2. MENTAL HEALTH MANAGEMENT INFORMATION SYSTEM (MHMIS) MANITOBA HEALTH

3. INTRODUCTION Main frame system managed by MB Health comprised of input/report programs and data files Collects information on the individuals using mental health services and the types of services received Implemented across all regions by April 1990

4. TYPE OF DATA Two Types: 1. Individual data (e.g. demographic) 2. Types of encounters between clinicians and mental health consumers (e.g. assessment) Frequency data, provider data associated with consumers MB Health conducts analysis by request

5. 1. InpatientIndividual 2. OutpatientIndividual Encounter 3. Community MentalIndividual HealthEncounter TYPE OF DATA (Cont’d)

6. CURRENT DATA PROVIDERS Individual Data: SMHC, EMHC, and all RHAs except for Churchill RHA Encounter Data: EMHC, BRHA, NEHA, SERHA, CRHA, ARHA, NRHA

7. PROCESS Four different forms: client open; client close; status change; and, encounters CMH - Coded by CMH workers and entered by clerical staff Facilities - Individual data is abstracted from charts and entered by clerical staff. Encounter data is coded by clinicians and entered by clerical staff.

10. EXAMPLE:MARITAL STATUS 1 = never married 2 = married 3 = common-law 4 = separated 5 = divorced 6 = widowed 7 = other 9 = unknown

13. POSITIVES Consistent demo- graphic, diagnostic, contact, and open/close date information Trend analysis Links to DAD and Physician databases Work intensive - greater chance of error Several optional fields-inconsistency Different interpretation of diagnostic codes Several regions not providing encounter data NEGATIVES

14. RECOMMENDATIONS Review annual regional MHMIS reports for data availability and accuracy. Implement a time-limited directive in which regions consistently complete all fields, especially if the mental health deliverable focuses on an optional field, such as ‘living arrangement’.