Sustained participation in annual continuous quality improvement activities improves quality of care for Aboriginal and Torres Strait Islander children

Daniel McAullay, Kimberley McAuley, Ross Bailie, Veronica Mathews, Peter Jacoby, Karen Gardner, Beverly Sibthorpe, Natalie Strobel, Karen Edmond

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Aim: To determine whether participation in the continuous quality improvement (CQI) Audit and Best Practice for Chronic Disease programme improved care and outcomes for Indigenous children. 

    Methods: Data were collected from 59 Australian primary health-care centres providing services to Indigenous people and participating in the programme (February 2008 and December 2013). Indigenous children aged less than 2 years and centres that completed three or more consecutive annual audits within the 6-year study period were included. Crude and adjusted logistic generalised estimating equation models were used to examine the effect of year of audit on the delivery of care. Odds ratio (OR) and 95% confidence interval (CI) were calculated. Outcomes were related to age-relevant health issues, including prevention and early intervention. These included administrative, health check, anticipatory guidance and specific health issues. 

    Results: During the audit period, there were 2360 files from 59 centres. Those that had a recall recorded, improved from 84 to 95% (OR 2.44, 95% CI 1.44–4.11). Hearing assessments improved from 52 to 89% (OR 1.37, 95% CI 1.22–1.54). Improvement in anticipatory guidance, treatment and follow-up of medical conditions was almost universal. 

    Conclusion: We documented significant improvements in quality of care of Indigenous children. Outcomes and their corresponding treatment and follow-ups improved over time. This appears to be related to services participating in annual CQI activities. However, these services may be more committed to CQI than others and therefore possibly better performing.

    Original languageEnglish
    Pages (from-to)132-140
    Number of pages9
    JournalJournal of Paediatrics and Child Health
    Volume54
    Issue number2
    DOIs
    Publication statusPublished - Feb 2018

    Fingerprint

    Quality of Health Care
    Quality Improvement
    Odds Ratio
    Confidence Intervals
    Health
    Practice Guidelines
    Hearing
    Primary Health Care
    Chronic Disease
    Therapeutics

    Cite this

    McAullay, Daniel ; McAuley, Kimberley ; Bailie, Ross ; Mathews, Veronica ; Jacoby, Peter ; Gardner, Karen ; Sibthorpe, Beverly ; Strobel, Natalie ; Edmond, Karen. / Sustained participation in annual continuous quality improvement activities improves quality of care for Aboriginal and Torres Strait Islander children. In: Journal of Paediatrics and Child Health. 2018 ; Vol. 54, No. 2. pp. 132-140.
    @article{7c745e9043814d0bacd0ca9e54ffb344,
    title = "Sustained participation in annual continuous quality improvement activities improves quality of care for Aboriginal and Torres Strait Islander children",
    abstract = "Aim: To determine whether participation in the continuous quality improvement (CQI) Audit and Best Practice for Chronic Disease programme improved care and outcomes for Indigenous children. Methods: Data were collected from 59 Australian primary health-care centres providing services to Indigenous people and participating in the programme (February 2008 and December 2013). Indigenous children aged less than 2 years and centres that completed three or more consecutive annual audits within the 6-year study period were included. Crude and adjusted logistic generalised estimating equation models were used to examine the effect of year of audit on the delivery of care. Odds ratio (OR) and 95{\%} confidence interval (CI) were calculated. Outcomes were related to age-relevant health issues, including prevention and early intervention. These included administrative, health check, anticipatory guidance and specific health issues. Results: During the audit period, there were 2360 files from 59 centres. Those that had a recall recorded, improved from 84 to 95{\%} (OR 2.44, 95{\%} CI 1.44–4.11). Hearing assessments improved from 52 to 89{\%} (OR 1.37, 95{\%} CI 1.22–1.54). Improvement in anticipatory guidance, treatment and follow-up of medical conditions was almost universal. Conclusion: We documented significant improvements in quality of care of Indigenous children. Outcomes and their corresponding treatment and follow-ups improved over time. This appears to be related to services participating in annual CQI activities. However, these services may be more committed to CQI than others and therefore possibly better performing.",
    keywords = "Aboriginal, continuous quality improvement, health service research, primary health care",
    author = "Daniel McAullay and Kimberley McAuley and Ross Bailie and Veronica Mathews and Peter Jacoby and Karen Gardner and Beverly Sibthorpe and Natalie Strobel and Karen Edmond",
    year = "2018",
    month = "2",
    doi = "10.1111/jpc.13673",
    language = "English",
    volume = "54",
    pages = "132--140",
    journal = "Journal of Paediatrics and Child Health",
    issn = "1034-4810",
    publisher = "Wiley-Blackwell",
    number = "2",

