National Mental Health Benchmarking Project
The National Mental Health Benchmarking Project was developed as a collaborative initiative between the Australian and State and Territory governments. The project aims to establish demonstration benchmarking forums that will operate over a 12-month period (2006 - 2007) in each of the main mental health program areas - general adult, child & adolescent, older persons and forensic.
Four core objectives have guided the development of the National Mental Health Benchmarking Project:
- To promote the sharing of information between organisations to increase understanding and acceptance of benchmarking as a key process to improve service quality.
- To identify of the benefits, barriers and issues arising for organisations in the mental health field engaging in benchmarking activities.
- To understand what is required to promote such practices on a wider scale.
- To evaluate the suitability of the national mental health performance framework (domains, sub domains and key performance indicators) as a basis for benchmarking and identifying areas for future improvement of the framework and its implementation.
Each forum consists of between four and eight mental health service organisations from across six jurisdictions. Participants in each of the forums are listed below.
ADULT SERVICES
| CHILD & ADOLESCENT SERVICES
| OLDER PERSONS SERVICES
| FORENSIC SERVICES
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- Western Sydney Area Health Services – Blacktown Adult Mental Health Services (NSW)
- South Eastern Sydney Illawarra – St George Hospital and Community Services (NSW)
- Barwon Health (VIC)
- Bayside Health (VIC)
- Rockhampton Mental Health Services (QLD)
- South Metro Area Health Services - Fremantle (WA)
- Noarlunga Health Services (SA)
- ACT Adult Mental Health Services (ACT)
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- Eastern Child and Adolescent Mental Health Service (VIC)
- Northern Sydney and Central Coast Area Health Service (NSW)
- Mater Child & Youth Mental Health Services (QLD)
- South Metro Area Health Service - Bentley (WA)
- Southern Child and Adolescent Mental Health Services - Flinders Medical Centre (SA)
- ACT Child and Adolescent Mental Health Services (ACT)
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- Sydney South West Area Health Service - Braeside Hospital Aged Care (NSW)
- Aged Mental Health, Northwestern Health - Melbourne Health (VIC)
- Aged Care Mental Health Service, Princess Alexandra Health Service District (QLD)
- Bentley Elderly Mental Health Service, South Metro Area Health (WA)
- Repatriation General Hospital (SA)
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- Justice Health (NSW)
- Forensicare (VIC)
- The Park – Centre for Mental Health (QLD)
- State Forensic Mental Health Service (WA)
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Further information will be provided as the project progresses.
To facilitate the dissemination of information about the benchmarking project and to assist in the development of benchmarking activities in Australia's mental health services, services participating in the four Benchmarking Project streams agreed that the following information would be made available.
Project Manuals Part 1 - 3
'Project Manual Part 1: General information for participating organisations' aims to assist services participating in the forums by providing basic information about: the background to, and objectives of, the national benchmarking project; the current status of benchmarking in Australian mental health services; the expected benefits for participating organisations; how the forums will be coordinated; the plannned timetable of activities;
how the forums will be run; what information will be benchmarked; and how the project will be evaluated.
Benchmarking Manual_Part 1.pdf
'Project Manual Part 2: Basic concepts to guide indicator development and desirable attributes of performance measurement systems' provides useful background to key concepts in key performance indicators.
The first section describes six key issues upon which a shared understanding is needed and which are central to the design of any performance measurement framework within the health care industry.
The second section summarises the attributes of performance measurement systems described in the literature as important to success. They emphasise that an effective performance measurement approach does not come easily and requires careful planning.
Benchmarking Manual_Part 2.pdf
'Project Manual Part 3: Technical specifications for the national KPIs' has been prepared to guide organisations on how to prepare the national key performance indicators (KPIs) from their locally available data. The focus is on the 13 national KPIs described in the document 'Key Performance Indicators for Australian Public Mental Health Services' as these are the main indicators used in the benchmarking forums.
Benchmarking Manual_Part 3_V1.1.pdf
Child and Adolescent Forum
Comparative Indicators Workbook
'Comparative Indicators 3-year time series, 2004-05 to 2006-07, Child & Adolescent Mental Health Services Forum' 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.
The second part of the workbook groups the national KPIs, plus a number of supplementary indicators, into a number of themes.
Comparative resources available to the organisation
Efficiency in use of resources.
