Authors: Tim Coombs
Year: 2017
Event: 2017 TheMHS Conference
Subject: Policy, Strategy,Research & Evaluation Informing Practice
Type of resource: Conference Presentations and Papers
Abstract: The National Outcomes and Casemix Collection (NOCC)(Department of Health, 2016) was agreed in 2001 and was progressively implemented across all states and territories in Australia. The Australian Mental Health Outcomes and Classification Network (AMHOCN) has been nationally reporting on the NOCC via the web decision support tool (wDST) (Australian Mental Health Outcomes and Classification Network, 2016) since 2005 and included reporting on a state and territory basis since 2007. This paper will reflect on the results of the collection including: the fall in average HoNOS total scores on admission to inpatient units from 16.9 (sd 6.6) in 2001 to 14.3 (sd 7.1) in 2015, while over the same period there was an increase in average HoNOS scores on discharge from inpatient units from 5.7 (sd 4.3) in 2001 to 6.3 (sd 5.4) in 2014. The paper will also explore the reported HoNOS change scores. In 2004, 17.6 % of consumers were reported as having deteriorated between admission and discharge from ambulatory services, while in 2014 this had risen to 21.6 %. This is in contrast to consumer self-report where, in 2004, only 8.2% of consumers self-reported deterioration on the K-10, while in 2014 this had risen to 13.3%. The reasons for these variations, the meaning of this reporting and its use in clinical practice and for service development will be a particular focus of the presentation.
Learning Objectives
Learning Objective 1: The audience at this session will learn about the reporting of the National Outcomes and Casemix collection, the reported variability and some of the reasons for this variability.
Learning Objective 2: The measures that make up the National Outcomes and Casemix collection are being used not only to describe the outcome of care but also to support funding. The audience will learn that understanding what is reported is important for its meaningful use.
References
Australian Mental Health Outcomes and Classification Network. (2016). Web Decision Support Tool (wDST). Retrieved from https://data.amhocn.org/dst/web/#/
Department of Health. (2016). Mental Health National Outcomes and Casemix Collection: Technical Specification of State and Territory Reporting Requirements - Version 1.9. Retrieved from Canberra: http://www.amhocn.org/publications/mh-nocc-technical-specifications-ver-19-consolidated-document
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