Overview of the Mandatory Quality Indicator Program Manual 2.0 Part B (Program Manual B)
Program Manual Bs is designed to help providers understand how they can support continuous quality improvement for each of the quality indicators. It explains what quality improvement is and how to undertake it by,
reintroducing the five quality indicators found in Program Manual A
describes the adverse impacts of each of the quality indicators on recipients
details the causes and risk factors for each of the quality indicators
provides checklists for the prevention and management of the quality indicators
What is quality improvement?
Quality is described as care that is effective and safe, and provides a positive experience by being caring, responsive and person-centered. (Program Manual B, p. 3). An important part of providing quality care is quality improvement which is a systematic, coordinated and ongoing effort to improve the quality of care and services. (Program Manual B, p. 3).
Overall quality improvement is about identifying what systems are working well, the quality of care and services being provided, and understanding where we could do better and improve outcomes for consumers. Throughout the quality improvement process, three key areas need to be considered with respect to change:
Being open to change and exploring ways that will improve the way we deliver care and services what changes that we can make that will result in improvement.
The goal or the purpose – why is change needed and what we hope to achieve
The way you will be able to measure or show the change is an improvement how we
well know that a change is an improvement
How do you make quality improvement possible?
There are six steps to enabling quality improvement:
1. Collecting and submitting data in line with your Quality Indicator Program obligations
2. Reviewing quality indicator data reports through the My Aged Care provider portal
3. Comparing your performance to data available on the Australian Institute of Health and Wellbeing GEN Aged Care Data Website
4. Identifying how your performance compares to the national benchmark, previous performance, and/or other similar services
5. Recording performance and noting that a quality issue exists
6. Taking action to improve quality of care through initiating a quality improvement activity (Program Manual B, p.5)
How do you undertake quality improvement?
The Program Manual proposes a Plan-Do-Check-Act tool that can be used across each quality indicator (Program Manual B, p. 6). This method allows you to identify a quality issue and then trial a quality improvement activity to gauge whether the activity should be implemented more broadly.
A summary of the tool and its four steps is set out in the table below
PLAN-DO-CHECK-ACT
STEP 1: PLAN:
Involves developing a plan by gathering information about what is causing the quality issue, establishing goals for your quality improvement activity, and making a plan for how the activity will be carried out
STEP 2: D :
This is where you carry out the activity by allocating resources, testing the activity on a small scale, and documenting observations
STEP 3: CHECK :
Involves collecting data and analysing information from the QI program to understand if your current systems and related processes are achieving the desired outcomes.
STEP 4: ACT :
This step involves deciding whether the current systems and related processesare successful in achieving quality of care and services. Depending on the outcome you will:
if successful, embed the activity into business-as-usual processes and continue to monitor outcomes
if the activity was unsuccessful, determine what you may need to do differently next time this is a quality improvement opportunity
repeat the process to continue to increase the quality of care and services for consumers
When do you undertake quality improvement?
Quality improvement is an ongoing process. This means that you should regularly repeat the qualityimprovement process to continually improve the care and services you deliver (Program Manual B, p. 5)
What are some benefits of quality improvement?
By regularly undertaking quality improvement, you will:
improve the delivery of your care and services
identify quality issues promptly
be more responsive to the changing needs of recipients
improve outcomes for recipients
improve systems to monitor and track change
create long-term sustainable improvement across your organisation
increase collaboration amongst staff
enhance professional development across the workforce (Program Manual B, p. 4).
