A consumer who is by a case This would not require a change management team for a long period of time has to the phase of care. become rapidly unwell during the course of their The collection of an outcome care, requiring closer supervision. The measure is not mandated; consumer will still be managed by the case however as part of clinical management team however care has been practice, outcome measures may temporarily transferred to the acute care team 1 be collected anytime as clinically over the weekend, due to lack of staff resourcing indicated. to provide appropriate care. The consumer will return to the case management team when there is more staffing available after the weekend. Is this a change in phase of care over a two day period and would this warrant a completion of additional outcome measures? In an encounter, the usual first point of contact is An additional outcome measure is the acute care team. After receiving services not required as it is about the from the acute care team, consumers may be consumer and not the treatment transferred to a case management team where provider. the phase of care may be the same or different. 2 If the phase of care is the same does an However, if the phase of care is outcome measure need to be completed? changed, an outcome measure will be required. For example, when a consumer becomes rapidly unwell and the main goal or aim of care has changed. Some consumers may be seen by a primary The phase of care should align case management team and a secondary team with the mental health care plan (for example, rehab, working with families, for the consumer. The mental transition teams and Clozapine clinics). In health care care plan for the accordance with the outcome measure consumer would normally reflect protocols, responsibility for completing outcome the activity that was being 3 measures rest with the primary team. Secondary undertaken by all relevant teams teams are not required to complete an additional therefore the phase of care set of outcome measures. If the secondary team should not be different for the is a rehab team and the phase of care of the various treatment providers. As a rehab team is different to the phase of care of result there be additional outcome the primary team should an additional set of measures would not need to be outcome measures be completed? collected.
1 A consumer who is by a case management team for a long period of time has become rapidly unwell during the course of their care, requiring closer supervision. The consumer will still be managed by the case management team however care has been temporarily transferred to the acute care team over the weekend, due to lack of staff resourcing to provide appropriate care. The consumer will return to the case management team when there is more staffing available after the weekend. Is this a change in phase of care over a two day period and would this warrant a completion of additional outcome measures? This would not require a change to the phase of care. The collection of an outcome measure is not mandated; however as part of clinical practice, outcome measures may be collected anytime as clinically indicated. 2 In an encounter, the usual first point of contact is the acute care team. After receiving services from the acute care team, consumers may be transferred to a case management team where the phase of care may be the same or different. If the phase of care is the same does an outcome measure need to be completed? An additional outcome measure is not required as it is about the consumer and not the treatment provider. However, if the phase of care is changed, an outcome measure will be required. For example, when a consumer becomes rapidly unwell and the main goal or aim of care has changed. 3 Some consumers may be seen by a primary case management team and a secondary team (for example, rehab, working with families, transition teams and Clozapine clinics). In accordance with the outcome measure protocols, responsibility for completing outcome measures rest with the primary team. Secondary teams are not required to complete an additional set of outcome measures. If the secondary team is a rehab team and the phase of care of the rehab team is different to the phase of care of the primary team should an additional set of outcome measures be completed? The phase of care should align with the mental health care plan for the consumer. The mental health care care plan for the consumer would normally reflect the activity that was being undertaken by all relevant teams therefore the phase of care should not be different for the various treatment providers. As a result there be additional outcome measures would not need to be collected.
final_amhcc_mental_health_phase_of_guide_-_june_20163.docx