Data Tables

Population Data Sources

General Population Surveys and Responsible Agencies
Agency	Survey
National Institute of Mental Health (NIMH)	Epidemiologic Catchment Area (ECA) Program; Diagnostic Interview Schedule (DIS)
National Institute of Mental Health	National Comorbidity Survey (NCS); Composite International Diagnostic Interview (CIDI)
National Center for Health Statistics (NCHS)	National Health Interview Survey (NHIS)
National Center for Health Statistics	National Health Interview Survey on Disability (NHIS-D)
Centers for Disease Control (CDC)	Behavioral Risk Factor Surveillance Survey (BRFSS)
Office of Applied Studies (OAS), Substance Abuse and Mental Health Services Administration (SAMHSA)	National Household Survey on Drug Abuse (NHSDA)
Centers for Disease Control	Youth Risk Behavior Surveillance Survey (YRBSS)
Centers for Disease Control	Fatality Analysis Report System (FARS)
Census Bureau	U.S. Census
Agency for Health Research & Quality (AHQR) and National Center for Health Statistics	Medical Expenditure Panel Survey (MEPS)
Agency for Health Research & Quality	Health Care Cost and Utilization Project (HCUP-3)
National Institute of Mental Health	Utilization, Need, Outcomes and Costs for Child and Adolescent Populations (UNOCCAP)—this survey was developed, but never fielded

Data Elements for the Population Data Set

Community demographics

Gender
Age
Ethnicity
Primary language
Educational and occupational attainment
Median income
Housing arrangements (i.e., vacancy rates, affordability, quality, homelessness)

Community characteristics that would bear on risk for disorders

Unemployment rates
Poverty rates
Proportions of single-parent families
Rates of violence against persons
Proportions of youth under age 18 not enrolled in school

Health and mental health characteristics

Prevalence of a range of physical and mental disorders
Prevalence of SMI, SED, and SPMI
Prevalence of restricted activity days, bed disability days, school absence days
Rates of inpatient and outpatient mh/sa service utilization by payer and provider
Rates of SSI or SSDI
Self-ratings of physical and mental health

Access to and use of services

Number of managed care organizations and other health plans
Proportion of the population enrolled in each (vs. none) of the plans
Coverage for behavioral health services
Provider participation in local health plans
Proportion of individuals with SMI not accessing treatment

Treatment and prevention services

Participation of Medicaid providers in behavioral health-related EPSDT
Rates of involuntary inpatient and outpatient commitment
Episodes of seclusion and restraint per unit time

Community support

Presence of advocacy organizations (e.g., NAMI and Federation of Families)
Availability of support groups for mental health-related problems and issues.

Data Elements for the Enrollment Data Set
Domain	Data Elements	Definition	Ready for Prototype
Unique Identifiers	Sponsor ID	Refers to a unique identification number for the entity who is funding the coverage. This could include a private employer, government, self-pay, union, etc.	No
	Plan ID	A unique identification number for the entity that has responsibility for paying the claim. The plan and sponsor may be the same organization.	No
	Enrollee Identifier	Unique Identification number for the members of a plan. The enrollee and dependents would each have a unique ID.	No
	Primary Health Care Provider ID	Member’s physician selected at time of enrollment. Unique ID of Primary Care Physician.	No
Member	Eligibility Status	Identifies whether the member is on or eligible for Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI).	Yes
	Date of Birth	Member’s birthday.	Yes
	Marital Status	The marital status of the member at time of enrollment (to be updated) using categories compatible with U.S. Census.	Yes
	Gender	Sex of member.	Yes
	Race	Origins of the member using U.S. census categories.	Yes
	Hispanic Origin	Origins of the member using U.S. census categories.	Yes
Member Continued	Residence	Zip code (Plan would need full address).	Yes
	Living Arrangement	The member’s usual living arrangement indicating whether they live alone, with relatives or non-related persons.	Yes
	Residential Arrangement	The member’s usual residential arrangement which includes on the street or in a shelter, private residence, jail or correctional facility, other residential arrangement or other institutional setting.	Yes
	Years of Schooling	Educational level attained at time of admission.	Yes
	Employment	Status at time of enrollment using U.S. Census categories.	Yes
	Occupational Code	Most recent occupation of member.	Yes
	Primary Language	Member identifies language most frequently used in conversation.	No
Plan	Date Enrollment Begins	The date on which the member becomes eligible for coverage.	Yes
	Date Enrollment Ends	The date on which a member’s eligibility for coverage is terminated.	Yes
Health Status	Self Reported Health Status	Global measure of health status at time of enrollment using the National Health Interview Survey (five category rating from excellent to poor).	Yes
Health Status Continued	Functional Status	Global rating of the member’s overall abilities to care for self.	No
	Disenrollment Reason	Primary reason for member discontinuing coverage.	No
	Cause of Death	Cause of death to include suicide, accident or other (to be determined).	No

