HIE
NSW information systems: 2005
Outcome measures
CommunityContacts
Admissions
Direct
Business Objects
Setting Source System Collection
PAS systems
HOISTAPEOC
SCI-MHOATFISCHCHIME
Cerner …
CHAMB
SCI-MHOATCHIME MHOAT
UPI
Reporting Use
InforMH
MH
Universe
Administrative
Performance
Research
Team
Clinical
2006
Statistical
In age range +
Dx Psychosis +
no previous recorded public
MH contact
Intervention type
Intervention type (Contact) = early
intervention
Patient type
MHOAT “Early Intervention” flag
Symptoms
In age range +
Psychotic Sx+
no previous recorded public
MH contact
Reporting coverage and contact
Population
EP individuals
Setting (s)
Number of contacts
Duration of care
Admission / Readmission
Outcomes
Not just “Outcome Measures”Contact/continuityAdmission/readmissionDriftEmployment / housing / disability status
60 - 80,000
CommunityClients
c50%
With standardmeasures
c2-5%
MHOAT EIflag +ve
1-2%
EI flag +veand valid outcome measures
c60%
With Dxrecorded
MHOAT
Standardised measures
Clinical modules
Training
Risk Assessment
Child protection
Practice changePolicy implementation
MHOAT
EvaluationSimplificationPrioritisation?
Early psychosis RiskChild protection ….
Computerisation
Info systemsLinks, Tools, Reporting, Resources
EP a priority Avertable burdernBut also
Good evidenceClinical culture
Tentative plansIndicator developmentIdentificationCoverage and contactOutcomes reporting
Feedback and priorities very welcome …