Australian health service organisation assessment outcome data for the first 2 years of implementing the Comprehensive Care Standard
Margherita Murgo
A B * and Angie Dalli A
A Partnering with Consumers, Australian Commission on Safety and Quality in Health Care, Level 5, 255 Elizabeth Street, Sydney, NSW 2000, Australia.
B Susan Wakil School of Nursing and Midwifery, Camperdown Campus, University of Sydney, Camperdown, NSW, Australia.
Australian Health Review 46(2) 210-216 https://doi.org/10.1071/AH21299
Submitted: 6 May 2021 Accepted: 11 December 2021 Published: 3 March 2022
© 2022 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)
Abstract
Objective To review implementation of the Comprehensive Care Standard (CCS) by evaluating assessment outcome data of Australian health service organisations (HSOs) from January 2019. The CCS was introduced with the National Safety and Quality Health Service (NSQHS) Standards (second edition). It has 36 actions and over 40 resources to support implementation.
Methods Retrospective assessment outcome data submitted by accrediting agencies were examined to gauge progress of CCS implementation by considering met or other ratings of the CCS actions.
Results There were 495 assessments completed between January 2019 and December 2020. Most (71% n = 352) HSOs met the requirements of the CCS after initial assessment. Seventy-four (15%) of the HSOs did not meet all the requirements and a further 58 (12%) HSOs were provided with recommendations to meet the actions.
Conclusions There was indication of underperformance related to some actions in the CCS. The assessment data highlighted common issues for organisations including difficulties implementing governance processes, demonstrating effective care planning, implementing the end-of-life care actions and some minimising harm actions. Future evaluation of the implementation of the CCS may benefit from strengthening links between other safety and quality programs.
Keywords: accreditation, health data, health standards, healthcare, outcome measurement, patient safety, quality of care, risk management
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