Variations in Performance of Mental Health Providers in the English NHS: An Analysis of the Relationship Between Readmission Rates and Length-of-Stay

Valerie Moran; Rowena Jacobs; Anne Mason

doi:10.1007/s10488-015-0711-4

Variations in Performance of Mental Health Providers in the English NHS: An Analysis of the Relationship Between Readmission Rates and Length-of-Stay

Valerie Moran, Rowena Jacobs, Anne Mason

Centre for Health Economics

Research output: Contribution to journal › Article › peer-review

Abstract

Length-of-stay (LOS) for inpatient mental health care is a major driver of variation in resource use internationally. We explore determinants of LOS in England, focusing on the impact of emergency readmission rates which can serve as a measure of the quality of care. Data for 2009/2010 and 2010/2011 are analysed using hierarchical and non-hierarchical models. Unexplained residual variation among providers is quantified using Empirical Bayes techniques. Diagnostic, treatment and patient-level demographic variables are key drivers of LOS. Higher emergency readmission rates are associated with shorter LOS. Ranking providers by residual variation reveals significant differences, suggesting some providers can improve performance.

Original language	English
Pages (from-to)	188–200
Number of pages	13
Journal	Administration and Policy in Mental Health and Mental Health Services Research
Volume	44
Issue number	2
Early online date	9 Jan 2016
DOIs	https://doi.org/10.1007/s10488-015-0711-4
Publication status	Published - 9 Jan 2016

Bibliographical note

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10.1007/s10488-015-0711-4

Administration & Policy in Mental Health Manuscript_Revisions_ 2
© Springer 2016. This is an author produced version of a paper published in Administration Policy in Mental Health. Uploaded in accordance with the publisher's self-archiving policy.
Accepted author manuscript, 1.03 MB
ErratumFinal published version, 536 KB

http://doi.org/10.1007/s10488-016-0720-y

Cite this

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Variations in Performance of Mental Health Providers in the English NHS: An Analysis of the Relationship Between Readmission Rates and Length-of-Stay. / Moran, Valerie; Jacobs, Rowena ; Mason, Anne.
In: Administration and Policy in Mental Health and Mental Health Services Research, Vol. 44, No. 2, 09.01.2016, p. 188–200.

Research output: Contribution to journal › Article › peer-review

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