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MENTAL HEALTH MANAGEMENT INFORMATION SYSTEM (MHMIS). MANITOBA HEALTH. INTRODUCTION. Main frame system managed by MB Health comprised of input/report programs and data files Collects information on the individuals using mental health services and the types of services received
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MENTAL HEALTH MANAGEMENT INFORMATION SYSTEM(MHMIS) MANITOBA HEALTH
INTRODUCTION • Main frame system managed by MB Health comprised of input/report programs and data files • Collects information on the individuals using mental health services and the types of services received • Implemented across all regions by April 1990
TYPE OF DATA Two Types: 1. Individual data (e.g. demographic) 2. Types of encounters between clinicians and mental health consumers (e.g. assessment) • Frequency data, provider data associated with consumers • MB Health conducts analysis by request
TYPE OF DATA (Cont’d) 1. Inpatient Individual 2. Outpatient Individual Encounter 3. Community Mental Individual Health Encounter
CURRENT DATA PROVIDERS Individual Data: SMHC, EMHC, and all RHAs except for Churchill RHA Encounter Data: EMHC, BRHA, NEHA, SERHA, CRHA, ARHA, NRHA
PROCESS • Four different forms: client open; client close; status change; and, encounters • CMH - Coded by CMH workers and entered by clerical staff • Facilities - Individual data is abstracted from charts and entered by clerical staff. Encounter data is coded by clinicians and entered by clerical staff.
EXAMPLE:MARITAL STATUS 1 = never married 2 = married 3 = common-law 4 = separated 5 = divorced 6 = widowed 7 = other 9 = unknown
Consistent demo-graphic, diagnostic, contact, and open/close date information Trend analysis Links to DAD and Physician databases Work intensive - greater chance of error Several optional fields-inconsistency Different interpretation of diagnostic codes Several regions not providing encounter data POSITIVES NEGATIVES
RECOMMENDATIONS • Review annual regional MHMIS reports for data availability and accuracy. • Implement a time-limited directive in which regions consistently complete all fields, especially if the mental health deliverable focuses on an optional field, such as ‘living arrangement’.