Data Elements for Encounter Data Set
Domain	Data Element	Definition	Ready for Prototype
Unique Identifiers	Plan Identifier	A unique identification number for the entity that has responsibility for paying the claim. The plan and sponsor may be the same organization.	No
	Enrollee Identifier	The unique identification number for the members of a plan. The enrollee and dependents would each have a unique ID.	No
	Provider Specialty Type	Identification of the provider’s professional classification or specialty (e.g., physician, psychiatrist, psychologist, master level therapist, peer counselor).	No
	Facility Identifier	If services are rendered in an organization (e.g., the provider is employed by an organization that holds the contract with the plan, hospital, etc.), this is a unique ID that identifies the facility.	No
Service	Claim Identification or Transaction Number	The unique identification number assigned to the transaction.	Yes
	Date of Service	The date the service is delivered to member.	Yes
	Date Service Begins	The date the service started (e.g., hospital admission date, partial care start date, first outpatient visit in an episode of care).	Yes
Service Continued	Date Service Ends	The date the service terminated (e.g., hospital discharge date, partial care stop date, last outpatient visit in an episode of care).	Yes
	Admission Date (Inpatient)	The start date for inpatient services.	Yes
	Discharge Date (Inpatient)	The discharge date for inpatient services.	Yes
	Duration of Service	The actual time in hours and minutes provider was involved in the encounter.	Yes
	Type of Service	The codes for services delivered by the provider. This might include a subset of codes that describe treatment in detail (e.g. individual supportive psychotherapy, cognitive-behavioral group therapy).	Partial
	Provider Identifier	The code that uniquely identifies the service provider for this encounter (may be more than one).	No
	Service Location	The place of service delivery.	Partial
	Medications Prescribed	The data will include prescription(s), unit/dose, refill number using coding recommended in HIPAA standards: National Council for Prescription Drug Programs (NCPDP).	Partial
	Disposition/ Discharge Status	The chief reason for termination or discharge and the recommendation of the provider at the end of the encounter (e.g., further treatment needed).	Partial
	Discontinuation Date	The date the provider terminates the client from treatment.	Yes
Member	Principal Diagnosis	The diagnosis chiefly responsible for admission of the member (inpatient) or for seeking the service (outpatient).	Partial
	Primary Diagnosis	The diagnosis that is responsible for the majority of the care given to the member or the resources used in the care (inpatient and outpatient). Primary and principal diagnosis may often be identical.	Partial
	Other Diagnosis	Other diagnoses that coexist or develop subsequently that may affect the treatment received or length of stay. NCVHS recommends coding for onset prior to admission (yes or no).	Partial
	Legal Status	The member’s legal status with regard to the encounter (e.g., involuntary civil or criminal commitment, voluntary admission).	Yes
Cost	Total Charge	The total charges for the encounter (this should reflect the total cost of the encounter).	Yes
	Member Co-pay	The amount of payment covered by the member.	Yes
	Payment Method	Method of payments (pmpm, case rate, fee for service, etc.)	Yes
	Plan Pay	The amount of payment expected to be covered by the plan for fee for service charges.	Yes

