These are our current Adult stream Key Performance Indicators. Click on any indicator to read more about the technical definitions.
Please note – Only the data dashboard for 7 day follow up is available at this time. The Adult stream are currently reviewing their KPI indicators and will be building further data dashboards once consultation with the sector is complete. The indicators in black and white are the historical suite and include technical definitions only. Please contact the KPI Programme team if you have any questions or would like to contribute to the development of indicators for this stream.
Acute inpatient post discharge community care - 7 day follow up
Percentage of overnight discharges from the mental health and addiction service organisation’s inpatient unit(s) where a community service contact was recorded in the seven days immediately following that discharge.
This KPI calculates an overall follow up rate, which is the percentage of all acute inpatient discharges that were followed up, regardless of where that follow up occurred (DHB, NGO or both)
A responsive community support system for persons who have experienced an acute psychiatric episode requiring hospitalisation is essential to maintain clinical and functional stability and to minimise the need for hospital readmission.
Service users leaving hospital after a psychiatric admission with a formal discharge plan, involving linkages with community services and supports, are less likely to need early readmission. Research indicates that service users have increased vulnerability immediately following discharge, including higher risk for suicide.
Count of acute inpatient discharges
Count of acute inpatient discharges where a follow up community contact (for the same person) exists, where:
Community follow-up ActivityStartDate is between 1 and 7 days after acute InpatientDischargeDate
Note: as of November 2020 terminology has changed from ReferralClosureDate to InpatientDischargeDate to eliminate confusion.
An acute inpatient referral discharge is any referral record where:
An inpatient discharge date is calculated as the:
A community contact is any activity record where:
Percentage of overnight discharges from the mental health and addiction service organisation’s acute inpatient unit(s) that result in readmission within 28 days of discharge to the same organisation.
Total number of acute inpatient overnight discharges closed in the reporting period that are followed by a readmission within 28 days.
Same denominator as acute inpatient post discharge community care – 7 day follow up
Count of acute inpatient discharges
Same definition as number of in scope discharges except that same day event is eligible for readmission, in addition to multi day readmission events. A readmission for any of the in scope discharges in the denominator is an admission to the same organisation that occurs within 28 days of the discharge date of the original inpatient discharge date
Acute inpatient occupied bednights for in scope discharges closed during the reporting period
The average is derived by summing the number of acute inpatient occupied bednights, divided by the number of in scope discharges
The median is the middle value when eligible in scope discharges are ranked in order of length of stay, for example half the discharges are above the median length of stay and half are below.
Percentage of overnight discharges from the mental health and addiction service organisation’s inpatient unit(s) closed in the reporting period for which a community service contact was recorded in the seven days immediately preceding the day of admission
Number of in scope discharges in the denominator for which a face to face community mental health contact was recorded in the seven days immediately preceding the day of admission.
Contact must occur in the seven days prior to admission but not on the day of admission.
Total number of in scope acute inpatient discharges closed during the reference period where the referral source is not from psychiatric inpatient
Eligible Community Mental Health Contact:
Eligible team codes in Community Mental Health:
In addition to the definition of number of in scope discharges, the following exclusion is applied:
PRIMHD and Stats NZ DHB population projections
Number of distinct service users secluded during a reporting period, irrespective of when the seclusion event started or ended.
Total number of distinct people with seclusion events overlapping the reporting period.
Per 100K Population: DHBs population projection for the reporting period (/100,000) – aged between 20 and 64.
Some DHBs provide regional residential mental health services. For these DHBs, the effective population they serve is larger than the population (DHB based) used to calculate the per 100,000 population rate used by the seclusion indicator. The impact of this is that the DHBs with regional services could be recording a higher seclusion rate by population than is in fact the case.
Eligible activity type: T33 (seclusion)
Process of identifying seclusion episode from PRIMHD:
Count of distinct individuals that had at least one seclusion event during the reporting period
Whānau engagement following first face to face contact is important. Early initial contact should be established regardless of service or team types.
In May 2020, the KPI Programme received an 18-month contract variation from the Ministry of Health to explore the redevelopment of the adult forensic KPI stream. As part of this variation, the KPI Programme is undertaking research to provide an evidence base for indicators that relate to forensic mental health services nationwide. Development of the indicators is done through a collaborative process with the sector and the Ministry of Health.
If you are interested in finding out more about the work we are doing in adult forensic mental health services, or would like to contribute to this potential new stream, please contact us.
Adult stream leads represent our sector contributors and work alongside the KPI Programme team to deliver sector events and guide continuous improvement initiatives. Get to know our current stream leads.
Director Community Mental Health and Addiction Service - Waikato DHBView full profile
Adult Operations Manager, Specialist Mental Health and Addiction Service - Waitematā DHBView full profile
Chief of Psychiatry and Director of Area Mental Health Services - Canterbury DHBView full profile
Service Clinical Director, Adult Community Mental Health Services - Auckland DHB
General Manager Operations - Ember Korowai TakitiniView full profile