ALLITY TOPICKS | JULY 2019

National Aged Care Quality Indicator Program

23 July 2019
By Glen Hurley, Chief Operations Officer

 

National Aged Care Quality Indicator Program

What is it?

From 1 July 2019, all Residential Care services are required to participate in the National Aged Care Mandatory Quality Indicator Program (QI Program). The objective of the QI Program is to ensure that providers have robust data to support continuous quality improvement in the care they provide. 

The aims of the Quality Indicator Program are to:

What will it measure?

Q1 1: Pressure injuries

Six stages, and each represents a category of data to be collected:

  • Stage 1
  • Stage 2
  • Stage 3
  • Stage 4
  • Unstageable
  • Deep tissue

QI 2: Use of physical restraint

Two categories:

  • Intent to restrain
  • Use of physical restraint devices

QI 3: Unplanned weight loss

Two categories:

  • Significant unplanned
  • Consecutive unplanned

What are pressure injuries, physical restraint & Unplanned Weight Loss?

A Pressure injury is defined as a localised injury to the skin and/or underlying tissue usually over a bony area, as a result of pressure, shear and/or friction, or a combination of these factors. These are classified according to how severe the wound is based on clinical assessment.

Devices that are considered physical restraint include; bed rails, chairs with locked tables, seatbelts, safety vests, shackles, manacles.

The Intent to restrain is defined as the intentional restriction of a care recipient’s voluntary movement or behaviour by the use of a device, removing mobility aids, or using physical force for behavioural purposes.

Unplanned weight loss occurs where there is no written strategy and on-going record relating to planned weight loss. This includes consecutive and significant unplanned weight loss. Consecutive weight loss occurs where a person loses weight each month over a three month period. Significant unplanned weight loss occurs where greater than three kilograms of weight is lost over a three month period.

Allity governance, monitoring of clinical indicators

The QI Program is complementary to Allity’s existing clinical governance practices that operate to ensure responsibility and accountability of the quality of care delivered at every Home. Allity collects and monitors key clinical information on a regular and on-going basis to identify and act on key risks as they emerge, and to identify ways to improve the delivery of care.

In addition to the QI program indicators identified above, Allity reports on consumer falls and fractures, medication incidents, physical aggression and consumers who go missing from their Home.

Where to find it?

All residential providers will be required to submit quarterly data through the Commonwealth’s My Aged Care website commencing September 2019.

Where can I find more information about the program?
https://agedcare.health.gov.au/ensuring-quality/quality-indicators/about-the-national-aged-care-quality-indicator-programme

 

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