Data Elements for the Financial Data Set
Domain	Data Elements	Definition	Ready for Prototype
Unique Identifiers	Payer or sponsor identifier	Unique identification number for the entity who is funding (providing payment for) the coverage. This could include a private employer, government (Medicare, Medicaid), self-pay, union, etc.	No
	Payee identifier	Unique identification number for the entity who receives payment for the service delivered.	No
	Organization identifier(s)	Unique identification numbers for all entities involved in the financial transactions	No
	Individual covered by payment identifier	Unique identification number for the consumer.	Yes
Person-level Data Elements	Consumer copayment	An out-of-pocket payment made by or charged to the consumer at the time of visit or discharge.	Yes*
	Consumer payment towards deductible	Total copayments made that are counted toward a deductible. Once a deductible amount is met, copayments generally decline or are zero.	Yes*
	Third party payment	Payment made by an insurer or other payer (e.g., Medicaid).	Yes*
*dollar amount
Person-level Data Elements Continued	Method of third party payment (if any)	Describes the financial incentives: fee-for-service, salary, capitation, case rate, DRG, per diem are the principal examples.	No
	Compensation method	This is different from method of third party payment if the clinician does not contract directly with the third party – e.g., is in a group practice.	Yes
	Date of payment	Date on which claim or prospective payment is made.	Yes
	Time period covered by payment (e.g., capitation payments often cover one month)	Dates over which payment is intended to cover average costs (if fee-for-service, then point in time).	Yes
Organization-level Data Elements	Current assets	Cash—funds on hand and in the organization’s bank account Marketable securities—holdings of short-term notes, stocks, and bonds held for their return and which can be readily sold Accounts receivable—amounts owed to the organization Allowance for doubtful accounts (bad debts—an estimate of the amount of accounts receivables that will not be collected Other current assets—current assets other than cash and accounts receivable that are to be converted into cash within a year, e.g., inventories and prepaid items such as rent and insurance	No
Organization-level Data Elements, Continued	Non-current assets	Unlike current assets, non-current assets are not expected to be converted into cash within a year. Furniture and equipment—tangible assets other than buildings and land owned by the organization and used in the course of business, depreciated over time Buildings—those being purchased or already owned by the organization and used in the bourse of business, depreciated over time Land—land such as building sites, used in the course of business and which is being purchased or owned by the organization, not depreciated Other non-current assets—all non-current assets other than land, buildings, furniture, and equipment used in the course of business, such as long-term investments, franchises, and other intangible assets	No
	Total assets	The total of all current and non-current assets as a dollar value.	No
	Current liabilities	A dollar value for the debts that require payment within a year (wages payable, accounts payable, interest payable, etc.)	No
	Non-current liabilities	A dollar value for the long-term obligations to be paid beyond a year (mortgages, bonds payable, notes payable, etc.)	No
Organization-level Data Elements, Continued	Total liabilities	The total of current and non-current liabilities as a dollar value.	No
Organization-level Data Elements, Continued	Operating revenue and support: first and third-party revenue by program element	A dollar figure for each category should be provided for each program element operated by the organization. Consumer revenue (revenue earned from the delivery of services paid by the consumer or a responsible party other than third party payers) Insurance revenue, including CHAMPUS (revenue paid by an insurance carrier for services delivered) Medicare revenue Medicaid revenue (Federal and State) Total first- and third-party revenue by program element	No
	Operating revenue and support: all other sources	A dollar figure for all categories should be provided for each program element operated by the organization. State mental health agency support Other State agency support Federal Block Grant support Other Federal support Municipality, county, and other local support Other operating revenue and support	No
Organization-level Data Elements Continued	Non-operating revenue	A dollar amount for the income the organization receives that is not related to the delivery of mental health services (investments such as interest, business income, capital gains, gifts and contributions of cash or liquid assets, bequests and charitable contributions, and research support).	No
	Total revenue and support	The sum of operating and non-operating revenue and support as a dollar value.	No
	In-kind contributions and volunteers	The estimated dollar value of benefits received by an organization where no funds are exchanged (examples include the fair market value minus actual rent for a building or value of staff assigned to the organization by other entities who are on the payroll of those entities).	No
	Operating expenses by program element	Expenses related to the delivery of mental health services broken out by program element. Operating expenses include rent, salaries, supplies, insurance, and utilities.	No
	Non-operating expenses	A dollar amount for the expenses of the organization that is not related to the delivery of mental health services (e.g. interest on loans).	No
Organization-level Data Elements Continued	Total expenses	The sum of operating and non-operating expenses as a dollar value.	No

