NSW Mental Health Information and Early Psychosissydney.edu.au/medicine/psychiatry/workshops/presentations/nsw...SCI-MHOAT FISCH CHIME ... CPIN CRITERIA. 2: Defining the EP population.

NSW Mental Health Information and Early

Psychosis

Early Psychosis ForumNovember 2005

A1

A3

HoNOS

LSP

Contacts

DV

IIMS

Info System Developments

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

Using info systems to support Early Psychosis care?

1: Clinical Standards

RANZCP CPGs

SANEAPA CPGs

NICE CPGs

PORT

TMAP

EPPICCPIN

CRITERIA

2: Defining the EP population

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

Symptoms

Interventiontype

Patient type

Statistical

3: Coverage and contact

Reporting coverage and contact

Population

EP individuals

Setting (s)

Number of contacts

Duration of care

Admission / Readmission

4: Outcomes

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

MHOAT

Bummer of a birthmark,

Hal !

MHOAT

Standardised measures

Clinical modules

Training

Risk Assessment

Child protection

Practice changePolicy implementation

MHOAT

EvaluationSimplificationPrioritisation?

Early psychosis RiskChild protection ….

Computerisation

SUMMARY

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 …

Thanks

GRSara@nsccahs.nsw.gov.au8877 5120