How the quality indicators were developed

We have developed new quality indicators relating to activities of daily living, incontinence care, hospitalisation, workforce, consumer experience and quality of life. Learn about the updates and the laws that are involved.

Developing the program

The QI Program started on 1 July 2019. At that time it required all Australian Government–subsidised residential aged care services to report on 3 mandatory quality indicators. These related to:

  • pressure injuries
  • physical restraint
  • unplanned weight loss.

We updated and expanded the QI Program from 1 July 2021. This was part of the 2019–20 budget measure More Choices for a Longer Life – Mandatory National Quality Indicators and Reducing the Misuse of Medicines in Residential Aged Care. We developed new quality indicators relating to:

  • medication management
  • falls and major injury.

summary report from June 2020, outlined the work done to develop the quality indicators. 

We are further expanding the QI Program from 1 April 2023. This is part of the Government response to the Royal Commission into Aged Care Quality and Safety through the 2021–22 budget measure Empowering consumers of aged care with information to exercise choice.

We will introduce 6 new quality indicators for residential aged care relating to:

  • activities of daily living
  • incontinence care
  • hospitalisation
  • workforce
  • consumer experience
  • quality of life.

The process of developing the new quality indicators for residential aged care included:

  • evidence-based literature review
  • national stakeholder consultations, both virtual and written
  • expert consultations
  • trial in residential aged care services.

    The following reports outline work undertaken to further expand the program:

    Previous work undertaken to develop the quality indicators and the QI Program is outlined in the following reports:

    QI Program for in-home aged care

    We are expanding the QI Program to in-home aged care. This is part of the Government response to the Royal Commission into Aged Care Quality and Safety through the 2021–22 budget measure Empowering consumers of aged care with information to exercise choice. We plan to introduce:

    • up to 5 quality indicators for in-home aged care
    • consumer experience and quality of life measures for in-home aged care.

    The process of developing new quality indicators has included:

    • evidence-based literature review
    • national stakeholder consultations, both virtual and written
    • expert consultations.

    The following reports outline the work undertaken to expand the program:

    Laws to support our quality indicators

    The Aged Care Legislation Amendment (Quality Indicator Program) Principles 2021 took effect on 1 July 2021.

    This amendment updated the following principles under the Aged Care Act 1997 to expand the program: 

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