Data Elements for the Human Resources Data Set
Data Element	Definition		Ready for Prototype
Social Security Number *	Social Security Number		Yes
Unique Provider Identification Number *	Unique Provider Identification Number (UPIN) assigned by the Health Care Financing Agency for use in submitting Medicare and Medicaid bills		No
Staff Unique Identifier ⁺	For all staff. A unique identifier that corresponds to a staff member independent of the organization reporting. May be the same as the Provider ID.		No
Date of Birth * ⁺	Staff member’s date of birth (mm/dd/yyyy)		Yes
Sex * ⁺	Staff member’s gender (male/female)		Yes
Race and Ethnicity * ⁺	The US Census Definition (all that apply) African-American or Black American Indian or Alaskan Native Asian or Pacific Islander Hispanic White Other (specify) If Hispanic: Mexican American Puerto Rican Other Hispanic (specify)		Yes
Primary Professional Identification * ⁺	Self-selected category that best reflects the major discipline, training, or profession for which staff member has been trained or hired (rank all that apply) Activity therapist (e.g., art, music, dance, recreational, or occupational therapist) Counselor (e.g., clinical mental health, rehabilitation, school, substance abuse, vocational counselor) Marriage and family therapist Nurse (other than a psychiatric nurse) Physician (other than a psychiatrist) Psychiatric nurse Psychiatrist Psychologist (e.g., clinical, counseling) Psychosocial rehabilitation specialist School psychologist Social worker Sociologist (e.g., applied or clinical) Other mental health professional (specify) Leginski et al., 1989 include: mental health worker with less than a bachelor degree; schoolteacher; public, hospital, or business management/administration; speech therapist; dietician; pharmacist or assistant; dentist or dental assistant; other physical health professional or assistant; medical records administrator or technician; other worker (support, maintenance, administration).		Partial
Employment Primary Professional Discipline *	Whether staff member is employed in the primary professional discipline ranked #1 in each of primary setting and secondary setting		Yes
Degrees Earned * ⁺	Although question formats may vary, the minimum data elements should include type of degree, field of degree, year of receipt, and the institution awarding the degree. Doctorate (e.g., MD, PhD, ScD, JD, EdD, DO) Master’s Baccalaureate Less than baccalaureate (e.g., AA or RN) Other (specify) Pion et al., 1998 include the field of the degree (e.g., clinical psychology, social work or sociology), year degree was degree awarded, and name of the institution awarding the degree (Name, City, State/Province, Country, Name of Dpt) Leginski et al., 1989 include education level: less than high school diploma or GED, high school diploma or GED, some college, associate degree, bachelor degree		Partial
Credentials for Practice * ⁺	Whether staff member is currently licensed, registered, or certified to practice in his/her profession by one or more of the 50 states, the District of Columbia, or US territories. Pion et al., 1998 asks respondents to indicate the specialties of the current licensure, registration, or certification, the states in which they are valid (e.g., clinical psychology, school counseling, or occupational therapy), to be specific, and not to use initials or abbreviations: Licensure (specialty/state(s)) Board certification (MDs only) (specialty/state(s)) Other certification (specialty/state(s)) Other registration (specialty/state(s)) Pion et al., 1998 also asks respondents to indicate any additional practice-related credentials and the full name of the credentialing body (e.g., Diplomate in Clinical Psychology by the American Board of Professional Psychology).		Partial
Employment Status * ⁺	Staff member’s current employment status (check one): Employed (by an organization or individual or self-employed) Student (trainee, intern, resident, postdoctoral fellow, other trainee) Retired and not employed (if self-employed, do not answer) Not currently employed Other (specify) Leginski et al., 1989 suggest, in addition, the following: Salaried, payroll (full- or part-time) Paid under contractual arrangement Volunteer Attending Pion et al., 1998 also ask: If not employed: is respondent currently looking for work? (yes/no) If employed: what are the number of hours per week respondent typically works for pay? [If time period is atypical due to illness, vacation, or other circumstances, typical hours worked per week are reported] If employed: is respondent currently seeking employment in addition to current job or position? (yes/no)		Yes
