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New Aged Care Quality Indicators Commence 1 April 2023: How to Prepare
The National Aged Care Mandatory Quality Indicator Program (QI Program) started on 1 July 2019 and was updated on 1 July 2021. The mandatory Program requires Commonwealth-subsidised residential aged care services to collect data and report on a set of Quality Indicators (QIs) every three months.
Currently (as at February 2023), services must collect data and report on these five QIs:
- pressure injuries
- physical restraint
- unplanned weight loss (significant and consecutive)
- falls and major injury
- medication management, including polypharmacy and anti-psychotics.
The QI Program is expanding to add six new QIs from April 2023. Today we look at what the Department of Health and Aged Care’s updated guidance tells us about the new QIs and the new data that aged care providers must collect and report on.
What Are the New QIs?
In addition to the five existing QIs, from April 2023 residential aged care providers will also have to collect data and report on:
- Activities of daily living (ADL): percentage of care recipients whose ADL function has declined.
- Incontinence care: percentage of care recipients with incontinence associated dermatitis.
- Hospitalisations: percentage of care recipients who presented to hospital.
- Workforce: percentage of staff turnover.
- Consumer experience: percentage of care recipients who report good or excellent experience of the service.
- Quality of life: percentage of care recipients who report good or excellent quality of life.
These new QIs were tested in the Department of Health and Aged Care’s recent pilot program.
Home Care
At this stage, none of the QIs apply to home care. However, the Department of Health and Aged Care says that they are planning to expand the QI Program into home care. It’s not clear when this will happen.
When Do I Have to Start “Collecting” Data and When Do I Have to “Report”?
According to the Department of Health and Aged Care, providers must:
- start collecting new quality indicators in the April – June 2023 quarter
- submit quality indicator data in the 1 – 21 July 2023 reporting period.
What New Data Do We Have to Collect?
Note on terminology: the requirements below refer to the “current quarter” and “previous quarter”. The current quarter is the quarter that you are in now or which recently finished. The previous quarter is the last quarter that you have reported on. For example, as at February 2023, the current quarter is 1 January to 31 March 2023. The previous quarter is 1 October to 31 December 2022.
You’ll see below that some requirements require you to compare current quarter data against previous quarter data. This could be a problem when you come to report on the new QIs in July because you won’t have any data for the previous quarter (Jan-March), because you weren’t required to collect it. It’s not clear how the Department or Commission will address this problem. ACE will monitor for updates and share them via the Weekly Wrap or ACE as they arise.
New QI | From 1 April 2023 you must collect: |
Activities of daily living (ADL) |
How to collect this data: Complete a single assessment for each care recipient around the same time every quarter and compare to their ADL assessment total score in the previous quarter to determine decline. [For the first round of reporting in July 2023, this could be problematic due to providers’ lack of data from the previous quarter.] |
Incontinence care |
How to collect this data: Conduct a single assessment for each care recipient, around the same time every quarter as part of routine care. |
Hospitalisations |
How to collect this data: Conduct a single review of the care records for each care recipient for the entire quarter. |
Workforce |
[For the first round of reporting in July 2023, many of the below requirements this could be problematic due to providers’ lack of data from the previous quarter.]
How to collect this data: Conduct a single review of staff records. The collection date must take place in the 21 days after the end of the current quarter, in order to review records for the entire quarter. So, for the first round of reporting, the collection date must be between 1 July and 21 July 2023, inclusive. |
Consumer experience |
How to collect this data: Offer a consumer experience assessment to each care recipient for completion, around the same time every quarter. |
Quality of life |
How to collect this data: Offer a quality of life assessment to each care recipient for completion, around the same time every quarter. |
How to Report the New Data
Reports are made via the provider portal on My Aged Care the same way you report on the existing five QIs. The first reporting dates for the new QI data will be from 1 July to 21 July 2023.
What To Do Now
Providers should begin putting systems in place and allocating resources so that they can collect data for the new QIs in the April-June quarter. Providers should be ready to report on the new QIs by July 2023.
Further Resources
- Department of Health and Aged Care: National Aged Care Mandatory Quality Indicator Program Manual
- Department of Health and Aged Care: QI Program interactive modules
- Aged Care Quality and Safety Commission: National Aged Care Mandatory Quality Indicator Program
About the Author
Mark Bryan
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