CareTrack Aged: the appropriateness of care delivered to Australians living in residential aged care facilities: a study protocol

Peter D. Hibbert, Louise K. Wiles, Ian D. Cameron, Alison Kitson, Richard L. Reed, Andrew Georgiou, Len Gray, Johanna Westbrook, Hanna Augustsson, Charlotte J. Molloy, Gaston Arnolda, Hsuen P. Ting, Rebecca Mitchell, Frances Rapport, Susan J. Gordon, William B. Runciman, Jeffrey Braithwaite

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Introduction: The aged population is increasing rapidly across the world and this is expected to continue. People living in residential aged care facilities (RACFs) represent amongst the sickest and frailest cohort of the aged population, with a high prevalence of chronic conditions and complex comorbidities. Given the vulnerability of RACF residents and the demands on the system, there is a need to determine the extent that care is delivered in line with best practice (€ appropriate care') in RACFs. There is also a recognition that systems should provide care that optimises quality of life (QoL), which includes support for physical and psychological well-being, independence, social relationships, personal beliefs and a caring external environment. The aims of CareTrack Aged are to develop sets of indicators for appropriate care and processes of care for commonly managed conditions, and then assess the appropriateness of care delivered and QoL of residents in RACFs in Australia. Methods and analysis: We will extract recommendations from clinical practice guidelines and, using expert review, convert these into sets of indicators for 15 common conditions and processes of care for people living in RACFs. We will recruit RACFs in three Australian states, and residents within these RACFs, using a stratified multistage sampling method. Experienced nurses, trained in the CareTrack Aged methods (€ surveyors'), will review care records of recruited residents within a 1-month period in 2019 and 2020, and assess the care documented against the indicators of appropriate care. Surveyors will concurrently assess residents' QoL using validated questionnaires. Ethics and dissemination: The study has been reviewed and approved by the Human Research Ethics Committee of Macquarie University (5201800386). The research findings will be published in international and national journals and disseminated through conferences and presentations to interested stakeholder groups, including consumers, national agencies, healthcare professionals, policymakers and researchers.

LanguageEnglish
Article numbere030988
Pages1-7
Number of pages7
JournalBMJ Open
Volume9
Issue number6
DOIs
Publication statusPublished - 1 Jun 2019

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Quality of Life
Practice Guidelines
Research Ethics Committees
Managed Care Programs
Ethics
Population
Comorbidity
Nurses
Research Personnel
Psychology
Delivery of Health Care
Research
Surveys and Questionnaires

Bibliographical note

Copyright the Author(s) 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • audit
  • clinical audit
  • geriatric medicine
  • quality in health care

Cite this

@article{aae66347e2ae4d6c8e8baf132d3c7f92,
title = "CareTrack Aged: the appropriateness of care delivered to Australians living in residential aged care facilities: a study protocol",
abstract = "Introduction: The aged population is increasing rapidly across the world and this is expected to continue. People living in residential aged care facilities (RACFs) represent amongst the sickest and frailest cohort of the aged population, with a high prevalence of chronic conditions and complex comorbidities. Given the vulnerability of RACF residents and the demands on the system, there is a need to determine the extent that care is delivered in line with best practice (€ appropriate care') in RACFs. There is also a recognition that systems should provide care that optimises quality of life (QoL), which includes support for physical and psychological well-being, independence, social relationships, personal beliefs and a caring external environment. The aims of CareTrack Aged are to develop sets of indicators for appropriate care and processes of care for commonly managed conditions, and then assess the appropriateness of care delivered and QoL of residents in RACFs in Australia. Methods and analysis: We will extract recommendations from clinical practice guidelines and, using expert review, convert these into sets of indicators for 15 common conditions and processes of care for people living in RACFs. We will recruit RACFs in three Australian states, and residents within these RACFs, using a stratified multistage sampling method. Experienced nurses, trained in the CareTrack Aged methods (€ surveyors'), will review care records of recruited residents within a 1-month period in 2019 and 2020, and assess the care documented against the indicators of appropriate care. Surveyors will concurrently assess residents' QoL using validated questionnaires. Ethics and dissemination: The study has been reviewed and approved by the Human Research Ethics Committee of Macquarie University (5201800386). The research findings will be published in international and national journals and disseminated through conferences and presentations to interested stakeholder groups, including consumers, national agencies, healthcare professionals, policymakers and researchers.",
keywords = "audit, clinical audit, geriatric medicine, quality in health care",
author = "Hibbert, {Peter D.} and Wiles, {Louise K.} and Cameron, {Ian D.} and Alison Kitson and Reed, {Richard L.} and Andrew Georgiou and Len Gray and Johanna Westbrook and Hanna Augustsson and Molloy, {Charlotte J.} and Gaston Arnolda and Ting, {Hsuen P.} and Rebecca Mitchell and Frances Rapport and Gordon, {Susan J.} and Runciman, {William B.} and Jeffrey Braithwaite",
note = "Copyright the Author(s) 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",
year = "2019",
month = "6",
day = "1",
doi = "10.1136/bmjopen-2019-030988",
language = "English",
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CareTrack Aged : the appropriateness of care delivered to Australians living in residential aged care facilities: a study protocol. / Hibbert, Peter D.; Wiles, Louise K.; Cameron, Ian D.; Kitson, Alison; Reed, Richard L.; Georgiou, Andrew; Gray, Len; Westbrook, Johanna; Augustsson, Hanna; Molloy, Charlotte J.; Arnolda, Gaston; Ting, Hsuen P.; Mitchell, Rebecca; Rapport, Frances; Gordon, Susan J.; Runciman, William B.; Braithwaite, Jeffrey.