Number of Separate Paid Positions *	Number of different employment positions currently held (e.g., if respondent works part-time in a drug abuse clinic and also has a part-time independent practice, this should be reported as two positions. If respondent has two different job titles such as Associate Professor and Director of the Student Counseling Center, these are also two separate positions.)		Yes
Employment Setting(s) *	From the list below, the category that best describes the employment setting of the respondent’s primary and secondary paid positions: Academic setting (universities, 4- and 2-year colleges, professional schools) Hospitals, including public, for-profit, and nonprofit (general, psychiatric, rehabilitation, other specialty population hospitals) Other residential health care settings (nursing homes, residential treatment centers, group homes, half-way houses, rehabilitation settings, other transitional settings) Clinics, rehabilitation, and other outpatient settings (community mental health centers, freestanding mental health outpatient clinics, health maintenance organizations, specialized health service clinics such as substance abuse or pain clinics, other ambulatory health or mental health settings, freestanding rehabilitation agencies) Home health agency Individual independent practice Group independent practice Other (business and industry, schools and school systems, criminal justice systems, Federal, State, and local agencies, other social service agencies, other settings not mentioned above) Number of hours worked in last typical work week		Yes
Work Activities *	Total number of hours that respondent worked in primary paid position, and total number of hours worked in all paid positions combined. For the past week, number of hours spent in specific work activities in primary paid position and in all of positions combined: Direct care (diagnostic assessment, evaluation, medication prescription and management, treatment) Clinical supervision of staff and trainees Clinical/community consultation and prevention (not involving direct care) Educational activities (teaching or courses or professional workshops, curriculum development, course evaluation Management and administration (policy or program development and review, personnel administration, recruiting, budgeting) Research (basic and applied) Other activity not mentioned above (e.g., scholarly writing) Typical work week? (yes/no) If no, number of hours worked in primary position in a typical week		Yes
Zip Code(s) Service Settings*	First 5 digits of zip code of residence and primary and secondary paid positions as well as for services provided in other settings		Yes
Relationship to Employer(s) *	Financial arrangement to employer(s) for primary and secondary positions: An employee of an organization (e.g., responsible through a supervisor for attaining company goals; paid by company resources) Self-employed (including group independent practice association, and private practice, consulting) Percentage from the following payment arrangements: Fee for service (i.e., a bill is submitted for each service provided) Fee for service with a withholding (i.e., a portion of fee is withheld and paid only at end of year based on some type of performance criteria) Fixed rate per case (i.e., a set amount of dollars for each consumer treated without regard to intensity or length of treatment; services are not reimbursed separately) Capitation payment (i.e., a payment based on the population of consumers for whom respondent or organization has agreed to provide services if services are needed) Consumer self-pay Salary Other (specify)
Involvement in Managed Care Arrangements *	Number of affiliations respondent has with each of the following types of managed care arrangements (in any setting); whether any income is received from each of these arrangements. Includes both being a salaried provider in a centralized health maintenance organization (HMO) and contracting with a behavioral healthcare firm that supplies referrals under a reduced fee for service arrangement and also carries out utilization review of cases: As a salaried staff member of an HMO which is responsible for both general and behavioral healthcare As a salaried staff member of an HMO responsible solely for behavioral healthcare As a member of a group practice that is a contracted network provider to an HMO As a member of a group practice that is a contracted network provider to a behavioral healthcare firm As an independent practitioner who is a contracted network provider to an HMO As an independent practitioner who is a contracted network provider to a behavioral healthcare firm Other types of managed care arrangements (specify)		Yes
