Presentation to AOD sector : Waiting times – • Potential Health target • PP8 Reporting (longest waiting time) Dr Barry Welsh (MOH)
Context • 31,000 people reported seen by AOD services in 2010 • 76% (205/267) NGOs reporting to PRIMHD • PRIMHD is referral based • PP8 longest waiting time reporting • Possible health target
Possible target considerations • CEP • Acute discharge – community contact • Waiting times
Proposed Health Target 2012/13 • 80% of people referred for non- urgent mental health or addiction services are seen within three weeks and 100% of people are seen within 8 weeks.
Proposed Health Target 2012/13 • The wait time will be counted from the time the referral is accepted and loaded into the patient management system for a person who has not been seen for at least a year (or not at all) to the time of the first face to face contact with a mental health or addiction professional. • The wait time will also be calculated for provider arm services and AOD NGOs. • Where there are two referrals open for the same client the earliest referral will be counted.
Proposed Health Target 2012/13 The wait time will exclude the following: • PRIMHD activity_type_codes T08 (mental health group programme attendances), T24 (work opportunities programme attendances), T32 (mental health contact with family/whanua), T35 (did not attend), T37 (on leave), T43 (community support contacts), T44 (advocacy), T45 (peer support) • Activty_Setting_Codes WR (written), SM (text), PH (phone) • Referral_end_codes RI (referral declined-inability to provide services requested) or RO (referral declined other services more appropriate) or DD (Died) or DM (did not attend following the referral)
Possible Health Target: Reducing non-urgent waiting times 0-19 Years 20-64 Years 65+ Grand Total Mental Health Client Client Client Client Provider Arm seen % Cumm % seen % Cumm % seen % Cumm % seen % Cumm % <=3 Weeks 6332 57.8% 57.8% 13194 70.7% 70.7% 3305 67.7% 67.7% 22831 66.2% 66.2% <=8 weeks 2165 19.8% 77.5% 1712 9.2% 79.9% 607 12.4% 80.1% 4484 13.0% 79.2% > 8 weeks 2462 22.5% 3744 20.1% 972 19.9% 7178 20.8% 10959 18650 4884 34493 Total 100.0% 100.0% 100.0% 100.0% 0-19 Years 20-64 Years 65+ Grand Total Provider Arm & NGO Client Client Client Client (Alcohol and Drug) seen % Cumm % seen % Cumm % seen % Cumm % seen % Cumm % <=3 Weeks 1036 60.9% 60.9% 7237 69.1% 69.1% 154 73.7% 73.7% 8427 68.1% 68.1% <=8 weeks 306 18.0% 78.8% 1338 12.8% 81.9% 28 13.4% 87.1% 1672 13.5% 81.6% > 8 weeks 360 21.2% 1891 18.1% 27 12.9% 2278 18.4% 1702 10466 209 12377 Total 100.0% 100.0% 100.0% 100.0%
Possible Health Target: Reducing non-urgent waiting times 0-19 Years 20-64 Years 65+ Grand Total Provider Arm Alcohol Client Client Client Client and Drug seen % Cumm % seen % Cumm % seen % Cumm % seen % Cumm % <=3 Weeks 825 64.7% 64.7% 6697 71.3% 71.3% 146 74.1% 74.1% 7668 70.6% 70.6% <=8 weeks 221 17.3% 82.0% 1160 12.4% 83.7% 28 14.2% 88.3% 1409 13.0% 83.6% > 8 weeks 230 18.0% 1534 16.3% 23 11.7% 1787 16.4% 1276 9391 197 10864 Total 100.0% 100.0% 100.0% 100.0% 0-19 Years 20-64 Years 65+ Grand Total NGO Alcohol and Client Client Client Client Drug seen % Cumm % seen % Cumm % seen % Cumm % seen % Cumm % <=3 Weeks 211 49.5% 49.5% 540 50.2% 50.2% 8 66.7% 66.7% 759 50.2% 50.2% <=8 weeks 85 20.0% 69.5% 178 16.6% 66.8% 0 0.0% 66.7% 263 17.4% 67.5% > 8 weeks 130 30.5% 357 33.2% 4 33.3% 491 32.5% 426 1075 12 1513 Grand Total (Total) 100.0% 100.0% 100.0% 100.0%
Possible Health Target: Reducing non-urgent waiting times Provider Arm & NGO (Alcohol and Drug) 120% 100% 80% 60% 40% 20% 0% 0-19 Years 20-64 Years 65+ Grand Total <=3 Weeks <=8 weeks Target <=3 Weeks Target <=8 weeks
Future of longest waiting time reporting (PP8) • Look to replacing PP8 longest waiting time methodology with health target methodology (if MH&A health target not approved by Minister) • If Health target approved current PP8 would be dropped.
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