Development of quality indicators for monitoring outcomes of frail elderly hospitalised in acute care health settings: Study Protocol

Brand, Caroline A., Martin-Khan, Melinda, Wright, Olivia, Jones, Richard N., Morris, John N., Travers, Catherine M., Tropea, Joannne and Gray, Leonard C. (2011) Development of quality indicators for monitoring outcomes of frail elderly hospitalised in acute care health settings: Study Protocol. BMC Health Services Research, 11 Article number 281. doi:10.1186/1472-6963-11-281


Author Brand, Caroline A.
Martin-Khan, Melinda
Wright, Olivia
Jones, Richard N.
Morris, John N.
Travers, Catherine M.
Tropea, Joannne
Gray, Leonard C.
Title Development of quality indicators for monitoring outcomes of frail elderly hospitalised in acute care health settings: Study Protocol
Journal name BMC Health Services Research   Check publisher's open access policy
ISSN 1472-6963
Publication date 2011-10-18
Sub-type Article (original research)
DOI 10.1186/1472-6963-11-281
Open Access Status DOI
Volume 11
Start page Article number 281
Total pages 8
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2012
Language eng
Formatted abstract
Background:
Frail older people admitted to acute care hospitals are at risk of a range of adverse outcomes, including geriatric syndromes, although targeted care strategies can improve health outcomes for these patients. It is therefore important to assess inter-hospital variation in performance in order to plan and resource improvement programs. Clinical quality outcome indicators provide a mechanism for identifying variation in performance over time and between hospitals, however to date there has been no routine use of such indicators in acute care settings. A barrier to using quality indicators is lack of access to routinely collected clinical data. The interRAI Acute Care (AC) assessment system supports comprehensive geriatric assessment of older people within routine daily practice in hospital and includes process and outcome data pertaining to geriatric syndromes. This paper reports the study protocol for the development of aged care quality indicators for acute care hospitals.

Methods/Design.
The study will be conducted in three phases:.
1. Development of a preliminary inclusive set of quality indicators set based on a literature review and expert panel consultation,.
2. A prospective field study including recruitment of 480 patients aged 70 years or older across 9 Australian hospitals. Each patient will be assessed on admission and discharge using the interRAI AC, and will undergo daily monitoring to observe outcomes. Medical records will be independently audited, and.
3. Analysis and compilation of a definitive quality indicator set, including two anonymous voting rounds for quality indicator inclusion by the expert panel.

Discussion.
The approach to quality indicators proposed in this protocol has four distinct advantages over previous efforts: the quality indicators focus on outcomes; they can be collected as part of a routinely applied clinical information and decision support system; the clinical data will be robust and will contribute to better understanding variations in hospital care of older patients; The quality indicators will have international relevance as they will be built on the interRAI assessment instrument, an internationally recognised clinical system.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Human Movement and Nutrition Sciences Publications
School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 11 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 14 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Wed, 02 Nov 2011, 15:51:12 EST by Mrs Melinda Martin-khan on behalf of Medicine - Princess Alexandra Hospital