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Development of person-centred quality indicators for the assessment component of the Australian aged care system

Tracks
Chancellor 6
Evidence based practice
Future Directions
Quality improvement
Friday, November 15, 2024
11:30 AM - 11:45 AM

Speaker

Ms Sandra Smith
Principal Project Officer/phd Candidate
The University of Queensland

Development of person-centred quality indicators for the assessment component of the Australian aged care system

Abstract

Background: Australia’s aged care system provides subsidised support to eligible older people, of which aged care assessment teams are a fundamental component. They are responsible for conducting needs-based assessments to determine an older person’s eligibility for, and access to government-funded aged care services. Whilst quality indicators have been introduced for residential aged care services, and have been recommended for home care services, there are currently no quality indicators for aged care assessment services.
Objective: This study investigated older people’s perspectives of 24 preliminary person-centred quality indicators (PC-QIs) that were developed as part of a larger research program.
Methods: This mixed methods study comprised the final phase of a modified Delphi research program and used the RAND/UCLA Appropriateness Method to reach consensus. The researchers developed a consensus statement for quality indicator elimination prior to community-dwelling older people (n=25) voting on the importance of the PC-QIs. Participants voted using a rating scale during individual sessions with the principal researcher who audio-recorded the sessions to capture any narrative provided by participants regarding the PC-QIs. The audio-recordings were subsequently transcribed verbatim.
Results: All 24 QIs were approved. Variation existed among ratings for each PC-QI which were rank ordered according to their perceived importance to participants. Final quality domains, their respective title, quality indicator descriptor and supporting qualitative data are presented.
Conclusions: PC-QIs for Australian aged care assessment services that determine eligibility and access may support the overall quality of aged care services from assessment of eligibility through to delivery of care.

Biography

Sandra has a background in Occupational Therapy with 32 years’ experience working in government, not for profit and private organisations'. Her career has included delivering and evaluating services in public and private health, community and social services, and tertiary education sectors. Her career has included being an associate investigator on an NMHRC funded project to implement the Tailored Activities Program (TAP) for people living with dementia, and their caregivers, in Australia. She is currently in the final stages of her PhD studies which aims to develop a set of person-centred quality indicators to measure the quality of the aged care assessment process from the client's perspective.

Session Chair

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Claire O'Connor
Senior Research Fellow
University of New South Wales

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