This document discusses key performance indicators for public mental health services in Australia. It introduces the need for performance indicators to monitor and improve quality of care. A national framework was developed with input and criteria. The framework includes domains like effectiveness, appropriateness, efficiency, accessibility, continuity, responsiveness, capability, safety and sustainability. Specific indicators are proposed within each domain to provide a balanced view of inputs, processes, outputs and outcomes. The goal is a standardized set of indicators to evaluate performance over time and identify areas for improvement.
2. Key Performance
Indicators
for Australian
Public
Mental Health
Services
effective
appropriate
efficient
REPORT OF PERFORMANCE INDICATOR
responsive DRAFTING GROUP
accessible INFORMATION STRATEGY COMMITTEE
AHMAC NATIONAL MENTAL HEALTH
safe WORKING GROUP
continuous
capable
sustainable
3. Structure of presentation
Introduction of the problem
The National Mental Health Plan 2003-
2008
Developments in performance
indicators for mental health services
in Australia
Criteria used to evaluate candidate
indicators
Summary of performance framework and
proposed indicators
4. Introduction (1)
Key performance indicators are
essential tools for both
monitoring and improving the
quality of health services.
Mental health services have
lagged behind developments of
introducing performance
indicators.
5. Introduction (2)
The reasons:
unavailability of suitable data
lack of consensus about how
fundamental performance
measurement concepts should
be applied to mental health care
6. The National Mental Health
Plan 2003-2008
Phase 1 – indicators for initial
trial
Phase 2 – indicators for
development
National Mental Health Report
7. Developments in performance
indicators for mental health services
in Australia
Independent approaches of
States and Territories
Difficulties for the design of
performance indicators
The difference between
definitions and specifications of
existing State and Territory
performance indicators
8. Performance indicators may
be based on:
Inputs – the resources used in producing a
product or service
Processes – actions or processes applied
to convert resources into a product or
service
Outputs – products or services delivered
Outcomes – the outcomes of delivering the
product or service. Outcomes may be
short, intermediate, or long term.
9. Criteria used to evaluate
candidate indicators (1)
Be worth measuring.
Be measurable for diverse
populations.
Be understood by people who need
to act.
Be relevant to policy and practice.
Measurement over time will reflect
results of actions.
Be feasible to collect and report.
Comply with national processes
10. Criteria used to evaluate
candidate indicators (2)
Reliability.
Validity.
Cover the spectrum of the health issue.
Reflect a balance of indicators for all
appropriate parts of the framework.
Identify and respond to new and emerging
issues.
Be capable of leading change.
Provide feedback on where the system is
working well, as well as areas for
improvement.
11. Summary of performance
framework and proposed
indicators (1)
Domain – effective
Consumer outcomes
Carer outcomes
Community tenure
Domain – appropriate
Compliance with standards
Relevance to client needs
12. Summary of performance
framework and proposed
indicators (2)
Domain – efficient
Inpatient care
Community care
Domain – accessible
Access for those in need
Local access
Emergency response
13. Summary of performance
framework and proposed
indicators (3)
Domain – continuous
Continuity between providers
Cross-setting continuity
Continuity over time
Domain – responsive
Client perceptions of care
Consumer & carer participation
14. Summary of performance
framework and proposed
indicators (4)
Domain – capable
Provider knowledge and skill
Outcomes orientation
Domain – safe
Domain – sustainable
Workforce planning
Training investment
Research investment
15. Balanced emphasis on
inputs, processes, outputs and
outcomes (1)
Measures of input are necessary to
understand the capabilities and
structural characteristics of the
organization.
Measures of process are needed to
determine whether people receive
care that is evidenced-based or
conforms with consensus
expectations about quality.
16. Balanced emphasis on inputs,
processes, outputs and outcomes
(2)
Output measures are needed to
understand the quantities of
services provided and develop
efficiency indicators.
Outcome measures are the
basis for understanding whether
consumers are improving in
their clinical status and well
being.
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