Table 1

Characteristics of participating Indigenous PHC services

SiteStateGovernanceRuralityPopulation% identify as IndigenousHigh improvement inConduct of CQI audits and SAT tools
1QLDGovernmentRemote≤50092T2DM
Maternal
  • CQI coordinators have conducted the CQI audits each year from 2011 to 2013.

  • In 2014 QLD Health ceased investment in CQI audits.

  • The 2015 audits were facilitated by the project team.

  • SAT tools: completed by cluster coordinator.

  • Goals for improvement are not set, shared or implemented with local staff.

2QLDGovernmentRemote≤50099T2DM
Preventive
Child Health
  • CQI coordinators have conducted the CQI audits each year from 2011 to 2013.

  • In 2014 QLD Health ceased investment in CQI audits.

  • The 2015 audits were facilitated by the project team.

  • SAT tools: Feedback sessions with the cluster coordinator—local staff develop and implement goals for improvement.

3WAGovernment/ACCHO partnershipRemote≥100066.5Maternal
T2DM
  • Senior staff from regional population health unit conduct the audits.

  • SAT tools: Based on data from the partnership’s healthcare centre and conducted by an external facilitator.

4NTGovernmentRegional501–99923Maternal
Preventive
  • Health service manager organises and conducts the CQI audits with the assistance of all other clinical staff.

  • SAT tools: all staff review reports, look at areas needing improvement and set goals.

  • Goals for improvement are discussed in meetings (regular agenda item), general observations, shared decisions on goal for improvement.

5NTACCHSRemote501–99993Preventive
Child Health
  • CQI audits conducted by the primary healthcare coordinator located at the regional health service organisation.

  • SAT tools: service participates in weekly quality improvement discussions.

6NTACCHSRegional≥1000100Preventive
Child Health
  • Clinicians conduct the CQI audits.

  • The audits are coordinated by the CQI coordinator and DMS.

  • SAT tools: all clinicians participate in the SAT process.

  • Goals are discussed by clinicians and strategies are determined together.

  • ACCHO, Aboriginal Community Controlled Health Organisation; ACCHS, Aboriginal Community Controlled Health Service; CQI, continuous quality improvement; DMS, Director Medical Services; NT, Northern Territory; PHC, primary healthcare; QLD, Queensland; SAT, system assessment tool; T2DM, type 2 diabetes mellitus; WA, Western Australia.