C3. Proportion of patients within Cluster Review Periods
Headline
Performance
Data:
25% of organisations can achieve at least 90.5% within the maximum cluster
review period.
Data Source:
Mental Health Minimum Data Set, December 2013 final data
Interpretation:
Note: this follows on from metric R2 by including all patients, regardless of CPA
status.
This indicator provides an process measure to ensure that patients are
reviewed within the upper limits of the periods described in the Mental Health
Clustering Tool (MHCT).
It will be used to monitor adherence to the maximum cluster review periods at
mental health provider and CCG level. It will establish the proportion of patients
that are reviewed within the best practice guidelines.
Considering this metric on a cluster specific basis allows organisations to
identify particular services / patient groups where adherence is above or below
the agreed maximum cluster review periods set out in the MH Clustering
Booklet. In a PbR context, this demonstrates that effectiveness of care
packages are being regularly reviewed.
Definition
This indicator calculates the percentage of patients, within scope for mental
health currency and payment who are within the maximum limit for a cluster
review at their most recent review.
Denominator: The number of in scope clustered patients at the end of the
reporting period
Numerator: The number of in scope patients whose most recent review is
within the maximum limit set out in the clustering booklet for that cluster.
NB: All open cluster episodes are reported, including those patients with more
than one cluster episode, in an attempt at improving data quality
Note: in addition the numbers of patients that are outside of the review period
by certain timeframes will also be reported (i.e. 0-7 days, 8 day – 1 month, 1-3
months, 3-6 months, 6 months +).
Additional
Indicator logic
construction
Includes: all patients with an open cluster episode
Perverse
Incentive:
May encourage MHCT review without direct contact with the patient.
Cluster
0 1
Excludes: non –in scope services
2
3
4
5
6
7
8
1
0
1
1
1
2
1
3
1
4
1
5
1
6
1
7
1
8
1
9
2
0
2
1
Relevance
                   
Consideration
s for use.
Basis for
discussions at
local level
(including
links to other
indicators)

Emerging patterns across teams, clusters, or superclasses

How many patients at CPA review have a corresponding MHCT (C8)
(note: there will be occasions when a MHCT is completed and a CPA is not

Transition patterns (C11) based on differing review periods (for example,
whether patients reviewed more frequently tend to step up, suggesting that
a package of care is not working).

Activity recording data will be collected and reported via HSCIC from April
2014. It may become possible to review whether a direct contacts is
recorded in the same timeframe as the MHCT review
links to other
indicators
Direction of
travel
C4
C5
C6
C8
C10
C11
R2







Clinical opinion suggests it is good practice for all service users to be reviewed
in line with the MHCT review periods. 25% of organisations achieve at least
78.1% within the maximum cluster review period.
Overall performance across providers (all clusters)
Median
78.1%
Range
0%-100%
50% providers achieve
between
68%-90.5%
Overall performance by cluster:
Compliance
rates as of
December
2013
Median
0 (6 months)
1 (12 weeks)
2 (15 weeks)
3 (6 months)
4 (6 months)
5 (6 months)
6 (6 months)
7 (annual)
8 (annual)
10 (annual)
11 (annual)
12 (annual)
13 (annual)
14 (4 weeks)
15 (4 weeks)
16 (6 months)
17 (6 months)
18 (annual)
57%
38%
47.7%
64.6%
70.8%
72.2%
73.6%
87.5%
87.2%
89.6%
83.9%
86.5%
88.8%
38.2%
40%
76.9%
81.5%
89.4%
Range
0%-100%
0%-100%
0%-100%
11.9%-100%
11.6%-100%
10.3%-100%
14.8%-100%
43.9%-100%
45%–100%
42.2%-100%
0%-100%
0%-100%
28.1%-100%
0%-77.5%
0%-66.7%
20.1%-100%
0%-100%
24.1%-100%
50%
providers
achieve
between
32.8%-77.6%
24.7%-68.8%
34.1%-75.4%
47.6%-85.3%
58.1%-85.3%
62.3%-88.3%
57.6%-87.1%
78.9%-95.6%
77.4%–94.6%
79.7%-97.3%
73.8%-92.9%
80.6%-95.4%
80.3%-95.7%
27.2%-68%
23.3%-52.4%
62.3%-86.8%
69.1%-93%
74.6%-96.6%
19 (6 months)
20 (6 month)
21 (6 month)
Data quality
limitations
76.2%
79.2%
78.5%
10.4%-100%
7.8%-100%
12.6%-100%
60.4%-93.5%
63.9%-93%
65.3%-91.2%
The individual measures relating to this indicator include :



MM01 – People in contact with services at the end of the reporting
period
DQM19 – PbR Care Cluster
DCM 3 Payment by Results Care Cluster Episodes
Published via http://www.hscic.gov.uk/