Productivity and activity of ambulatory services
Continuity of care
Access to ambulatory care
Access to acute inpatient care
Capability
Ungrouped supplementary indicators
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.
KPI_Public Release_CAMHS Services_v01.pdf
kpi_mastertemplate_camhs_public release v01.xls
CAMHS_Benchmarking_Presentation_Results_Distribution.ppt
KPI Review
To facilitate the evaluation of the suitability of the 13 national indicators for benchmarking mental health services, each forum completed a comprehensive review of the national Key Performance indicators (KPIs) utilising the criteria outlined in Table 1 and made recommendations regarding their definition, specification, targets and appropriateness for benchmarking at the mental health service organisation level. Part one provides an overview of the discussion and recommendations made by the Child and Adolescent Forum in relation to the nationally agreed KPIs.
In addition to the 13 national KPIs each forum looked at a range of additional and supplementary performance and contextual indicators. These indicators were reviewed against their relevance, utility, feasibility and interpretability. Recommendations were made in regards to the appropriateness of each indicator for benchmarking and whether the indicator should be considered for inclusion within the national indicator set (either in addition to or as replacement for an existing indicator). The outcomes of the discussion from the Child and Adolescent Forum are in Part Two of this document.
2008_CHILD_KPI Review_DRAFT FINAL.pdf
Special Projects
The Child and Adolescent Benchmarking Forum undertook two special projects: the Staff Activity Survey and Community/ Inpatient Discharges.
Aggregated_CAMHS_Discharges_deidentified.pdf
camhs_staff_activity_survey_distribution.pdf
Adult Forum
Comparative Indicators Workbook
'Comparative Indicators 3-year time series, 2004-05 to 2006-07, Adult Mental Health Services Forum' presents the national KPIs for each of the organisations in tabular and graphical format. All KPIs are derived from the most recent data submitted by each organisation and constructed according to the specifications and definitions described in National Mental Health Benchmarking Project Manual.
The second part of the workbook groups the national KPIs, plus a number of supplementary indicators, into nine themes:
Comparative resources available to the organisation
Efficiency in use of resources
Productivity and activity of ambulatory services
Continuity of care
Access to ambulatory care
Access to acute inpatient care
Capability
Acute Inpatient casemix - (a) Diagnosis and (b) HoNOS at admission
Ambulatory care casemix - (a) Diagnosis and (b) HoNOS.
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.
KPI_Public Release_Adult Services_v01.pdf
KPI_MasterTemplate_Adult Services_Public release v01.xls
Adult_Benchmarking_Presentation_Results_Distribution.ppt
KPI Review
To facilitate the evaluation of the suitability of the 13 national indicators for benchmarking mental health services, each forum completed a comprehensive review of the national Key Performance indicators (KPIs) utilising the criteria outlined in Table 1 and made recommendations regarding their definition, specification, targets and appropriateness for benchmarking at the mental health service organisation level. Part one provides an overview of the discussion and recommendations made by the Adult Forum in relation to the nationally agreed KPIs.
In addition to the 13 national KPIs, each forum looked at a range of additional and supplementary performance and contextual indicators. These indicators were reviewed against their relevance, utility, feasibility and interpretability. Recommendations were made in regards to the appropriateness of each indicator for benchmarking and for performance indicators if the indicator should be considered for inclusion within the national indicator set (either in addition to or as replacement for an existing indicator). The outcomes of the discussion from the Adult Forum are in Part Two of this document.
2008_ADULT_KPI Review_DRAFT FINAL.pdf
Special Projects
The Adult Benchmarking Forum undertook special projects to gain a beter understanding of 28 day readmission rates and factors that bring about a reduction in readmissions.
28day_readmit_final report_14112008.pdf
28_day_readmission_data_analysis_final.pdf
adult_28_day_readmission_by_sex.pdf
Older Persons Forum
Comparative Indicators Workbook
Comparative Indicators 3 year times series, 2004-05 to 2006-07, Older Persons Mental Health Servcices Forum presents the national KPIs for each of the organisations in tabular and graphical format. All KPIs are derived from three years of data (2004-05, 2005-06 and 2006-07) submitted by each organisation and constructed according to the specifications and definitions described in National Mental Health Benchmarking Project Manual.
