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

1. Inpatient Individual

2. Outpatient Individual

Encounter

3. Community Mental Individual

Health Encounter

TYPE OF DATA (Cont’d)

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

POSITIVES

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

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’.