episode of

seclusion

55%

18%

31%

20%

31%

34%

11%

34%

13%

23%

40%

11%

25%

9%

21%

0% 20% 40% 60%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

ACHS 5.2: Inpatients – at least 2 episodes ofseclusion

51%

87%

63%

30%

58%

48%

12%

75%

41%

44%

65%

72%

79%

41%

64%

0% 20% 40% 60% 80%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

ACHS 5.3: Inpatients - seclusion for more than 4 hours

47%

100%

95%

17%

65%

19%

88%

94%

26%

57%

77%

64%

93%

14%

62%

0% 25% 50% 75% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

ACHS 6.2: Inpatients – assaults

27%

21%

19%

13%

20%

19%

7%

60%

9%

24%

23%

10%

41%

11%

21%

0% 20% 40% 60% 80%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

ACHS 6.3: Inpatients – assaults twice or more

71%

49%

25%

26%

43%

47%

36%

59%

8%

38%

44%

77%

30%

9%

40%

0% 20% 40% 60% 80%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

39 40 41

42 43


Theme Charts

THEME 8: Capability

KPI #13 Outcomes readiness - Inpatient % episodes with HoNOS completed

71%

100%

68%

52%

73%

100%

116%

101%

102%

100%

103%

111%

105%

0% 25% 50% 75% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

KPI #13 Outcomes readiness - Ambulatory %episodes with HoNOS completed

17%

53%

0%

45%

29%

5%

55%

0%

25%

3%

54%

0%

29%

0% 25% 50% 75% 100%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

4445


Theme Charts

Schizophrenia and related Mood disorders Personality Disorders Neurotic, Stress, Somataform disordersSubstance abuse Other Missing Diagnosis

Percentage overnight separations included in the 2006-07 data:

Group average 100% Org-D 100% Org-B 100%

Org-C 100% Org-A 100%

THEME 9: Acute Inpatient casemix- (a) Diagnosis profile 2006-07GROUP AVERAGE

71%

10%

2%1%

7%7% 2%

46A Org-D

80%

13%

4%0%4%

0%0%46B Org-C

77%

9%

3%0%

4%

3%

3%46C

Org-B

79%

12%

3%0%

0%0%

6%46D Org-A

49%

7%

16%

4%

19%

5%

0%46D

46E


Theme Charts

Percentage overnight separations with 2006-07 HoNOS Admission data:Group average 80% Org-D 117% Org-B 79%

Org-C 67% Org-A 59%

THEME 9: Acute Inpatient casemix- (b) HoNOS at admissionAverage HoNOS scores by item - Group vs National Avg. 2006-07

National average based on Adults at admission to acute inpatient care

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

Aggr/D

isrup

Self-in

jury

Alc/Drug

Cognit

ivePhy

sical

Halluc

inatio

nsDep

resse

dOthe

r psy

chRela

tions

hips

ADLSAcc

ommod

ation

Occup

ation

Group Avg.Nat. Avg.

47 Av. HoNOS total scores at admission

9.8

14.3

12.7

15.5

13.1

14.3

8.7

14.0

11.5

26.1

15.1

14.3

17.0

15.6

-

16.3

14.3

0 5 10 15 20 25

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

National Avg.

2006-07 2005-06 2004-05

48

HoNOS individual item scores at admission - % clinically significant (> 2)

25%

37%

28%

12%

25%

22%

38%

21%

29%

28%

24%

45%

29%

33%

0% 10% 20% 30% 40% 50%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

50Average HoNOS scores by item - Organisation comparison 2006-07

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

Aggr/D

isrup

Self-in

jury

Alc/Drug

Cognit

ivePhy

sical

Halluc

inatio

nsDep

resse

dOthe

r psy

chRela

tions

hips

ADLSAcc

ommod

ation

Occup

ation

Org-D Org-COrg-B Org-A

49

51


Theme Charts

Ungrouped supplementary indicatorsSame day separations as percent of total

acute separations

2%

0%

0%

4%

1%

0%

0%

0%

2%

1%

0%

0%

4%

5%

2%

0% 3% 5% 8% 10%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

Percent overnight acute separations out of scope

9%

5%

61%

7%

21%

9%

6%

52%

4%

18%

7%

7%

76%

5%

24%

0% 20% 40% 60% 80%

Org-D

Org-C

Org-B

Org-A

GROUP AVG.

