scholarly journals A missed opportunity to improve practice around the use of restraints and consent in residential aged care: Limitations of the Quality of Care Amendment (Minimising the Use of Restraints) Principles 2019

2019 ◽  
Vol 39 (3) ◽  
pp. 292-296
Author(s):  
Carmelle Peisah ◽  
Tiffany Jessop ◽  
Juanita Breen
Keyword(s):  
Quality Of Care ◽  
Aged Care ◽  
Residential Aged Care ◽  
Missed Opportunity ◽  
Improve Practice

scholarly journals Diagnosis of dementia in residential aged care settings in Australia: An opportunity for improvements in quality of care?

2018 ◽  
Vol 37 (4) ◽  
pp. E155-E158 ◽  
Author(s):  
Suzanne M Dyer ◽  
Emmanuel S Gnanamanickam ◽  
Enwu Liu ◽  
Craig Whitehead ◽  
Maria Crotty
Keyword(s):  
Quality Of Care ◽  
Aged Care ◽  
Residential Aged Care ◽  
Diagnosis Of Dementia

scholarly journals Benchmarking clinical indicators of quality for Australian residential aged care facilities

2010 ◽  
Vol 34 (1) ◽  
pp. 93 ◽  
Author(s):  
Mary Courtney ◽  
Maria T. O'Reilly ◽  
Helen Edwards ◽  
Stacey Hassall
Keyword(s):  
Quality Of Care ◽  
Clinical Outcomes ◽  
Clinical Care ◽  
Aged Care ◽  
Minimum Data Set ◽  
Residential Aged Care ◽  
Data Set ◽  
Clinical Indicators ◽  
Minimum Data

To undertake exploratory benchmarking of a set of clinical indicators of quality care in residential care in Australia, data were collected from 107 residents within four medium-sized facilities (40–80 beds) in Brisbane, Australia. The proportion of residents in each sample facility with a particular clinical problem was compared with US Minimum Data Set quality indicator thresholds. Results demonstrated variability within and between clinical indicators, suggesting breadth of assessment using various clinical indicators of quality is an important factor when monitoring quality of care. More comprehensive and objective measures of quality of care would be of great assistance in determining and monitoring the effectiveness of residential aged care provision in Australia, particularly as demands for accountability by consumers and their families increase. What is known about the topic?The key to quality improvement is effective quality assessment, and one means of evaluating quality of care is through clinical outcomes. The Minimum Data Set quality indicators have been credited with improving quality in United States nursing homes. What does this paper add?The Clinical Care Indicators Tool was used to collect data on clinical outcomes, enabling comparison of data from a small Australian sample with American quality benchmarks to illustrate the utility of providing guidelines for interpretation. What are the implications for practitioners?Collecting and comparing clinical outcome data would enable practitioners to better understand the quality of care being provided and whether practices required review. The Clinical Care Indicator Tool could provide a comprehensive and systematic means of doing this, thus filling a gap in quality monitoring within Australian residential aged care.

scholarly journals Clustered domestic model of residential care is associated with better consumer rated quality of care

2018 ◽  
Vol 31 (6) ◽  
pp. 419-425 ◽  
Author(s):  
Emmanuel S. Gnanamanickam ◽  
Suzanne M. Dyer ◽  
Rachel Milte ◽  
Enwu Liu ◽  
Julie Ratcliffe ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Quality Of Care ◽  
Residential Care ◽  
Consumer Choice ◽  
Aged Care ◽  
Models Of Care ◽  
Summary Score ◽  
Residential Aged Care ◽  
Cross Sectional

Abstract Objective To compare consumer rated quality of care among individuals living long-term in homelike clustered domestic and standard models of residential care in Australia. Design Cross-sectional study. Setting Seventeen residential aged care facilities in four Australian states providing alternative models of care. Study participants A sample of individuals with high prevalence of cognitive impairment living in residential care for 12 months or longer, not immediately in palliative care and having a proxy available to provide consent and assist with data collection. Of 901 eligible participants, 541 consented and participated in the study. Main outcome measure Consumer rated quality of care was measured using the Consumer Choice Index–6 Dimension instrument (CCI-6D) providing a preference weighted summary score ranging from 0 to 1. The six dimensions of care time, shared-spaces, own-room, outside and gardens, meaningful activities and care flexibility were individually evaluated. Results Overall consumer rated quality of care (Mean ∆: 0.138, 95% CI 0.073–0.203 P < 0.001) was higher in clustered domestic models after adjusting for potential confounders. Individually, the dimensions of access to outside and gardens (P < 0.001) and flexibility of care (P < 0.001) were rated significantly better compared to those living in standard model of care. Conclusions Homelike, clustered domestic models of care are associated with better consumer rated quality of care, specifically the domains of access to outdoors and care flexibility, in a sample of individuals with cognitive impairment. Including consumer views on quality of care is feasible and should be standard in future evaluations of residential care.

scholarly journals Medication-related quality of care in residential aged care: an Australian experience

2019 ◽  
Vol 31 (4) ◽  
pp. 298-306 ◽  
Author(s):  
Jodie B Hillen ◽  
Agnes Vitry ◽  
Gillian E Caughey
Keyword(s):  
Cardiovascular Disease ◽  
Quality Of Care ◽  
High Risk ◽  
Health Services ◽  
Aged Care ◽  
Residential Aged Care ◽  
Permanent Resident ◽  
Related Quality ◽  
Medication Reviews

Abstract Objective To describe medication-related quality of care (MRQOC) for Australian aged care residents. Design Retrospective cohort using an administrative healthcare claims database. Setting Australian residential aged care. Participants A total of 17 672 aged care residents who were alive at 1 January 2013 and had been a permanent resident for at least 3 months. Main outcome measures Overall, 23 evidence-based MRQOC indicators which assessed the use of appropriate medications in chronic disease, exposure to high-risk medications and access to collaborative health services. Results Key findings included underuse of recommended cardiovascular medications, such as the use of statins in cardiovascular disease (56.1%). Overuse of high-risk medications was detected for medications associated with falls (73.5%), medications with moderate to strong anticholinergic properties (46.1%), benzodiazepines (41.4%) and antipsychotics (33.2%). Collaborative health services such as medication reviews were underutilised (42.6%). Conclusion MRQOC activities in this population should be targeted at monitoring and reducing exposure to antipsychotics and benzodiazepines, improving the use of preventative medications for cardiovascular disease and improving access to collaborative health services. Similarity of suboptimal MRQOC between Australia and other countries (UK, USA, Canada and Belgium) presents an opportunity for an internationally collaborative approach to improving care for aged care residents.

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