Source(s) of Payment for Provision of Direct Services *	Funding sources that consumers may use to pay for direct services (all that apply) and percentage of reimbursement from each source: CHAMPUS (Civilian Health and Medical Provider of the United States) Medicaid Medicaid which is HMO Medicaid which is another managed care network (e.g., PPO, POS) All other Medicaid Medicare Medicare which is HMO Medicare which is PPO Other Federal funding State, county, or city funds Private fee-for-service/individual’s insurance plan (e.g., major medical plan such as Blue Cross/Blue Shield or Aetna without a preferred provider arrangement or HMO; may include utilization review) Preferred provider private insurance plan HMO, private insurance plan (not Medicare or Medicaid HMO) Consumer’s own funds (out-of-pocket dollars from client or family) Other (specify)		Yes
Provision of Direct Services to Special Populations *	Total number of consumers treated by respondent during most recent typical week of practice. Percentage of consumers with certain characteristics to whom respondent provided direct services during the last typical week: Children (individuals aged 10 years or younger) Adolescents (individuals aged 11-17 years) Adults (individuals aged 18-64 years) Elderly (individuals aged 65 years and older) Individuals Couples Groups Families (parents, relatives, and/or children as a unit) Community prevention services African-American or Black American Indian or Alaskan Native Asian-American or Pacific Islander Hispanic (Cuban, Mexican American, Puerto Rican, or other Hispanic) White Other (specify) Male Female		Yes
Provision of Direct Services to Special Populations Continued	Using DSM-IV diagnostic categories, provision of services during the most recent typical week to consumers with any of the following disorders (all that apply): Adjustment problems, family and/or relationship problems, or academic problems Affective disorders (bipolar disorder, major depression) Anxiety disorders Dually diagnosed individuals (i.e., individuals with a mental health and substance abuse diagnosis, a mental health and mental retardation diagnosis, or a mental retardation and substance abuse diagnosis) Mental retardation and other developmental disorders Organic brain disorders and syndromes Personality disorders (borderline disorders, antisocial disorders) Schizophrenia or other major psychoses Substance abuse (alcohol abuse or dependency, drug abuse) Disorders usually first diagnosed in infancy, childhood, or adolescence (other than mental retardation or developmental disabilities) Other mental health problems not listed above Other general health problems (specify) Unable to specify
Languages Other than English *⁺	Whether staff member can provide direct services to consumers in any language other than English (yes/no/specify) Pion et al., 1998 includes the percentage of consumers to whom respondent provided direct services that required use of languages other than English in the past time period		Yes
Staff Separation Date ⁺	If applicable, the month during which the relationship or affiliation between the individual and the organization was terminated		Yes
Country of Highest Degree		Name of Country
Private Practice Maintained		The individual maintains a private practice in this profession (yes/no/not applicable).
University or college Affiliation		The individual is affiliated with a university or college to teach or conduct research at that institution (yes/no/not applicable).
Participation in Job-related or Career Development Training		The individual has participated in any of the following types of training intended to improve job performance, acquire additional skills, or satisfy a continuing education expectation: In service training, i.e., sponsored by the organization, usually onsite and during work hours Extracurricular, i.e., sponsored by another organization, usually offsite, and release time from work may or may not be granted None
Income from Organization		Actual or estimated income for annual salary or reimbursement received from this organization, including overtime and bonuses, and excluding fringe benefits.
Fringe Benefits Value		Estimated percentage of the person’s salary from the organization that the fringe benefits represent. These include contributions to retirement funds, health insurance, or life insurance payments, education benefits, participation in profit sharing, shares of stock, etc.
Year of Degree		A 4-digit code for year in which the highest degree was granted.
Primary Job Function		The assigned category that best describes the major function the organization expects the person to perform on a day-to-day basis: Direct or adjunctive clinical service Consultation, education, or prevention Administration or management Other job function (all other job functions in organization not covered above)
Experience		Prior to current employment or affiliation with the organization, total number of years worked in mental health. (If 6 months or less, round down; if more than 6 months, round up.)
Sources: Mental Health Statistics Improvement Program, Draft for FN-11