    }

    McAullay, D, McAuley, K, Bailie, R, Mathews, V, Jacoby, P, Gardner, K, Sibthorpe, B, Strobel, N & Edmond, K 2018, 'Sustained participation in annual continuous quality improvement activities improves quality of care for Aboriginal and Torres Strait Islander children', Journal of Paediatrics and Child Health, vol. 54, no. 2, pp. 132-140. https://doi.org/10.1111/jpc.13673

    Sustained participation in annual continuous quality improvement activities improves quality of care for Aboriginal and Torres Strait Islander children. / McAullay, Daniel; McAuley, Kimberley; Bailie, Ross; Mathews, Veronica; Jacoby, Peter; Gardner, Karen; Sibthorpe, Beverly; Strobel, Natalie; Edmond, Karen.

    In: Journal of Paediatrics and Child Health, Vol. 54, No. 2, 02.2018, p. 132-140.

    Research output: Contribution to journalArticleResearchpeer-review

    TY - JOUR

    T1 - Sustained participation in annual continuous quality improvement activities improves quality of care for Aboriginal and Torres Strait Islander children

    AU - McAullay, Daniel

    AU - McAuley, Kimberley

    AU - Bailie, Ross

    AU - Mathews, Veronica

    AU - Jacoby, Peter

    AU - Gardner, Karen

    AU - Sibthorpe, Beverly

    AU - Strobel, Natalie

    AU - Edmond, Karen

    PY - 2018/2

    Y1 - 2018/2

    N2 - Aim: To determine whether participation in the continuous quality improvement (CQI) Audit and Best Practice for Chronic Disease programme improved care and outcomes for Indigenous children. Methods: Data were collected from 59 Australian primary health-care centres providing services to Indigenous people and participating in the programme (February 2008 and December 2013). Indigenous children aged less than 2 years and centres that completed three or more consecutive annual audits within the 6-year study period were included. Crude and adjusted logistic generalised estimating equation models were used to examine the effect of year of audit on the delivery of care. Odds ratio (OR) and 95% confidence interval (CI) were calculated. Outcomes were related to age-relevant health issues, including prevention and early intervention. These included administrative, health check, anticipatory guidance and specific health issues. Results: During the audit period, there were 2360 files from 59 centres. Those that had a recall recorded, improved from 84 to 95% (OR 2.44, 95% CI 1.44–4.11). Hearing assessments improved from 52 to 89% (OR 1.37, 95% CI 1.22–1.54). Improvement in anticipatory guidance, treatment and follow-up of medical conditions was almost universal. Conclusion: We documented significant improvements in quality of care of Indigenous children. Outcomes and their corresponding treatment and follow-ups improved over time. This appears to be related to services participating in annual CQI activities. However, these services may be more committed to CQI than others and therefore possibly better performing.

    AB - Aim: To determine whether participation in the continuous quality improvement (CQI) Audit and Best Practice for Chronic Disease programme improved care and outcomes for Indigenous children. Methods: Data were collected from 59 Australian primary health-care centres providing services to Indigenous people and participating in the programme (February 2008 and December 2013). Indigenous children aged less than 2 years and centres that completed three or more consecutive annual audits within the 6-year study period were included. Crude and adjusted logistic generalised estimating equation models were used to examine the effect of year of audit on the delivery of care. Odds ratio (OR) and 95% confidence interval (CI) were calculated. Outcomes were related to age-relevant health issues, including prevention and early intervention. These included administrative, health check, anticipatory guidance and specific health issues. Results: During the audit period, there were 2360 files from 59 centres. Those that had a recall recorded, improved from 84 to 95% (OR 2.44, 95% CI 1.44–4.11). Hearing assessments improved from 52 to 89% (OR 1.37, 95% CI 1.22–1.54). Improvement in anticipatory guidance, treatment and follow-up of medical conditions was almost universal. Conclusion: We documented significant improvements in quality of care of Indigenous children. Outcomes and their corresponding treatment and follow-ups improved over time. This appears to be related to services participating in annual CQI activities. However, these services may be more committed to CQI than others and therefore possibly better performing.

    KW - Aboriginal

    KW - continuous quality improvement

    KW - health service research

    KW - primary health care

    UR - http://www.scopus.com/inward/record.url?scp=85027720583&partnerID=8YFLogxK

    U2 - 10.1111/jpc.13673

    DO - 10.1111/jpc.13673

    M3 - Article

    VL - 54

    SP - 132

    EP - 140

    JO - Journal of Paediatrics and Child Health

    JF - Journal of Paediatrics and Child Health

    SN - 1034-4810

    IS - 2

    ER -