Mental Health Nurse Incentive Program - evaluation scope by BW1JQy


									Mental Health Nurse Incentive Program – evaluation scope

The Mental Health Nurse Incentive Program (MHNIP) commenced on 1 July 2007 as
part of the Council of Australian Governments mental health reform package. The
program provides funding for eligible organisations that engage mental health nurses to
assist in the provision of coordinated clinical care for people with severe and persistent
mental illnesses to keep them well in the community and reduce hospitalisation.
The Department of Health and Ageing has commissioned an external evaluation of the
program to assess the effectiveness and appropriateness of the program and to assist in
determining future funding needs. The evaluation, to be undertaken by Healthcare
Management Advisors, commenced in late 2011 and is expected to report in
September 2012.
The evaluation of the MHNIP will consider the following:
1. Patient outcomes
- changes in patient outcomes under MHNIP, including changes in Health of the Nation
   Outcomes Scales (HoNOS) data, hospital admission rates, employment activity rates
   and social/ educational participation rates.
- mental health nurse, general practitioner, psychiatrist and other relevant health
   professional views on the extent MHNIP has contributed to improvements in patient
- the impact of the program structure in achieving MHNIP objectives.
- connections with the Families, Housing, Community Services and Indigenous Affairs
   (FaHCSIA)’s Personal Helpers and Mentors (PHaMs) or other similar programs to
   assist patient linkages with community support and social connection activities.
2.   Program uptake
-    barriers to patient entry to the MHNIP.
-    drivers for mental health nurse/organisation entry/exit from the program.
-    reasons for registered organisations’ failure to commence activities under the
3.   Demand profile
-    current anticipated demand profile.
-    uptake of program via geographic and target patient analysis, and gaps in this uptake.
-    estimated maximum funding requirements for the MHNIP based on all eligible
     patients receiving access.
4. Cost benefits
- overall cost benefit of the MHNIP on the health system, and drivers of this benefit.
- overall cost and benefits on the health system of extending the program to the private
   hospital setting.
5.   Program structure
-    appropriateness and effectiveness of the payment structure.
-    effectiveness and ease of use of the MHNIP program guidelines.
-    linkages with other Australian Government funded programs, including:
      Access to Psychiatrists, Psychologists and General Practitioners through the MBS
         (Better Access) initiative.
      Better Outcomes in Mental Health Care (Better Outcomes) initiative.
      Access to Allied Psychological Services (ATAPS) initiative.
      Mental Health Services in Rural and Remote Areas initiative.
6. Compliance
- effectiveness of current compliance controls for patient/ mental health nurse
   eligibility to the MHNIP.

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