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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 …