2006-07 2005-06 2004-05

52 53


Supplementary Indicator Specs

Details on how the supplementary indicators were constructedAll reference numbers link to the numbers in boxes within the indicator charts

Ref Numerator Denominator Notes

THEME 1: Comparative resources available to the organisation

1 Total in-scope expenditure ($M) Simply adds all in scope expenditure reported and converts to millions

2 Inpatient services financials - $ per capita

Total expenditure/funding reported for in scope inpatient services (acute and non acute)

Total catchment population for in scope acute inpatient services

Indicator shows differential between funding and expenditure

3 Ambulatory services financials - $ per capita

Total expenditure/funding reported for in scope ambulatory services

Total catchment population for in scope ambulatory services

Indicator shows the difference between funding and expenditure

SIAmbulatory services Direct Care FTE per 100,000 population

Number of ambulatory services direct care FTE


5 Acute beds per 100,000 population Number of in scope acute inpatient beds


6 Acute beds per 100,000 population Number of in scope non acute inpatient beds

Total catchment population for in scope non acute inpatient services

THEME 2: Efficiency in use of resources7 Indirect expenditure as % in scope

totalTotal indirect expenditure reported for all in scope services

Total expenditure reported for all in scope services

Indicator is intended to assess the extent to which organisations are comparable in what is included in the overall reported expenditure

8 Salaries as % in scope total expenditure

Total salaries and wages expenditure reported for all in scope services

Total expenditure reported for all in scope services

Indicator is intended to assess the extent to which organisations are comparable in what is included in the overall reported expenditure

9 Acute inpatient length of stay (KPI #3 )

Constructed as per KPI #3 - see Technical Specifications

page 26 of 32 KPI_MasterTemplate_Forensic Services_Public release v01.xls



Ref Numerator Denominator Notes9a Acute inpatient length of stay - in

scope vs all seps, 2006-07 onlyFor in scope separations:Constructed as per KPI #3 - see Technical Specifications;For all separations: Same approach except all separations included in numeratot and denominator.

10 Acute inpatient LOS outliers (>180 days)

Number of in scope overnight separations with length of stay >180 days, reported at KPI #3

Number of in scope overnight separations, reported at KPI #1

11 Cost per acute inpatient episode (KPI #4)


12 Cost per day - acute inpatient units Total expenditure reported for in scope acute units

Total acrrued mental health care days reported for in scope acute units, reported at KPI #4

13 Acute unit(s) - Derived occupancy Total acrrued mental health care days reported for in scope acute units, reported at KPI #4

Number of beds reported for in scope acute inpatient units x 365

14 Full year cost per inpatient bed Total expenditure reported for in scope acute and non acute units

Number of in scope acute and non acute inpatient beds

15 Full year cost per direct care ambulatory FTE

Total expenditure reported for in scope ambulatory services


Not equivalent to average salaries - because costs are total and include non salary and indirect

16 KPI #5 Average treatment days per 3 month period of community care


17 KPI #6 Average cost per 3 month period of community care


18 Average cost per community treatment day

Total expenditure/funding reported for in scope ambulatory services

Total number of treatment days, reported at KPI #5

THEME 3: Productivity and activity of ambulatory servicesNumerator Denominator Notes

19 Av. weekly contacts per direct care FTE

Total service contacts, reported at KPI #5

Total direct care ambulatory FTE x 44 Assumes 44 working weeks per direct care FTE




Ref Numerator Denominator Notes20 Av. weekly treatment days per direct

care FTE (approx = N patients per week per FTE)

Total treatment days, reported at KPI #5

Total direct care ambulatory FTE x 44 Assumes 44 working weeks per direct care FTE. NOTE: This indicator approximates av. number of consumers seen per week per direct care FTE

21 Av. number of seen people per years per ambulatory services direct care FTE

Number of people receiving one or more contacts from in scope ambulatory service teams, reported at KPI #7

Total direct care ambulatory FTE

22 ' Assessment only' episodes (1 treatment day) as percent of total 3 month episodes

Number of consumers receiving one treatment day only, reported at KPI #5

Total 3-month periods of care, reported at KPI #5

THEME 4: Continuity of care23 KPI #11 Pre admission community

careConstructed as per KPI #11 - see Technical Specifications

24A KPI #12 Post discharge community care - 7 days


24B KPI #12 Post discharge community care

Constructed as per KPI #12 - see Technical Specifications, except follow up period extended to 28 days post discharge

24C KPI #12 Post discharge community care 7 day follow up - by discharge destination (2006-07 data only)

Constructed as per KPI #11 - see Technical Specifications. Separate counts shown for discharges back to prison and other destinations

25A KPI #1 28-day readmission rate Constructed as per KPI #1 - see Technical Specifications

25B 91-day readmission rate Constructed as per KPI #1 - see Technical Specifications except readmission period extended to 91 days post discharge.

25C 182-day readmission rate Constructed as per KPI #1 - see Technical Specifications except readmission period extended to 182 days post discharge.

