Fourth national mental health plan: measurement strategy

NMHP PI 22 Proportion of services reaching threshold standards of accreditation under the National Mental Health Standards

Page last updated: May 2011

  • Strategic issue - Quality Improvement and Innovation.
  • Rationale
    • Implementation of the National Standards for Mental Health Services has been agreed by all jurisdictions.
    • Service quality has been a driving force for the National Mental Health Strategy.
  • 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 the mental health service organisation's services (weighted by expenditure) that have been reviewed against the National Standards for Mental Health Services. The indicator grades services into four categories.
    • Level 1 – Services have been reviewed by an external accreditation agency and judged to have met all National Standards.
    • Level 2 – Services have been reviewed by an external accreditation agency and judged to have met some but not all National Standards.
    • Level 3 – Services:
      1. are in the process of being reviewed by an external accreditation agency but the outcomes are not known; or
      2. are booked for review by an external accreditation agency.
    • Level 4 – Mental health services that do not meet criteria detailed under Levels 1 to 3.
  • Numerator - Total expenditure by mental health service organisations on mental heath services that meet the definition of Level X where X is the level at which the indicator is being measured (either Level 1, Level 2, Level 3 or Level 4 as detailed above). Top of page
  • Denominator - Total mental health service organisation expenditure on mental health services.
  • Computation - (Numerator Denominator) x 100 calculated for each level.
  • Calculation conditions
    • Coverage/Scope - All public mental health service organisations, with the following exclusion.
      • Older Persons Mental Health Community Residential Services approved under or working towards the accreditation standards gazetted as part of the Australian Government Aged Care Act 1997.
    • Methodology - Weighted by expenditure within various levels of aggregation above service unit/team.
  • Definitions - Mapping of levels to National Minimum Data Set – Mental Health Establishments (MHE) codes as follows: Level 1: MHE code 1; Level 2: MHE code 2; Level 3: MHE codes 3-4; Level 4: MHE codes 5-8.
  • Presentation - Percentage.
  • Disaggregation - State/Territory.
  • Notes
    • External review is a process of negotiation between mental health service organisations and the accrediting agency. Accordingly, variations may exist in the extent to which all or some Standards are deemed to be applicable to individual service units.
    • A review may apply to the service units within a mental health service organisation, not the mental health service organisation as an entity in itself.
    • External accreditation agencies such as ACHS and QIC use differing review methodologies.
  • Is specification interim or long-term? - Interim.
  • Reported in - A similar indicator is reported in the Report on Government Services. Top of page

National Mental Health Performance Framework

  • Tier - Tier III - Health Service Performance.
  • Primary domain - Appropriate.
  • Secondary domain(s) - Capable.
  • Mental health sub-domain - Compliance with standards.
  • 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 - National Mental Health Key Performance Indicator 'National Service Standards compliance'. Top of page

Data collection details

  • Data source(s)
    • Numerator - National Minimum Data Set – Mental Health Establishments or State/Territory central health administration.
    • Denominator - National Minimum Data Set – Mental Health Establishments or State/Territory central health administration.
  • Data source(s) type
    • Numerator - Administrative.
    • Denominator - Administrative.
  • Frequency of data source(s) collection
    • Numerator - Annually.
    • Denominator - Annually.
  • Data development
    • Medium-term - New National Standards have been developed, and work is underway to establish a method of measuring compliance. This indicator is based on the current National indicator National Service Standards Compliance, which will be reviewed in 2011 Subsequently, this indicator will be revised accordingly
    • Long-term - Mental Health NGO coverage is not included and will require new data collection.