Table 3

Overall prevalence and 95% CIs of ROSA home care quality and safety indicators, 2016

IndicatorCohort capturedTotal HCP episodes included (N)Total HCP episodes with outcome (N)Total HCP estimate % (95% CI)Level 1–2 HCP estimate % (95% CI)Level 3–4 HCP estimate % (95% CI)
1.High sedative load (overall)National102 59029 84029.1 (28.8 to 29.4)28.3 (28.0 to 28.7)30.6 (30.1 to 31.1)
 With dementiaNational20 102422221.0 (20.4 to 21.6)19.5 (18.8 to 20.3)22.7 (21.9 to 23.6)
 Without dementiaNational82 48825 61831.1 (30.7 to 31.4)30.0 (29.6 to 30.4)33.6 (33.0 to 34.2)
2.Antipsychotic use (overall)National101 71582798.1 (8.0 to 8.3)6.8 (6.6 to 7.0)10.9 (10.6 to 11.2)
 With dementiaNational19 936385219.3 (18.8 to 19.9)17.1 (16.4 to 17.8)22.0 (21.1 to 22.8)
 Without dementiaNational81 77944275.4 (5.3 to 5.6)4.9 (4.7 to 5.0)6.7 (6.4 to 7.0)
3.Chronic opioid useNational86 16011 83513.7 (13.5 to 14.0)12.2 (12.0 to 12.5)16.8 (16.4 to 17.3)
4.Antibiotic useNational102 59053 71152.4 (52.0 to 52.7)51.2 (50.8 to 51.6)54.7 (54.2 to 55.3)
5.Premature mortalityNational102 5902370.2 (0.2 to 0.3)0.2 (0.2 to 0.2)0.3 (0.3 to 0.4)
6.FallsState*85 67510 06011.7 (11.5 to 12.0)11.2 (10.9 to 11.4)13.0 (12.6 to 13.5)
7.FracturesState*85 67545095.3 (5.1 to 5.4)5.1 (4.9 to 5.3)5.6 (5.4 to 5.9)
8.Medication-related adverse eventsState*85 67523052.7 (2.6 to 2.8)2.6 (2.5 to 2.8)2.8 (2.6 to 3.1)
9.Weight loss or malnutritionState*71 61135284.9 (4.8 to 5.1)4.7 (4.5 to 4.8)5.5 (5.2 to 5.9)
10.Delirium and/or dementia hospitalisationsState*16 52416049.7 (9.3 to 10.2)8.4 (7.8 to 9.0)11.4 (10.7 to 12.2)
11.ED PresentationState*31 845840226.4 (25.9 to 26.9)25.5 (24.9 to 26.1)28.2 (27.3 to 29.1)
12.Pressure injuryState*85 67533884.0 (3.8 to 4.1)2.9 (2.8 to 3.1)6.3 (6.0 to 6.6)
13.Chronic disease management planNational96 83736 91938.1 (37.8 to 38.4)40.8 (40.4 to 41.2)32.7 (32.2 to 33.2)
14.Home medicines reviewNational96 83728863.0 (2.9 to 3.1)3.1 (3.0 to 3.3)2.6 (2.5 to 2.8)
15.Wait-time (median days)†National23 732134 (41 to 406)133 (41 to 411)136 (42 to 394)
 % Wait-time >90 daysNational23 73216 04267.6 (67.0 to 68.2)67.6 (67.0 to 68.2)67.7 (66.5 to 68.9)
  • *States included: SA, NSW, VIC and QLD. A total of 332 SA3 level regions included in the study nationally and 266 SA3 level regions for the state-based hospitalisation indicators.

  • †Wait-time from aged care eligibility assessment approval to commencement of first HCP in study period, median days (IQR).

  • ED, emergency department; HCP, home care package; NSW, New South Wales; QLD, Queensland; ROSA, Registry of Senior Australians; SA3, Statistical Areas Level 3; SA, South Australia; VIC, Victoria.