26 KPI #5 Average treatment days per 3 month period of community care





Ref Numerator Denominator Notes

THEME 5: Access to ambulatory care27 KPI #7a % target population

receiving ambulatory servicesConstructed as per KPI #7 - see Technical Specifications

28 Ambulatory services Direct Care FTE per 100,000 population



Same as reference 4 above

29 KPI #10a Area per capita resources -Ambulatory services


30 Age-specific target group as % of total people seen by ambulatory services

Number of people receiving one or more contacts from in-scope ambulatory services who reside in catchment area and are within age target group, reported at KPI #7

Total number of people receiving one or more contacts from in scope ambulatory service teams, reported at KPI #7

31 Percent of people seen by ambulatory services who reside external to catchment

Number of people receiving one or more contacts from in-scope ambulatory services who reside external to catchment area, reported at KPI #7

Total number of people receiving one or more contacts from in scope ambulatory service teams, reported at KPI #7

32 KPI #9 New client index Constructed as per KPI #9 - see Technical Specifications

THEME 6: Access to acute inpatient care33 KPI #7b % target population

receiving inpatient servicesConstructed as per KPI #7 - see Technical Specifications

34 KPI #10b Area per capita resources -Inpatient services


35 Acute beds per 100,000 population Number of in scope acute inpatient beds


Same as reference 5 above

36 KPI #8 Local access to inpatient care (% total area overnight separations managed by your organisation)





Ref Numerator Denominator Notes37 Overnight acute separations per

100,000 population from inpatient catchment target population

Total overnight separations by persons in age-specific target population from the organisation catchment, reported at KPI #8

Acute inpatient services age-specific Area catchment population at December 2004, reported at KPI #7

Numerator includes separations from all inpatient services including those not managed by the organisation

38 % target age-group separations from your unit of people who reside outside of inpatient catchment area

Number of target age-group separations from your unit of people who reside outside of inpatient catchment area, reported at KPI #8

Number of separations by target age-group from your unit, reported at KPI #8

THEME 7: Safety (ACHS indicators)39 ACHS 5.1 Inpatients – at least one

episode of seclusionNumerator: Number of inpatients having at least one episode of seclusion, in an admission

Denominator: Total number of inpatients.

As defined by ACHS, Mental health inpatient indicators, version 5

40 ACHS 5.2 Inpatients - at least 2 episodes of seclusion

Numerator: Number of inpatients having at least two episodes of seclusion, in an admission or in a one month period of an extended admission

Denominator: Total number of inpatients having seclusion.


41 ACHS 5.3 Inpatients - seclusion for more than 4 hours

Numerator: Number of inpatients having seclusion for more than four hours in one episode, in an admission

Denominator: Total number of inpatients having seclusion.


42 ACHS 6.2 Inpatients - assault Numerator: Number of inpatients who assault in an admission.

Denominator: Total number of inpatients.


43 ACHS 6.3 Inpatients - assault twice or more

Numerator: Number of inpatients who assault twice or more in an admission

Denominator:Total number of inpatients who have assaulted.


THEME 8: Capability44 KPI #13 Outcomes readiness - %

Inpatient episodes with HoNOS completed





Ref Numerator Denominator Notes45 KPI #13 Outcomes readiness - %

Inpatient episodes with HoNOS completed


THEME 9: Acute Inpatient casemix - (a) Diagnosis46A to 46D

New data submitted to allow comparison of acute inpatient profiles

46E Percentage overnight separations included in the data

Total separations reported with a diagnosis

Total overnight separations from in scope acute units as reported at KPI #1

This indicator shows the coverage of diagnostic data submitted by each organisation and provides information about the extent to which the diagnostic profile is representative of total acute inpatient separations for the organisation

THEME 9: Acute Inpatient casemix - (b) HoNOS at admission47 Average HONOS scores by item -

Group vs National Avg.New data submitted to allow comparison of acute inpatient profiles

48 Av. HoNOS total scores at admission New data submitted to allow comparison of acute inpatient profiles

49 Average HoNOS scores by item - Organisation comparison

50 HoNOS scores at admission - % clinically significant

Number of HoNOS items with a score > 2, summed across all 12 scales for all admissions

(Total number of separations included in sample) x 12

New data submitted to allow comparison of acute inpatient profiles.This indicator provides an alternative to Total HoNOS score as an overall measure of casemix severity

Based on diagnostic data submitted by organisations covering separations from in-scope acute inpatient units.For each of the main diagnostic groups, number of separations is expressed as a percentage of total separations.

New data as submitted by organisations.Group average is average of benchmarking participants. National data taken from AMHOCN Decision Support Tool, and provides average HoNOS scores for adult admissions to inpatient care (n = 66,759 cases)

New data as submitted by organisations.National data taken from AMHOCN Decision Support Tool, as described above)

New data as submitted by organisations.




Ref Numerator Denominator Notes51 Percentage overnight separations

with HoNOS Admission dataTotal separations reported with HoNOS admission data

Total overnight separations from in scope acute units as reported at KPI #1

This indicator shows the coverage of HoNOS data submitted by each organisation and provides information about the extent to which the HoNOS profile is representative of total acute inpatient separations for the organisation

Ungrouped supplementary indicators52 Same day separations as percent of

total acute separations

53 Percent overnight acute separations out of scope


national mental health benchmarking project · 2015. 10. 26. · health benchmarking project...

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