Autumn 2019 - Information Project Coordinator Update
With the hot weather and recent sad events we have experienced, PRIMHD data will be the least of anyone’s thoughts.
It is important though to keep your data entry and submissions up to date so that the Ministry of Health can have the most up to date information at hand. The Mental Health Inquiry Review Report – He Ara Oranga which was released at the end of 2018 highlighted gaps in both services and delivery. PRIMHD with all its limitations is still one way you can show the contacts your organisation has with whaiora and whānau.
Click here for He Ara Oranga
Substance Addiction (Compulsory Assessment and Treatment) Act
The Ministry of Health are commencing initial preparation for the Office of the Director of Mental of Health and Addiction Services 2018 Annual Report. This will include SACAT PRIMHD data for the first time.
Regional Strategic Leadership Networks
Our regional groups have been looking at the type of trend information we are able to get from PRIMHD data. There is now nearly a decade’s worth to pull from. Over the last year we have provided them with a variety of different options and they are now asking for specific data to be analysed and presented to help form an overview Midland wide.
Recently we have looked at equity, whanau participation, peer support and wait times.
Please check out the Regional Strategic Leadership and Clinical Networks pages on our website to find out more about the people who sit on these forums.
Mental Health and Addiction: Service Use 2015/16
A new publication has been released providing information on Ministry of Health funded mental health and addiction service use for the 2015/16 financial year and highlights notable treads between 2001/02 and 2015/16.
- In 2015/16, a total of 171,033 clients were seen by mental health and addiction services. Of these, 89,379 (52.3%) were male, and 81,654 (47.7%) were female.
- There were 142,039 clients seen by DHBs and 63,682 clients seen by NGOs. Some of these clients were seen by both DHBs and NGOs.
- In 2015/16, the rate of Māori seen by DHBs was 4829.0 per 100,000 Māori population, a rise of 72.1% since 2001/02. In contrast the rate of non-Māori seen has risen more slowly (36.8% over the same time period).
Services provided in 2015/16
- The most common type of team providing services to DHB clients was community teams, while the next most common team type was alcohol and drug teams. These two teams were also the most common team types providing services to NGO clients.
- In 2015/16, the most common type of activity (or service) provided by DHBs was ‘individual treatment attendances: family not present’. The most common type of activity provided by NGOs was ‘community support contacts’.
- People living in the most deprived areas of New Zealand were 2.7 times more likely to be seen by mental health and addiction services than people living in the least deprived areas.
- As at 30 June 2016, there were 32,858 long term clients that were seen by mental health and addiction services for one year or more. Out of these clients, 21,111 were seen for two years or more
Click here for the full report:
AMHOIC (Australasian Mental Health Outcomes and Information) Conference (30 October – 1 Nov 2019)
- Joining the dots conference is to be hosted by Te Pou at the Crowne Plaza in Auckland.
- Agenda to have a data focus
- For further information click here
Remember, please contact me if you have any concerns with your data or if there is a way in which I can support you. I work part time, but will endeavour to respond as quickly as I can.
Summer 2019 - Information Project Coordinator Update
Happy New Year
Thank you to everyone in your continued efforts to ensuring your PRIMHD data is coming through regularly and is accurate. Remember the Ministry of Health makes decisions based on this data so it is important that you are actually reflecting what your service provides. If you have any questions about what you should be entering please don’t hesitate to contact me Belinda.walker (at) healthshare.co.nz
NCAMP 2019 changes to PRIMHD effective from1 July 2019 - click here to read more.
Some revisions have been made to the requirements for when supplementary consumer record (SCR) records are expected to be reported to PRIMHD.
- Ministry of Health now don't expect an SCR to be reported until there have been 3 face to face (FTF) activities.
- Additionally, depending on contracted services they provide, some organisations are not required to report SCR records to PRIMHD.
Note: You may still receive warnings about SCR data not being supplied, even when the service is exempt for SCR reporting, or where a service user has not had three face to face activities. A future NCAMP change to align the PRIMHD business rules to the revised SCR guidelines is being investigated. In the meantime, don’t stress out.
If you have any questions regarding this change, please email ncamp (at) moh.govt.nz
Parting thought for any of you feeling doubt in yourself…
The purpose of PRIMHD is to capture the journey of the tangata whaiora and their family/whanau within services through numbers and codes NOT keeping track of staff hours.
