National Mental Health Information Development National Mental Health Benchmarking Meeting 27 November 2008 Melbourne Convention Centre Ruth Catchpoole Chair, National Mental Health Performance Subcommittee

National Mental Health Information Priorities Using outcomes to improve care Development of a casemix classification Using information to improve safety Establishing performance indicators and benchmarking Strengthening workforce uptake and capacity to use information Improving data collections (NMDSs) Information to support mental health care provided external to specialist sector Monitoring population mental health and well being Supporting mental health prevention and promotion Monitoring and reporting of National Mental Health Strategy progress

Key Performance Indicators for Australian Public Mental Health Services (2005) Tier 1: Health status and outcomes Tier 2: Determinants of health Tier 3: Health system performance Effective Appropriate Efficient Responsive Accessible Safe Continuous Capable Sustainable

Mental Health Service Organisation Effective Consumer Outcomes  Carer Outcomes  Community tenure 28 day readmission rate Appropriate Compliance with standards National Service Standards compliance Relevance to client needs  Efficient Inpatient care Average length of acute inpatient stayAverage cost per acute inpatient episode Community care Average treatment days per 3-month community care period Average cost per 3-month community care period Accessible Access for those in need Population under careNew client index Local access Local access to acute inpatient careComparative area resources Emergency response  Continuous Continuity between providers  Cross-setting continuity Pre-admission community carePost-discharge community care Continuity over time  Responsive Client perceptions of care  Consumer and carer participation  Capable Provider knowledge and skill  Outcomes orientation Outcomes readiness Safe   Sustainable Workforce planning  Training investment  Research investment 

Mental Health Service Organisation Effective Consumer Outcomes  Carer Outcomes  Community tenure 28 day readmission rate Appropriate Compliance with standards National Service Standards compliance Relevance to client needs  Efficient Inpatient care Average length of acute inpatient stayAverage cost per acute inpatient episode Community care Average treatment days per 3-month community care period Average cost per 3-month community care period Accessible Access for those in need Population under careNew client index Local access Local access to acute inpatient careComparative area resources Emergency response  Continuous Continuity between providers  Cross-setting continuity Pre-admission community carePost-discharge community care Continuity over time  Responsive Client perceptions of care  Consumer and carer participation Consumer outcomes participation Capable Provider knowledge and skill  Outcomes orientation Outcomes readiness Safe Consumer Rate of seclusion Provider  Carer  Community  Sustainable Workforce planning  Training investment  Research investment 

National Mental Health Benchmarking Project Objectives 1.Promote the sharing of information between organisations to better understand variations in data and promote acceptance of the process of comparison as a fundamental concept/principle; 2.Identification of the benefits, barriers and issues arising for organisations in the mental health field engaging in benchmarking activities; 3.Learning what is required to promote such practices on a wider scale; and 4.Evaluating the suitability of tier 3 of the national mental health performance framework as a basis for benchmarking and identifying areas for future improvement of the framework and its implementation.

Why information and indicators?

Where to next? Finalise evaluation Start to proactively, appropriately and strategically utilise information to: –improve data quality –enhance information and indicator literacy –strategically utilising information to support and develop the mental health system.