Delirium And/Or Dementia Hospitalisations

Identifying Attributes

Care Settings
Home Care
Country
Australia
Publishing Organisation
Registry of Senior Australians (ROSA): Home Care Outcome Monitoring System
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Hospitalisation

Defining Attributes

Definition

Proportion of home care recipients with dementia who had an emergency department presentation or hospitalisation for delirium or dementia.

Numerator

Number of home care recipients with dementia who had an emergency department presentation or hospitalisation where dementia or delirium (principal discharge diagnoses).

Denominator

Number of home care recipients with dementia diagnosis (ascertained based on reporting of conditions from the aged care eligibility assessments and Rx-Risk-V).

Exclusions

None

Use of Risk Adjustment
Yes
Risk Adjustments

Age, sex, number of health conditions excluding dementia.

Stratifications

None

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Hospital records. SA APC: South Australian Admitted Patient Care. SA NAEC: South Australian Non-Admitted Emergency Care. NSW APDC: New South Wales Admitted Patient Data Collection. NSW EDDC: New South Wales Emergency Department Data Collection. VAED: Victorian Admitted Episodes Dataset. VEMD: Victorian Emergency Minimum Dataset. QLD EDC: Queensland Emergency Department Collection. QHAPDC: Queensland Hospital Admitted Patient Data Collection.

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Published publicly annually at national level. Individualised home care provider specific reports with benchmarks provided privately (to providers with more than 20 recipients ) for South Australia only annually.

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Caughey GE, Lang CE, Bray SCE, et al. Quality and safety indicators for home care recipients in Australia: development and cross-sectional analyses. BMJ Open 2022;12(8):e063152

Technical Specifications

Registry of Senior Australians. Home Care Outcome Monitoring System Technical Specification – Delirium or Dementia-related Hospitalisation. Version 1.0. South Australian Health and Medical Research Institute. Adelaide, Australia; May 2023, 2 pages static1.squarespace.com/static/5b8c84fc4cde7abe6c3e7d7c/t/6489243186237766e1b49376/1686709320273/10IndicatorDeliriumorDementiarelatedHospitalisationsV1+dated+28-04-2023WEBSITE.pdf

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025