Clinical outcomes in residential care : setting benchmarks for quality
Aim: 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.
Methods: 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
Results: Clinical outcomes varied both within and between
facilities; agreed thresholds for excellent and poor outcomes were finalised after three Delphi rounds.
Conclusion: 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.
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|Item Type:||Journal Article|
|Keywords:||benchmarking, frail older people, outcome assessment, quality indicator, residential facility|
|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 The Authors|
|Deposited On:||22 Dec 2010 13:46|
|Last Modified:||29 Feb 2012 20:32|
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