In: BMJ Open, Vol. 9, No. 6, e030988, 01.06.2019, p. 1-7.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - CareTrack Aged

T2 - BMJ Open

AU - Hibbert,Peter D.

AU - Wiles,Louise K.

AU - Cameron,Ian D.

AU - Kitson,Alison

AU - Reed,Richard L.

AU - Georgiou,Andrew

AU - Gray,Len

AU - Westbrook,Johanna

AU - Augustsson,Hanna

AU - Molloy,Charlotte J.

AU - Arnolda,Gaston

AU - Ting,Hsuen P.

AU - Mitchell,Rebecca

AU - Rapport,Frances

AU - Gordon,Susan J.

AU - Runciman,William B.

AU - Braithwaite,Jeffrey

N1 - Copyright the Author(s) 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2019/6/1

Y1 - 2019/6/1

N2 - Introduction: The aged population is increasing rapidly across the world and this is expected to continue. People living in residential aged care facilities (RACFs) represent amongst the sickest and frailest cohort of the aged population, with a high prevalence of chronic conditions and complex comorbidities. Given the vulnerability of RACF residents and the demands on the system, there is a need to determine the extent that care is delivered in line with best practice (€ appropriate care') in RACFs. There is also a recognition that systems should provide care that optimises quality of life (QoL), which includes support for physical and psychological well-being, independence, social relationships, personal beliefs and a caring external environment. The aims of CareTrack Aged are to develop sets of indicators for appropriate care and processes of care for commonly managed conditions, and then assess the appropriateness of care delivered and QoL of residents in RACFs in Australia. Methods and analysis: We will extract recommendations from clinical practice guidelines and, using expert review, convert these into sets of indicators for 15 common conditions and processes of care for people living in RACFs. We will recruit RACFs in three Australian states, and residents within these RACFs, using a stratified multistage sampling method. Experienced nurses, trained in the CareTrack Aged methods (€ surveyors'), will review care records of recruited residents within a 1-month period in 2019 and 2020, and assess the care documented against the indicators of appropriate care. Surveyors will concurrently assess residents' QoL using validated questionnaires. Ethics and dissemination: The study has been reviewed and approved by the Human Research Ethics Committee of Macquarie University (5201800386). The research findings will be published in international and national journals and disseminated through conferences and presentations to interested stakeholder groups, including consumers, national agencies, healthcare professionals, policymakers and researchers.

AB - Introduction: The aged population is increasing rapidly across the world and this is expected to continue. People living in residential aged care facilities (RACFs) represent amongst the sickest and frailest cohort of the aged population, with a high prevalence of chronic conditions and complex comorbidities. Given the vulnerability of RACF residents and the demands on the system, there is a need to determine the extent that care is delivered in line with best practice (€ appropriate care') in RACFs. There is also a recognition that systems should provide care that optimises quality of life (QoL), which includes support for physical and psychological well-being, independence, social relationships, personal beliefs and a caring external environment. The aims of CareTrack Aged are to develop sets of indicators for appropriate care and processes of care for commonly managed conditions, and then assess the appropriateness of care delivered and QoL of residents in RACFs in Australia. Methods and analysis: We will extract recommendations from clinical practice guidelines and, using expert review, convert these into sets of indicators for 15 common conditions and processes of care for people living in RACFs. We will recruit RACFs in three Australian states, and residents within these RACFs, using a stratified multistage sampling method. Experienced nurses, trained in the CareTrack Aged methods (€ surveyors'), will review care records of recruited residents within a 1-month period in 2019 and 2020, and assess the care documented against the indicators of appropriate care. Surveyors will concurrently assess residents' QoL using validated questionnaires. Ethics and dissemination: The study has been reviewed and approved by the Human Research Ethics Committee of Macquarie University (5201800386). The research findings will be published in international and national journals and disseminated through conferences and presentations to interested stakeholder groups, including consumers, national agencies, healthcare professionals, policymakers and researchers.

KW - audit

KW - clinical audit

KW - geriatric medicine

KW - quality in health care

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UR - http://purl.org/au-research/grants/nhmrc/1143223

U2 - 10.1136/bmjopen-2019-030988

DO - 10.1136/bmjopen-2019-030988

M3 - Article

VL - 9

SP - 1

EP - 7

JO - BMJ Open

JF - BMJ Open

SN - 2044-6055

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M1 - e030988

ER -