Data Elements for the Organization Data Set
Data Element	Definition	Ready for Prototype
Organization Identifier	Federal ID Number or National Provider System ID Number	No
Organization Location	P.O. Box number or street number and name, city or town, State, zip-code	Yes
Clinician Identifier (link to human resources data set)	Federal ID Number or National Provider System ID Number	No
Clinician Location (link to human resources data set)	P.O. Box number or street number and name, city or town, State, zip-code	Yes
Type of Facility	The category that best characterizes its general type: Psychiatric hospital Psychiatric unit of a general hospital Organization providing residential services Outpatient mental health clinic Mental health partial or day hospital Multi-service mental health organization Consumer-run mental health organization FQHC (Federally Qualified Health Clinic) Other mental health organization	Partial
Name of Director	Last name, first name, middle initial, degree. The director of the organization is generally the individual regarded as accountable for the performance of the organization.	Yes
Telephone Number of the Director	Area code, 7-digit number, extension	Yes
Locations of Directly Operated Service Sites and Program Elements	The address of each site directly operated by the organization and an indication of its program elements.	Yes
Type of Ownership or Control	For profit (individual, partnership or corporation, state-local government, state government, county or city government, district/regional authority) Not-for-profit (religious organizations, Federal government, Other	Yes
University or College Affiliation	Various affiliations exist with universities or colleges: Operated by a college or university Offers professional services provided by a college or university Provides placements for clinical trainees Operates a clinical training program None	Yes
Total Revenue and Support (link to financial data set)	Operating revenue and support: first- and third-party revenue (includes client fee payments, insurance payments, Medicare, Medicaid) Operating revenue and support: all other sources (includes grants, matches, allocations, appropriations, purchase-of-service agreements, service contracts, etc., from State, Federal, municipal, and other sources) Non-operating revenue and support (includes revenue and support not related to the delivery of mental health services such as gifts, capital gains, interest, research grants, etc.) Total revenue and support	No
Number of Hours of Operation Scheduled Per Week	Number, rounded to nearest whole hour, usually scheduled each week.	Yes
Relation to the State Mental Health Agency	The relationship the provider has with the state regarding operation and funding. Operated by: State Mental Health (MH) Agency State agency other than MH Other than state agency Receives funds: Directly from State MH agency, exclusive of Medicaid Indirectly from State MH agency through an intermediary Directly or indirectly from a State agency other than State MH agency, exclusive of Medicaid Does not receive funds from any State agency, exclusive of Medicaid	No
Admissions	Total number of admissions of clients for the reporting year.	Yes
Discontinuations	Total number of clients discharged or otherwise leaving the rolls of the organization during the reported year.	Yes
Number of Hot-Line Phone Calls	Number of phone calls received by a dedicated telephone line, which is used as a crisis hotline, for emergency counseling, or referral resources for callers with mental health problems, during the reporting year.	Yes
Total Full-Time Equivalents by Type of Service	Total number of staff hours attributed to each type of service/program element for the reporting year.	Partial
Number of Consumers on Rolls by Type of Service (link to encounter data set)	Total number of consumers on the rolls or census of each type of service directly operated by the organization at the end of the reporting year.	Partial
Number of Beds Set Up and Staffed by Type of Service	The number of beds set up and staffed by type of service at the end of the reporting year.	Partial
Number of Consumers Days or Units Provided By Type of Service (link to encounter data set)	The number of consumer days provided by types of service during the reporting year.	Partial
Types of Services Provided	Intake, Diagnostic, and Screening Services Intake/screening Diagnostic evaluation Information and referral services Treatment Services Individual therapy Family/couple therapy Group therapy Collateral services Electroconvulsive therapy Medication therapy Activity therapy Behavioral therapy Mobile treatment team Psychiatric emergency walk-in Telephone hotline Substance abuse detoxification Other substance abuse services Rehabilitation Services Vocational rehabilitation services Educational services Psychiatric rehabilitation	Yes
Types of Services Provided, Continued	Support Services Case management services Legal advocacy Drop-in center General support Intensive residential services Supportive residential services Housing services Respite residential services Foster care Program for Assertive Community Trial (PACI) or Continuous Treatment Team Program (CTTP)

