Clinical outcomes in residential care : setting benchmarks for quality

O'Reilly, Maria T., Courtney, Mary D., Edwards, Helen E., & Hassall, Stacey (2011) Clinical outcomes in residential care : setting benchmarks for quality. Australasian Journal on Ageing, 30(2), pp. 63-69.

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Australian residential aged care does not have a system of quality assessment related to clinical outcomes, or comprehensive quality benchmarking. The Residential Care Quality Assessment was developed to fill this gap; and this paper discusses the process by which preliminary benchmarks representing high and low quality were developed for it.


Data were collected from all residents (n = 498) of nine facilities. Numerator–denominator analysis of clinical outcomes occurred at a facility-level, with rank-ordered results circulated to an expert panel. The panel identified threshold scores to indicate excellent and questionable care quality, and refined these through Delphi process.


Clinical outcomes varied both within and between facilities; agreed thresholds for excellent and poor outcomes were finalised after three Delphi rounds.


Use of the Residential Care Quality Assessment provides a concrete means of monitoring care quality and allows benchmarking across facilities; its regular use could contribute to improved care outcomes within residential aged care in Australia.

Impact and interest:

6 citations in Scopus
5 citations in Web of Science®
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ID Code: 39331
Item Type: Journal Article
Refereed: Yes
Keywords: benchmarking, frail older people, outcome assessment, quality indicator, residential facility
DOI: 10.1111/j.1741-6612.2010.00447.x
ISSN: 1741-6612
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2010 2010 The Authors. Journal compilation Copyright 2010 ACOTA
Deposited On: 22 Dec 2010 03:46
Last Modified: 29 Oct 2013 05:33

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