I acknowledge that at times the reporting of data can be time-consuming, but is a requirement from the Ministry of Health and has to be done efficiently within timeframes. This should be viewed as an opportunity to reflect how well your service is making a positive difference to the lives of the people we serve.
It is a requirement for mapping documents to be updated to reflect changes in your organisation including minor changes i.e. address, staff members joining and leaving, new and exited teams, and not when changes come through from the MoH. This helps to keep organisational contractual details current. Once updates are completed these should be sent directly to the MoH.
The changes to the national systems effective from 1 July 2019 affect the National Minimum Dataset, National Booking Reporting System, the National Non-Admitted Patient Collection and the Programme for the Integration of Mental Health Data.
Some revisions have been made to the requirements for when SCR records are expected to be reported to PRIMHD. The reporting guidelines “Guide to PRIMHD supplementary consumer record (SCR) requirements including social outcome indicators v1.3” have been updated to state that we don't expect an SCR to be reported until there have been 3 face to face (FTF) activities. This is in line with the “DHB non-financial monitoring framework and performance measures” specifically Policy Priorities PP7 –“Improving mental health services using wellness and transition (discharge) planning”.
Additionally, depending on contracted services they provide, some organisations are not required to report SCR records to PRIMHD.
This means that the revised guidelines (v1.3) differ with the current PRIMHD business rules (which say MoH expects an SCR 91 days after the first FTF activity).
Organisations may still receive warnings about SCR data not being supplied, even when the service is exempt for SCR reporting, or where a service user has not had three face to face activities. A future NCAMP change to align the PRIMHD business rules to the revised SCR guidelines is being investigated. In the meantime, it is proposed that the text of the following three response messages is adjusted to alert organisations to the fact that the warning about lack of SCR data may not necessarily apply.
Winter 2018 - Information Project Coordinator Update
It is great to be back with the team and working with providers again across Midland. Since my return I have been focusing on benchmarking where we stand as a region with our data.
In the quarter from July to September 2018 I have been privileged to support 30 NGO’s with data concerns and training. I am heartened by the level of commitment and motivation people have.
The Ministry of Health have a new template for PRIMHD Mapping Documents. If you have had changes as per below, it is now time to think about updating your document. I am happy to support you with this.
Changes that would suggest you need to update your Mapping Document;
- Contracts – new ones, different Purchase Unit Codes (PUCs), ended contract lines
- Address you deliver services from
- PRIMHD teams that need closing
- New PRIMHD teams that you require
- Additional codes required
- Key contact people have altered
Data entry – there seems to have been a slow down for some providers in entering their data. This means that it appears to the Ministry of Health that you have either not had contact with people or that you have less contact than usual. It is really important that we reflect the need in our communities and one way of doing this is having accurate and timely evidence through data. I urge you to ensure that you keep up to date, or if there is a problem, please contact me or the Ministry of Health so we can support you. It is better to be up front, so a way forward can be found.
If an online training package for PRIMHD was available;
- Would you use it?
- What areas do you struggle with the most? – codes, data entry etc.
- What would you like to see in the training?
I would really appreciate your input and feedback – please email me with your ideas
Wait Time Targets
The Minister of Health has set access targets that must be met by both DHBs and NGOs – that is the time between, when a referral is received and when the first face to face visit with the client occurs. This applies to ‘new’ clients, the Ministry of Health’s main focus is on Child and Adolescent and/or AOD teams.
A report is sent to funders within DHBs each month identifying the wait times, where targets are not being met, services maybe held accountable? It is imperative that all PRIMHD data is reported accurately as reports are filtered from PRIMHD data.
Key points to note:
- New client definition: For the purpose of this report, any client that has not been seen by any other MOH/DHB funded mental health and addiction provider within 12 months.
- Calculation: Access rates are calculated from the time a referral is received by a provider until the first face to face contact is logged in PRIMHD.
- Discharge: If the client DNAs several times and needs to be discharged - use referral end code DM. The client will continue to appear on the list if exited using any other referral end code.
- Referral start: If the client is referred by Justice whilst they are still in prison, then the referral start date should be logged as the release date into the community and NOTwhen the referral was received.