Indicators and Domains for the Performance Indicator and Report Card Data Set

Access

Timeliness of response
Penetration rates for specific populations (age, gender, diagnosis, culture)
Range of services
Barriers, denials, disenrollment
Consumers’ perceptions of access

Quality/Appropriateness

Timeless of follow-up after hospitalization
Availability of services that promote recovery (atypical medications, assertive community treatment [ACT], supported employment, supported housing)
Availability of consumer choice (provider, plan, treatment, family involvement)
Access to health services
Availability of appropriate services/specialists
Consumers’ perceptions of quality/appropriateness

Outcomes

Reduced severity of problems/symptoms
Improved functioning
Employment
School attendance/performance
Living situation
Involvement with the criminal justice system
Quality of life
Reduced substance abuse
Fewer adverse outcomes
Recovery
Consumers’ perceptions of outcomes

Structure/Plan management

Cost per unit service
Cost per consumer
Administrative costs
Consumer/family member involvement

Early intervention/Prevention

Substance abuse screening
Use of self-help/self-management
Identification of high risk populations
Psycho-educational programs

Indicators for the Outcomes Data Set (from the 16-state indicator study)

Consumer perception of outcomes
School improvement
Employment
Functioning
Symptom relief
Adverse outcomes
Consumer injuries
Elopement
Out of home placements
Health status
Recovery/hope/personhood
Reduced substance abuse impairment
Living situation
Involvement with the criminal justice system

Next steps for Quality Tools

Link performance indicators and outcome measures to evidence-based clinical and organizational practices (clinical and system guidelines)

Develop guidelines for design and implementation of quality tools

Develop guidelines for appropriate interpretation and reporting of resulting data

Resolve instrumentation issues regarding special populations, terminology, calibration, and measurement of recovery and personhood

Develop methods for using data to guide system change and treatment decisions

Develop education and training for consumers, family members, providers and managers in quality measurement.

Next steps for Clinical Guidelines

Develop for more disorders and problems in living

Achieve consensus on which guidelines are the best

Train clinicians in the use of guidelines

Design clinical guidelines software

Create a standard terminology of treatments

Next Steps for System Guidelines

Refine definitions and typology

Search for other prototypical examples

Use prototypes to write a system guideline

Field test the system guideline

Next Steps for DS2000+

Link performance indicators and outcome measures to evidence-based clinical and organizational practices (clinical and system guidelines)

Develop guidelines for design and implementation of quality tools

Develop guidelines for appropriate interpretation and reporting of resulting data

Resolve instrumentation issues regarding special populations, terminology, calibration, and measurement of recovery and personhood

Develop methods for using data to guide system change and treatment decisions

Develop education and training for consumers, family members, providers and managers in quality measurement.