This page includes data available for 1 October to 31 December 2021. You can download data directly from the visualisations by clicking in the graph area and using the 'download' menu.
Quality indicators (QI) measure aspects of service provision that contribute to the quality of care given by residential aged care services (RACS). Since 1 July 2019, participation in the National Aged Care Mandatory Quality Indicator Program (QI Program) has been a requirement for all Australian Government-subsidised RACS. Until 30 June 2021, the QI Program included 3 QIs (pressure injuries, physical restraint, unplanned weight loss). Since 1 July 2021, the QI Program requires these services to report on 5 QIs:
- Pressure injuries
- Physical restraint
- Unplanned weight loss
- Falls and major injury
- Medication management
While the original QI Program counted occurrences of pressure injuries, unplanned weight loss and physical restraint devices (meaning that more than one pressure injury or physical restraint device could be counted for a single care recipient), the expanded QI Program from 1 July 2021 counts the number of care recipients meeting/not meeting QI criteria and produces prevalence rates in the form of percentages. This value is calculated by dividing the number of eligible care recipients that meet the criteria to be counted for the QI by the total number of eligible care recipients assessed and then multiplying by 100.
Not all care recipients are counted in each QI measurement. Care recipients may be excluded from QIs for various reasons, such as not consenting to being assessed or have their data collected (for applicable QIs), being absent from the service during the QI assessment period, or receiving end-of-life care. Consent is required from care recipients for the purposes of two QIs only: unplanned weight loss and pressure injuries. The reasons for other exclusions differ by QI and are detailed in the National Aged Care Mandatory Quality Indicator Program Manual 2.0 - Part A (QI Program Manual). The care recipients eligible to contribute to QI measurements are those in the total care recipient population who remain after subtracting ineligible care recipients (including those that do not provide consent).
Most QIs in this report are measured during specified assessment windows (e.g. physical restraint is assessed during a review of three days of records in the quarter). The results for some QIs may therefore not represent the occurrence of those events across other, non-assessed periods in the quarter. Further detail on each QI, including its rationale and measurement, can be found in the QI Program Manual. More information on the QI Program is available from the Department of Health.
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This quarterly report includes QI measurements from the second data collection conducted under the expanded QI Program (1 October to 31 December 2021) for 2,436 residential aged care services (RACS). These RACS are those that had received Australian Government subsidies for delivering care, services and accommodation in that period; had submitted QI data by the due date (21 January 2022); and had not amended these data by the date of QI data extraction (21 February 2022). This represented 91% of the 2,689 RACS that received these government subsidies in the quarter (an increase from 89% in the previous quarter). Further detail on the care recipient coverage of the QI Program in this quarter, including counts of care recipient measurements and exclusions for each QI, is presented in Table 1 of the Technical notes.
Quality indicator data are presented below at a national level. The table presents data for all eligible care recipients aggregated across all 2,436 included RACS. The boxplot that follows presents data for all eligible care recipients aggregated at the service level. For further information on boxplots, see 'Interpreting boxplots' below.
Disaggregation of QIs by state/territory and by remoteness categories were calculated from raw data with no risk adjustment. This means that it has not been possible to take into account variation in the complexity of people’s care needs at the facility level (casemix) nor how this interacts with other features known to vary across geographical areas, such as service size, facility ownership or interaction with healthcare services (such as hospitals and palliative care services).