The second part of the workbook groups the national KPIs, plus a number of supplementary indicators, into 10 themes:
Comparative resources available to the organisation
Efficiency in use of resources
Productivity and activity of ambulatory services4. Continuity of care
Access to ambulatory care
Access to acute inpatient care
Acute Inpatient casemix - (a) Diagnosis (b) HoNOS at admission (c) RUG-ADL at admission
Ambulatory care casemix - (a) Diagnosis and (b) HoNOS
Depression - Acute Inpatient separations
Dementia - Acute Inpatient separations
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.
KPI_Public Release_Older Persons Services_v01.pdf
KPI_MasterTemplate_Older Persons Services_Public release v01.xls
Older_Persons_Benchmarking_Presentation_Results_Distribution.ppt
KPI Review
To facilitate the evaluation of the suitability of the 13 national indicators for benchmarking mental health services, each forum completed a comprehensive review of the national Key Performance indicators (KPIs) utilising the criteria outlined in Table 1 and made recommendations regarding their definition, specification, targets and appropriateness for benchmarking at the mental health service organisation level. Part one provides an overview of the discussion and recommendations made by the Older Persons Forum in relation to the nationally agreed KPIs.
In addition to the 13 national KPIs each forum looked at a range of additional and supplementary performance and contextual indicators. These indicators were reviewed against their relevance, utility, feasibility and interpretability. Recommendations were made in regards to the appropriateness of each indicator for benchmarking and for performance indicators if the indicator should be considered for inclusion within the national indicator set (either in addition to or as replacement for an existing indicator). The outcomes of the discussion from the Older Persons Forum are in Part Two of this document.
2008_OLDER_KPI Review_DRAFT FINAL.pdf
Special Projects
The Older Persons Benchmarking Forum undertook special projects on length of stay, additional indicators, such as falls, and the utilisation of allied health in Older Persons services.
Older_Benchmarking_Additional_Master_081114.pdf
older_persons_allied_health_pathways_distribution.pdf
older_persons_los_report_final_distribution.pdf
Forensic Forum
Comparative Indicators Workbook
'Comparative Indicators 3 year time series 2004-05 to 2006-07, Forensic Mental Health Services' 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.
The second part of the workbook groups the national KPIs, plus a number of supplementary indicators, into nine themes:
Comparative resources available to the organisation
Efficiency in use of resources
Productivity and activity of ambulatory services
Continuity of care
Access to ambulatory care
Access to acute inpatient care
Safety (ACHS Indicators)Capability
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.
KPI_Public Release_Forensic Services_v01.pdf
KPI_MasterTemplate_Forensic Services_Public release v01.xls
Forensic_Benchmarking_Presentation_Results_Distribution.ppt
KPI Review
To facilitate the evaluation of the suitability of the 13 national indicators for benchmarking mental health services, each forum completed a comprehensive review of the national Key Performance indicators (KPIs) utilising the criteria outlined in Table 1 and made recommendations regarding their definition, specification, targets and appropriateness for benchmarking at the mental health service organisation level. Part one provides an overview of the discussion and recommendations made by the Forensic Forum in relation to the nationally agreed KPIs.
In addition to the 13 national KPIs each forum looked at a range of additional and supplementary performance and contextual indicators. These indicators were reviewed against their relevance, utility, feasibility and interpretability. Recommendations were made in regards to the appropriateness of each indicator for benchmarking and for performance indicators if the indicator should be considered for inclusion within the national indicator set (either in addition to or as replacement for an existing indicator). The outcomes of the discussion from the Forensic Forum are in Part Two of this document.
2008_FORENSIC_KPI Review_DRAFT FINAL.pdf
Special Projects
The Forensic Benchmarking Forum undertook special projects on forensic ambulatory services, court liaison services and the use of seclusion and medication in forensic services.
Forensic_ambulatory_census_081117.pdf
Court_Liaison_Forensic_National_Forum_Final.pdf
seclusion_medication_audit_deid_final.pdf
Below are presentations given during the 27 November 2008 national meeting of the National Mental Health Benchmarking Project participants and invited jurisdictional representatives.
Overview_National_Agenda.ppt
Project_overview.pptx
Adult_overview.ppt
Adult_28_day_readmission.ppt
Adult_discharge_journey.ppt
CAMHS_overview.ppt
CAMHS_discharge_project.pptx
CAMHS_staff_activity.ppt
Forensic_overview.ppt
Forensic_seclusion.ppt
Forensic_prison.ppt
Older_overview.ppt
Older_managing_emergency.ppt
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