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)