Health of the Nation Outcomes Scales working age adults report for New Zealand

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PRIMHD summary report - HoNOS Health of the Nation Outcomes Scales working age adults report for New Zealand Please note: For this period a few DHBs have incomplete data which will affect New Zealand totals.

1. Collection completion and validity Graph 1: Percentage of service users with at least one collection during the period, New Zealand, Jul Sep 2017 and Oct Dec 2017 (18 to 64 years) 2

Graph 2: Percentage of service users with admission and discharge collections completed, New Zealand, Jul Sep 2017 and Oct Dec 2017 (18 to 64 years) Graph 3: Percentage of valid collections, HoNOS, New Zealand, Jan - Dec 2016 and Jan - Dec 2017 3

Table 3: Invalid collections by team, by HoNOS item, New Zealand, Jan - Dec 2017 Team type % Invalid Number of invalid ratings by HoNOS item Total number Adm Rev Dch 1 2 3 4 5 6 7 8 9 10 11 12 Community services 4

Team type % Invalid Number of invalid ratings by HoNOS item Total number Adm Rev Dch 1 2 3 4 5 6 7 8 9 10 11 12 Inpatient services 5

2. Outcomes changes in service user status Graph 4: Average HoNOS total score (12 items) by collection type, New Zealand, Jan - Dec 2016 and Jan - Dec 2017 6

Table 4: Average HoNOS total score (12 items), by collection type and team, New Zealand, Jan - Dec 2017 Team type Assessment only Admission Review Discharge N Mean CI N Mean CI N Mean CI N Mean CI Community services 7

Team type Assessment only Admission Review Discharge N Mean CI N Mean CI N Mean CI N Mean CI Inpatient services 8

Graph 5: Average number of clinically significant HoNOS items by collection type, New Zealand, Jan - Dec 2016 and Jan - Dec 2017 9

Table 5: Average number of clinically significant HoNOS items by collection type and team, New Zealand, Jan - Dec 2017 Team type Assessment only Admission Review Discharge N Mean CI N Mean CI N Mean CI N Mean CI Community service 10

Team type Assessment only Admission Review Discharge N Mean CI N Mean CI N Mean CI N Mean CI Inpatient services 11

Graph 6: Average number of clinically significant HoNOS items at admission and discharge by ethnic group, New Zealand, Jan - Dec 2016 and Jan - Dec 2017 12

Graph 7a: Percentage of collections in clinical range on each HoNOS item, New Zealand, Jan - Dec 2017 13

Table 7a: Percentage of collections in clinical range on each HoNOS item (admission and discharge collections) by team, New Zealand, Jan - Dec 2017 Community services First 6 HoNOS items Team type N AGR SH AOD COG PHY DelHal Adm Disch Adm Disch Adm Disch Adm Disch Adm Disch Adm Disch Adm Disch 14

Second 6 HoNOS items Team type DEP OTH REL ADL LIV OCC Adm Disch Adm Disch Adm Disch Adm Disch Adm Disch Adm Disch 15

Inpatient services First 6 HoNOS items Team type N AGR SH AOD COG PHY DelHal Adm Disch Adm Disch Adm Disch Adm Disch Adm Disch Adm Disch Adm Disch Second 6 HoNOS items Team type DEP OTH REL ADL LIV OCC Adm Disch Adm Disch Adm Disch Adm Disch Adm Disch Adm Disch 16

Graph 7b: Percentage of collections in clinical range on each HoNOS item (review collections), New Zealand, Jan - Dec 2017 17

Table 7b: Percentage of collections in clinical range on each HoNOS item (review collections) by team, New Zealand, Jan - Dec 2017 Team type N AGR SH AOD COG PHY DelHal DEP OTH REL ADL LIV OCC Community services Inpatient services 18

Graph 8: Index of Severity ratings for HoNOS by collection type, New Zealand, Jan - Dec 2016 and Jan - Dec 2017 19

3. Other measures of service activity Graph 9: Index of Severity for HoNOS (admission and review collections) by team, New Zealand, Jan - Dec 2017 20

Table 9: Index of Severity for HoNOS by collection type and team, New Zealand, Jan - Dec 2017 Team type Assessment only Admission Review Discharge Sub Mild Mod Sev N Sub Mild Mod Sev N Sub Mild Mod Sev N Sub Mild Mod Sev N Community services 21

Team type Assessment only Admission Review Discharge Sub Mild Mod Sev N Sub Mild Mod Sev N Sub Mild Mod Sev N Sub Mild Mod Sev N Inpatient services 22

Graph 10: Collections with no HoNOS items in clinical range, New Zealand, Jan - Dec 2017 23

Table 10: Collections with no HoNOS items in clinical range, New Zealand, Jan - Dec 2017 Team type Number of collections with no items in clinical range Community services Percentage with no items in clinical range Inpatient services 24

Graph 11: Focus of care categories, New Zealand, Jan - Dec 2016 and Jan - Dec 2017 25

Table 11: Focus of care categories by team, New Zealand, Jan - Dec 2016 and Jan - Dec 2017 Team type Last period Acute This period Functional gain Last This period period Community services Intensive extended Last period This period Maintenance Last period This period Number of collections Last period This period Inpatient services 26

Graph 12: HoNOS total score (review collections) by focus of care, New Zealand, Jan - Dec 2016 and Jan - Dec 2017 27

Table 12: HoNOS total score (review collections) by focus of care by team, New Zealand, Jan - Dec 2017 Team type Acute Functional gain Intensive extended Maintenance N Mean CI N Mean CI N Mean CI N Mean CI Community services Inpatient services 28