The ACHS Care Evaluation Program: a decade of achievement

Collopy, Brian T., Williams, Joanne, Rodgers, Lisa, Portelli, Rachel, Campbell, Jan, Jenner, Nicole and Andrews, Nicole 2000, The ACHS Care Evaluation Program: a decade of achievement, Journal of quality in clinical practice, vol. 20, no. 1, pp. 36-41, doi: 10.1046/j.1440-1762.2000.00346.x.

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Title The ACHS Care Evaluation Program: a decade of achievement
Author(s) Collopy, Brian T.
Williams, JoanneORCID iD for Williams, Joanne
Rodgers, Lisa
Portelli, Rachel
Campbell, Jan
Jenner, Nicole
Andrews, Nicole
Journal name Journal of quality in clinical practice
Volume number 20
Issue number 1
Start page 36
End page 41
Total pages 7
Publisher Wiley
Place of publication London, Eng.
Publication date 2000-03
ISSN 1320-5455
Keyword(s) accreditation
clinical data
clinical indicators
clinical performance measures
Summary In 1989 the Australian Council on Healthcare Standards (ACHS) embarked on a programme to develop acute health care clinical indicators in conjunction with the Australian medical colleges. Through a carefully structured stepwise process this collaboration established a ‘World first’ in 1993 with the introduction of the first set of indicators into the ACHS Accreditation programme. The programme remains unique in the formal involvement of providers in the development process and in the scope of the clinical areas covered in acute health care. From the year 2000 there will be 18 sets (and over 200 indicators) from which health care organisations (HCOs) can choose to monitor the major services they provide. There remains no compulsion to address a specific number of indicators. The growth of the programme has been considerable with more than half of the nations’ acute HCOs reporting their clinical indicator data (twice yearly) and it provides a reflection of the care given for the majority of patient separations in acute care. This reporting process allows HCOs to receive feedback on the aggregate results together with comparative peer group information for each indicator they address. In addition to numerous publications in peer reviewed journals an annual aggregate report, ‘the Measurement of Care in Australian Hospitals’ is published. It reports both qualitative and quantitative data on all indicator sets for the preceding year. Validity of the indicators is strengthened each year with a review process and reliability and reproducibility of the data can now be demonstrated. The clinical response to the indicators has been overwhelming and there is now documented evidence of numerous actions taken by HCOs to improve both the processes and the outcomes of patient care. The nation wide database can be expected to reflect trends in care over the next few years. The process of indicator refinement, however, will continue and it is likely that a reduction in the total number of indicators will occur with a core group of the more ‘robust’ indicators remaining. Further directions in indicator development are likely to be in the area of multidisciplinary care and in the assessment of longer-term outcomes. In addition to measures of the quality of care, hopefully, in time, health care providers will also take part in the establishment of measures of the appropriateness of that care.
Language eng
DOI 10.1046/j.1440-1762.2000.00346.x
Field of Research 110399 Clinical Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2000, Wiley
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Document type: Journal Article
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School of Health and Social Development
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